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      Reconstrucción de válvula aórtica con pericardio autólogo según técnica de Ozaki Translated title: Reconstruction of aortic valve using Ozaki technique. Report of two cases

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          Translated abstract

          Prosthetic valve replacement is the standard treatment for aortic valvulopathy. Due to the structural valve deterioration of biological prosthesis and the anticoagulation requirements of mechanical valves, the repair of aortic valve disease is receiving more attention in recent years. The Ozaki technique consists in the reconstruction of a trileaflet valve using autologous pericardium. We report our first two cases of successful reconstruction of the aortic valve using this technique with 12-month echocardiographic and 24-month clinical follow up.

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          Midterm outcomes after aortic valve neocuspidization with glutaraldehyde-treated autologous pericardium

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            A total of 404 cases of aortic valve reconstruction with glutaraldehyde-treated autologous pericardium

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              Aortic valve reconstruction using self-developed aortic valve plasty system in aortic valve disease.

              Aortic valve disease is usually treated by prosthetic valve replacement. We have performed aortic valve plasty (AVP) using glutaraldehyde-treated autologous pericardium. AVP was performed for 88 patients from April 2007 through August 2009. Sixty-five patients had aortic stenosis, and 23 patients had aortic regurgitation (AR). Twenty-one patients showed bicuspid aortic valves, and one patient showed quadricuspid valve. There were 43 males and 45 females. Their mean age was 70.6±10.5 years old. First, diseased leaflets excised. Then, the distance between each commissure was measured. The new leaflet were trimmed with an original template from a glutaraldehyde-treated autologous pericardium sample. Finally, the annular margin of the pericardial leaflet was running sutured to each annulus. There was no operative mortality or embolic event. Postoperative echocardiography revealed a mean peak pressure gradient (PG) of 19.0±9.1 mmHg one week after surgery. Thirty-two patients had echocardiography one year after surgery. The peak PG became 12.9±5.8 mmHg. Ten patients showed no AR, 20 patients showed trivial AR, and two patients showed mild AR. Freedom from reoperation is 100% at three years follow-up.
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                Author and article information

                Journal
                rmc
                Revista médica de Chile
                Rev. méd. Chile
                Sociedad Médica de Santiago (Santiago, , Chile )
                0034-9887
                December 2021
                : 149
                : 12
                : 1806-1811
                Affiliations
                [1] Concepción orgnameHospital Clínico Regional de Concepción “Dr. Guillermo Grant Benavente” orgdiv1Centro Cardiovascular Chile
                [2] Concepción Bío-Bío orgnameUniversidad de Concepción orgdiv1Facultad de Medicina orgdiv2Departamento de Cirugía Chile
                Article
                S0034-98872021001201806 S0034-9887(21)14901201806
                10.4067/s0034-98872021001201806
                9ce5d1b9-2003-4218-99ca-3f178c18e614

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 06 August 2021
                : 10 December 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 16, Pages: 6
                Product

                SciELO Chile


                Aortic Valve,Aortic Valve Stenosis,Cardiac Surgical Procedures,Heart Valve Prosthesis

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