Implantation of Perceval in Trifecta ring: A new perspective.

We report a case of a 67-year-old woman who underwent an aortic valve replacement with a 23-mm Trifecta prosthesis (St. Jude Medical, St. Paul, MN, USA). We implanted Perceval S (LenoNova, London, UK) after resecting the degenerated leaflets three years later after the first operation. This strategy enabled us to reduce the ischemic time and hence simplify the surgical procedure in addition to providing excellent postoperative hemodynamics. <Learning objective: The Perceval sutureless valve implantation in Trifecta ring is a feasible alternative to transcatheter aortic valve implantation in specific situations.>.