Bloodless Aortic Valve Replacement Surgery

Bloodless Heart Valve SurgeryBloodless Aortic Valve Replacement Surgery

Valvular heart disease can affect any of the four valves of the heart. Aortic valve disease is a condition in which the valve between the left ventricle and the main artery to your body (aorta) does not work properly. Aortic valve disease sometimes may be a condition present at birth (bicuspid aortic valve) or it may result from other causes. The most common valvular problem in old age is aortic valve disease.

Types of aortic valve disease include: Aortic stenosis & Aortic regurgitation. In Aortic stenosis condition, the aortic valve opening is narrowed. Aortic regurgitation. In this condition, the aortic valve does not close properly, causing blood to flow backward into the left ventricle. To treat valvular disease our cardiac surgeons offer many different options.


Bloodless Cardiac Surgery or Bloodless Heart Surgery is transfusion free cardiac surgery, where the patient’s wishes are respected based not only on religious beliefs but also with the intention of trying to avoid the potential risks associated with blood transfusions, such as infections, complications and mortality.
Any type of heart surgery can be performed without external blood, including complex operations, and this depends solely upon the patient’s state of health, which is evaluated prior to surgery in order to determine if surgery can take place.

If necessary, treatment to address the patient’s health are carried out in order to be able to perform this type of surgery.

Under the direction of Dr. Ruyra, an expert Cardiac Surgeon, our bloodless cardiac surgery team has become an international benchmark, treating patients from all over the world. Mortality under Dr. Ruyra’s expert hands in bloodless cardiac surgery is 1.5% versus mortality of 11.8% overall in Europe, reported by The European System for Cardiac Operative Risk Evaluation (

This shows that we provide first class results of the highest quality.

Why Bloodless Medicine and Surgery?

Bloodless medicine and surgery is possible, even in specialties such as cardiac surgery, which are potentially very bloody. Issues to consider regarding blood transfusions:

  • Blood is a scarce commodity. There is more demand than supply.
  • Blood transfusions are a therapeutic procedure that is not exempt from complications.
  • The use of hemoderivatives has a high cost.
  • Additionally there are many countries where the blood used is not safe.

The transfusion must always be viewed with caution because it involves a number of general risks:

  • Infection. Although blood is very safe in developed countries, there is always danger of infection.
  • Lung problems.
  • Idiosyncratic reactions.
  • May cause immunomodulation. It produces a metabolic and immunological overexertion.
  • It can reduce immunocompetence. Reducing the body’s immune system i.e. the defense capacity of our body which in turn can:
    • Activate viral infection
    • Increase postoperative infections
    • Cause cancer recurrences

There is sufficient evidence and studies which show that the results are better in patients who have undergone heart surgery if they have not needed hemoderivatives.

The latest guidelines of the Associations of Thoracic Surgeons and Specialist Anesthetists in Cardiac Surgery make it clear that we must try not to transfuse patients who undergo heart surgery. It has been recognized that a patient who has received a transfusion has a shorter life span, and even long-term survival is directly related to the number of concentrates the patient receives. In every case, this patient has greater morbidity: renal failure, prolonged intubation, major infections, cardiac morbidity, low cardiac output, neurological morbidity.

There is astounding and universal evidence to show that a patient who receives a transfusion in cardiac surgery is more likely to have higher mortality in the short, medium and long term than someone who does not undergo a transfusion, and there is even a study that claims it can affect the patient’s life in the long term.


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