The Ozaki procedure is a valuable option for aortic valve reconstruction, especially in

pediatric patients with congenital aortic and truncal valve disease. Let me provide you
with some details about the Ozaki procedure:
Procedure description:
The Ozaki procedure involves reconstruction of the aortic valve using the patient's
own tissue.
Here are the key steps:
1. A large incision is made in the chest, and the breastbone is separated.
2. A piece of tissue is removed from the sac around the heart.
3. The removed tissue is treated with a chemical called glutaraldehyde to
strengthen it.
4. A new aortic valve is constructed by sewing the treated tissue into the annulus
of the native aortic valve and aortic root.
5. The diseased valve is removed and replaced with the newly constructed valve
from the patient's own tissue.
Characteristics of the patients:
The study you mentioned included 57 patients with congenital aortic and truncal valve
disease:
1. Aortic regurgitation (AR).
2. Aortic stenosis (AS).
3. Various types of aortic valves (quadricuspid, tricuspid, bicuspid, and unicuspid)
were involved.
4. Some patients had prior aortic valve repairs or replacements.
Autologous bovine pericardium, Photofix and CardioCel were used for reconstruction
Short Term Results:
 There was no in-hospital mortality or early conversions to valve replacement.
 Two patients required aortic valve replacement.
Considerations:
 The AVRec procedure appears to have acceptable short-term results.
 It should be considered as an option for valve reconstruction in pediatric
patients with congenital aortic and truncal valve disease.
In summary, the Ozaki procedure offers a promising approach for aortic valve
reconstruction, especially in pediatric cases. Its use may contribute to better outcomes
in patients with congenital valve disease.
Article: https://www.sciencedirect.com/science/article/pii/S0022522320304384
Crossword: www.educima.com/crosswords/aortic_valve_repair-
974d54fe123332537411510ab789030b