%0 Journal Article
%T Aortic Neocuspidization with Autologous Pericardium: Initial Experience of Single Center
%A Kubilay Karabacak
%A Emre Kubat
%A G£¿khan Erol
%A Murat Kadan
%A Furkan Burak Akyol
%A Elgin Hac£¿zade
%A Suat Doganci
%A Mehmet Emin Ince
%A Uygar Cagdas Yuksel
%A Murat Celik
%A Cengiz Bolcal
%J World Journal of Cardiovascular Surgery
%P 51-60
%@ 2164-3210
%D 2021
%I Scientific Research Publishing
%R 10.4236/wjcs.2021.116008
%X <strong>Background:</strong><span style=\"font-family:;\" \"=\"\"> Aortic neo-cuspidization (AVNeo) procedure has been adopted by limited
centers with </span><span style=\"font-family:;\" \"=\"\">the </span><span style=\"font-family:;\" \"=\"\">publication of the mid-long term successful resu<span>lts. The aim of this study was to present initial experience of the
AVNeo pro</span>cedure of </span><span style=\"font-family:;\" \"=\"\">a </span><span style=\"font-family:;\" \"=\"\">single center.</span><span style=\"font-family:;\" \"=\"\"> </span><b><span style=\"font-family:;\" \"=\"\">Methods:</span></b><span style=\"font-family:;\" \"=\"\"> The medical records of 24 patients who underwent AVNeo with or without
concomitant cardiac surgery between February 2019 and February 2021 at our
tertiary hospital were scanned retrospectively. <b>Results:</b> The mean age of
patients was aged 58.21 ¡À 13.14 years an<span>d 16
(66.7%) of them were men. 16 patients were operated </span></span><span style=\"font-family:;\" \"=\"\">on </span><span style=\"font-family:;\" \"=\"\">for aortic steno</span><span style=\"font-family:;\" \"=\"\">sis
(66.67%). Morphology of the aortic valve was tricuspid in 21 (87.5%) and bi<span>cuspid in 3 (12.5%) of the patients. Additional
cardicac surgery was performed </span>in 13 (54.17%) patients. No patients
needed reoperation for bleeding, pace<span>maker
implantations, conversion to classical prosthetic aortic valve replacement</span></span><span style=\"font-family:;\" \"=\"\">,</span><span style=\"font-family:;\" \"=\"\"> or infective endocarditis. Two patients died due to non-cardiac reasons</span><span style=\"font-family:;\" \"=\"\">. Preoperative peak and mean aortic valve pressures improved
significantly at 1<sup>st</sup> and 6<sup>th</sup> months (Preop:</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\">89.06 ¡À 21.88 mmHg and
56.38 ¡À 15.09 mmH<span>g 1<sup>st</sup> month:
22.00 ¡À 3.93 mmHg and 8.73 ¡À 2.60 mmHg, 6<sup>th</sup> month: 18.13 </span>¡À
3.02 mmHg and 6.93 ¡À 1.83 mmHg)</span><span style=\"font-family:;\" \"=\"\">. </span><b><span style=\"font-family:;\" \"=\"\">Conclusion:</span></b><span style=\"font-family:;\" \"=\"\"> In conclusion, the AVNe<span>o procedure is
a feasible technique for aortic valve pathologies, with the adv</span>antages
of avoiding anticoagulants and the applicability of concomitant surgic<span>al procedures. Although this procedure requires
meticulous experience, res</span>ults similar to the available published
literature can be obtained and
%K Ozaki Procedure
%K Aortic Valve
%K Repair
%K Autologous Pericardium
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=111687