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First Robotic Aortic Valve Replacement in Europe Using a Perceval Valve
Sefa Saglam M, Gumus F, Serkan Durdu M, Bolcal C. First Robotic Aortic Valve Replacement in Europe Using a Perceval Valve. December 2025. doi:10.25373/ctsnet.30758123
This video is one of the top 10 entries from the 2025 Endoscopic Cardiac Surgeons Club Video Competition. More videos featuring these outstanding presentations will be showcased in the coming weeks.
This video presents the case of a 64-year-old man with severe aortic stenosis with a mean gradient of 50mmHg. A working port was created in the second intercostal space, and ports were placed in the third and fourth intercostal space for the left and right arms. Femoral cannulation was performed for bypass. Cardioplegic arrest was done using a Chitwood clamp and integrated del Nido cardioplegia. After the aorta was opened, a bicuspid aortic valve was found, along with a heavily calcified Seaver type I valve. The aortic leaflets were excised.
The bedside surgeon and the surgeon at the console worked together to maintain the exposure. Three guiding stitches were placed. The Perceval valve was deployed and the aortotomy was closed. This part of the procedure proved to be the most challenging, taking approximately 40 minutes. The patient did well and was discharged in good condition.
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