[MSB-30] Clinical Outcomes of Bicuspid Aortic Valve Pathologies Treated with Tricuspidization Using the Ozaki Procedure
Turkish Journal of Thoracic and Cardiovascular Surgery, cilt.32, ss.52-53, 2024 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 32
- Basım Tarihi: 2024
- Doi Numarası: 10.5606/tgkdc.dergisi.2024.msb-30
- Dergi Adı: Turkish Journal of Thoracic and Cardiovascular Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.52-53
- Anahtar Kelimeler: Autologous pericardium, bicuspid aortic valve, Ozaki procedure, tricuspidization
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: This study aimed to share early- and mid-term results in patients with bicuspid aortic valve (BAV) disease who underwent tricuspidization with the Ozaki procedure. METHOD: The data of 44 patients (32 males, 12 females; mean age: 51.47±15.18 years) diagnosed with BAV who underwent tricuspidization with the aortic valve neocuspidization technique between February 2019 and July 2024 were retrospectively analyzed. Results: Additional surgical procedures were performed on 21 (47.72%) patients with BAV morphology. Echocardiographic measurements showed a significant reduction in preoperative peak and mean aortic valve pressures at one and 12 months. In patients who underwent simultaneous surgical procedures, the mean aortic cross-clamp time was 111±29.7 min, and the mean cardiopulmonary bypass time was 153±43.9 min. For isolated BAV defects, the mean aortic cross-clamp and cardiopulmonary bypass times were 89.9 ±19.5 and respectively. During the follow-up period, no patient required mechanical aortic valve replacement. One patient required pacemaker implantation on the seventh postoperative day due to the development of a third-degree atrioventricular block. In one patient, an ischemic cerebrovascular event occurred in the early postoperative period. Discussion: Although aortic valve neocuspidization requires experience, the application of standardized procedures allows for successful outcomes in BAV defects through the tricuspidization procedure. The tricuspidization procedure provides a more physiological structure and excellent hemodynamic performance of the aortic valve.