Valve-in-Valve Using Perceval Prostheses for Prosthetic Valve Endocarditis.

Surgical treatment for prosthetic valve endocarditis remains a challenge. Rapid deployment valves have emerged as an option in the redo setting for infective endocarditis and in patients with a small or calcified aortic root. This report presents 3 patients with prosthetic valve endocarditis who underwent redo aortic valve replacement with the Perceval (LivaNova) prosthesis using the valve-in-valve technique. Hemodynamic performance of the prostheses was excellent during the perioperative period and at follow-up.