Key result
Transcatheter implantation of an aortic valve prosthesis was successfully performed in a patient with aortic insufficiency 2 years after the Ozaki procedure.
Why the study?
Repeat open heart surgery carries high complication risks when patients develop pronounced aortic insufficiency after the Ozaki procedure, presenting a need to explore transcatheter aortic valve replacement.
Case Report (n=1)
TAVR is a feasible and successful treatment option for patients developing aortic insufficiency after a prior Ozaki procedure, avoiding the high risks of repeat open surgery.
Answers are grounded in this paper and cite their sources.
TAVR may serve as bailout after Ozaki neocusp failure; leaves open durability and selection criteria in this population.
The Ozaki operation is currently considered to be a sufficiently known surgical procedure performed in aortic valve defects. Despite satisfactory results in the mid-term period after neocuspidalization, there have been reported cases of pronounced aortic insufficiency due to rupture of neocusps or their endocarditis. Transcatheter aortic valve replacement is a rapidly developing trend at the junction of modern cardiac surgery and interventional cardiology, expansively covering groups of patients at high, moderate and recently also low surgical risk. Repeat open cardiosurgical interventions remain a zone of especially increased risk of complications. This clinical case report describes technical aspects and immediate outcomes of successful transcatheter implantation of aortic valve prosthesis in a patient with aortic insufficiency revealed 2 years after the Ozaki procedure.
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Базылев et al. (2021) conducted a case report in Aortic insufficiency after Ozaki procedure (n=1). Transcatheter aortic valve replacement was evaluated on Technical aspects and immediate outcomes. Transcatheter implantation of an aortic valve prosthesis was successfully performed in a patient with aortic insufficiency 2 years after the Ozaki procedure.
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