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Review
. 2019 Dec 1;34(5):610-614.
doi: 10.21470/1678-9741-2019-0304.

Aortic Valve Neocuspidization with Glutaraldehyde-Treated Autologous Pericardium (Ozaki Procedure) - A Promising Surgical Technique

Affiliations
Review

Aortic Valve Neocuspidization with Glutaraldehyde-Treated Autologous Pericardium (Ozaki Procedure) - A Promising Surgical Technique

Michel Pompeu Barros Oliveira Sá et al. Braz J Cardiovasc Surg. .

Abstract

In cases of aortic valve disease, prosthetic valves have been increasingly used for valve replacement, however, there are inherent problems with prostheses, and their quality in the so-called Third World countries is lower in comparison to new-generation models, which leads to shorter durability. Recently, transcatheter aortic valve replacement has been explored as a less invasive option for patients with high-risk surgical profile. In this scenario, aortic valve neocuspidization (AVNeo) has emerged as another option, which can be applied to a wide spectrum of aortic valve diseases. Despite the promising results, this procedure is not widely spread among cardiac surgeons yet. Spurred on by the last publications, we went on to write an overview of the current practice of state-of-the-art AVNeo and its results.

Keywords: Aortic Valve; Heart Valve Prosthesis; Pericardium; Transcatheter Aortic Valve Replace.

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Conflict of interest statement

No conflict of interest.

Figures

Fig. 1
Fig. 1
Glutaraldehyde-treated autologous pericardium.
Fig. 2
Fig. 2
Trimming of treated autologous pericardium with the corresponding measured value using template.
Fig. 3
Fig. 3
Echocardiographic pictures after the surgical procedure. A and B display adequate leaflet coaptation. C and D display the opening of the neo-aortic valve.
Fig. 4
Fig. 4
Results published by Ozaki et al.[5].
None

References

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    1. Ozaki S, Kawase I, Yamashita H, Uchida S, Nozawa Y, Takatoh M, et al. A total of 404 cases of aortic valve reconstruction with glutaraldehyde-treated autologous pericardium. J Thorac Cardiovasc Surg. 2014;147(1):301–306. doi: 10.1016/j.jtcvs.2012.11.012. - DOI - PubMed
    1. Ozaki S, Kawase I, Yamashita H, Uchida S, Nozawa Y, Takatoh M, et al. Aortic valve reconstruction using autologous pericardium for ages over 80 years. Asian Cardiovasc Thorac Ann. 2014;22(8):903–908. doi: 10.1177/0218492314520748. - DOI - PubMed
    1. Ozaki S, Kawase I, Yamashita H, Uchida S, Takatoh M, Hagiwara S, et al. Aortic valve reconstruction using autologous pericardium for aortic stenosis. Circ J. 2015;79(7):1504–1510. doi: 10.1253/circj.CJ-14-1092. - DOI - PubMed
    1. Ozaki S, Kawase I, Yamashita H, Uchida S, Takatoh M, Kiyohara N. Midterm outcomes after aortic valve neocuspidization with glutaraldehyde-treated autologous pericardium. J Thorac Cardiovasc Surg. 2018;155(6):2379–2387. doi: 10.1016/j.jtcvs.2018.01.087. - DOI - PubMed

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