Early aortic valve neocuspidization failure due to xenograft leaflet tear in a young adult

Abstract Aortic valve neocuspidization, initially described by Ozaki and colleagues, has become an increasingly popular treatment approach for aortic valve disease in both adult and paediatric populations. We report a case of an 18-year-old man with severe aortic regurgitation who underwent the Ozak...

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Bibliographic Details
Published inInterdisciplinary cardiovascular and thoracic surgery Vol. 37; no. 4
Main Authors Lee, Kwok Fai Lucius, Mak, Ka Lun Tony, Chen, Qiang, Yam, Nicholson
Format Journal Article
LanguageEnglish
Published Oxford University Press 04.10.2023
Subjects
Valvular Heart Disease
Aortic valve reconstruction
Neocuspidization
Early failure
Ozaki procedure
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Summary:Abstract Aortic valve neocuspidization, initially described by Ozaki and colleagues, has become an increasingly popular treatment approach for aortic valve disease in both adult and paediatric populations. We report a case of an 18-year-old man with severe aortic regurgitation who underwent the Ozaki procedure using photo-oxidized bovine pericardium. Around 5 weeks after the surgery, he developed early symptomatic valve failure due to multiple leaflet tears requiring urgent reoperation. The high reproducibility, comparable midterm durability to valvular replacement, favourable haemodynamic profile and warfarin-sparing nature of the Ozaki procedure have promoted its widespread adoption in both adult and paediatric populations.
Bibliography:ObjectType-Article-1
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ISSN:2753-670X
2753-670X
DOI:10.1093/icvts/ivad165