Innovative combined Ozaki and Bentall procedures for aortic root replacement.

Autor:	Kanemitsu S; Department of Thoracic and Cardiovascular Surgery Mie University Graduate School of Medicine 2-174 Edobashi, Tsu, Mie 514-8507, Japan., Tanaka K; Department of Cardiovascular Surgery, Hamamatsu Medical Center, Hamamatsu, Japan., Ishikawa R; Department of Cardiovascular Surgery, Anjo Kosei Hospital, Anjo, Japan., Sakamoto S; 1 Department of Cardiovascular Surgery, Anjo Kosei Hospital, Anjo, Japan., Mizumoto T; Department of Cardiovascular Surgery, Anjo Kosei Hospital, Anjo, Japan.
Jazyk:	angličtina
Zdroj:	Multimedia manual of cardiothoracic surgery : MMCTS [Multimed Man Cardiothorac Surg] 2024 Sep 11; Vol. 2024. Date of Electronic Publication: 2024 Sep 11.
DOI:	10.1510/mmcts.2024.038
Abstrakt:	In treating aortic root diseases, the Bentall procedure offers reliable and stable results. However, it requires a prosthetic valved conduit, which presents inherent challenges due to the need for anticoagulation. The Ozaki procedure, which uses pericardium for aortic valve neocuspidization, is an alternative to prosthetic valves and does not need anticoagulation. We developed a surgical technique combining the Bentall and Ozaki procedures to treat patients with aortic root disease, which we describe in this article. Because the risk of bleeding due to anticoagulation after prosthetic valve replacement was a concern, we combined the Bentall and Ozaki procedures with a graft conduit using bovine pericardial patch neocuspidization. Postoperative echocardiography showed a competent aortic valve with no regurgitation. We believe that this novel procedure provides hope for a more adaptable and patient-friendly option. (© The Author 2024. Published by MMCTS on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.)
Databáze:	MEDLINE
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