Aortic Root Dynamics 1, 3
Does not create additional rigidity in the aortic root and is designed to avoid a stenosing effect, similar to frameless bioprosthesis behavior.




ADVALVE ULTRA is a new generation bovine pericardial semi-framed bioprosthesis, combining the superior haemodynamic performance of a stentless design with the implantation ease of a stented platform. Its superelastic nitinol wire form simulates natural biomechanics through the cardiac cycle, while aldehyde-free EGDGE fixation reduces calcium-binding potential and enables additional antithrombotic, antibacterial, and anti-calcification treatment.
ADVALVE Design & Engineering





Does not create additional rigidity in the aortic root and is designed to avoid a stenosing effect, similar to frameless bioprosthesis behavior.
Facilitates easier intra-operative manipulation, designed to help reduce the duration of the aortic cross-clamp.
Integrated wire frame establishes a clear structural boundary, supporting a straightforward forward single-seam technique.
Flexible nitinol frame designed to simulate natural biomechanical characteristics during the cardiac cycle.



EGDGE reduces calcium-binding potential during basic fixation, facilitating additional antithrombotic, antibacterial, and anti-calcification treatment.

Covalent binding designed to reduce platelet adhesion & aggregation, enhancing hemocompatibility

Diphosphonates applied to inhibit the conversion of calcium phosphate into rigid hydroxyapatite deposits

Chlorhexidine bigluconate film intended to provide broad-spectrum protection against microorganisms
Long Term Clinical Outcome At 9 Years4
78%Freedom From Calcification
74%Freedom From Primary Tissue Failure
In this Russian multicenter study from 1991-2005; 1,060 valves, including 713 in the mitral position, were implanted. Average age of patients was 49 years, volume of follow up was 108 patient years, and completeness was 61%.




Evtushenko A.V Et Al: The Results Of The Long-Term Isolated Use Of Xenopericardial Bioprosthesis Of The New Generation TiAra In The Long-Term Period: Clinical And Experimental Surgery. Petrovsky Journal Volume 11. No. 1. 2023.
Evtushenko A.V. Et.Al: First Clinical Experience Of The Implantation Of The New Generation Xenopericardial Semi-Framed Bioprosthesis TiAra. Clinical And Experimental Surgery. Petrovsky Journal. 2021; 9 (2):
Rf Patent No. 2355361 Cl. A61F 2/24, Published On 05/20/2009.
Astapov D. A Et.Al: Experimental And Clinical Substantiation Of Implantation Efficacy In The Aortic Position Of “Tiara” Bioprosthesis With A Stent Made Of Nitinol: Complex Issues Of Cardiovascular Diseases, 2013 No 4
Bioprosthetic Heart Valves In Russia: Experience Of Three Clinics / L. S. Barbarash [Et Al.] // Pathologia Circulationis Et Cardiosirurgia. 2011. No. 2. P. 21-26.