Minimally invasive Ozaki procedure for aortic valve disease, preliminary results

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Abstract

Objective. To assess the efficiency and realizability of the surgical technique of aortic valve reconstruction using autologous pericardium treated by glutaraldehyde in different aortic valve diseases such as aortic stenosis, aortic regurgitation, rheumatic and degenerative diseases of aortic valve. In 2014, Ozaki presented the technique described.

Materials and methods. In this work we analysed 10 cases of ministernomy combined with Ozaki procedure in patients operated at “Sukhanov Federal Center for Cardiovascular Surgery”.

Results. No hospital mortality was registered in our study. Intraoperatively, transition to a full sternotomy was not required. A mean time of aortic cross-clamping was 84.6 (± 14.4) minutes, a mean value of artificial circulation was 103.1 (± 17.7) minutes, a mean time of ventilation was 8.4 hours, and a mean time of staying in intensive care unit room was 1.6 days.

Conclusions. Minimally invasive approach combined with Ozaki procedure is realizable; it is an alternative to conventional sternotomy and should be used for patients in grave condition having concomitant diseases.

About the authors

B. K. Kadyraliev

Sukhanov Federal Center for Cardiovascular Surgery; E.A. Vagner Perm State Medical University

Email: Levsha.kg@mail.ru

Candidate of Medical Sciences, cardiovascular surgeon

Russian Federation, Perm

V. B. Arutyunyan

Sukhanov Federal Center for Cardiovascular Surgery

Email: sergeiviktorovichkucherenko@gmail.com

MD, PhD, Head of Cardiac Surgery Unit № 1, cardiovascular surgeon

Russian Federation, Perm

V. A. Chragyan

Sukhanov Federal Center for Cardiovascular Surgery

Email: doc-vahe@mail.ru

MD, PhD, Head of Cardiac Surgery Unit № 3, cardiovascular surgeon

Russian Federation, Perm

Magamedganipa N. Askadinov

Sukhanov Federal Center for Cardiovascular Surgery

Email: milanser10@mail.ru
ORCID iD: 0000-0003-2993-204X

cardiovascular surgeon

Russian Federation, Perm

Soslan T. Enginoev

Federal Center for Cardiovascular Surgery; Astrakhan State Medical University

Email: milanser10@mail.ru
ORCID iD: 0000-0002-8376-3104

cardiovascular surgeon; Assistant, Department of Cardiovascular Surgery

Russian Federation, Astrakhan

Sergei V. Kucherenko

Sukhanov Federal Center for Cardiovascular Surgery; E.A. Vagner Perm State Medical University

Author for correspondence.
Email: sergeiviktorovichkucherenko@gmail.com
ORCID iD: 0000-0002-6929-855X

resident, cardiovascular surgeon

Russian Federation, Perm

References

  1. Ugur M., Byrne J.G., Bavaria J.E. et al. Suture technique does not affect hemodynamic performance of the small supraannular Trifecta bioprosthesis. J Thorac Cardiovasc Surg 2014, 148: 1347–1351.
  2. Englberger L., Schaff H.V., Jamieson W.R. et al. Importance of implant technique on risk of major paravalvular leak (PVL) after St. Jude mechanical heart valve replacement: a report from the Artificial Valve Endocarditis Reduction Trial (AVERT). Eur J Cardi-othoracic Surg 2005, 28: 838–843.
  3. Tabata M., Shibayama K., Watanabe H. et al. Simple interrupted suturing increases valve performance after aortic valve replacement with a small supra-annular bioprosthesis. J Thorac Cardiovasc Surg 2014, 147: 321–325.
  4. Haqzad Y., Loubani M., Chaudhry M. et al. Multicentre, propensity-matched study to evaluate long-term impact of implantation technique in isolated aortic valve replacement on mortality and incidence of redo surgery. Interact Cardiovasc Thorac Surg 2016, 22: 599–605.
  5. Zhang M., Wu Q.C. Intra-supra annular aortic valve and complete supra annular aortic valve: a literature review and hemodynamic comparison. Scand J Surg 2010, 99: 28–31.
  6. LaPar D.J., Ailawadi G., Bhamidipati C.M. et al. Use of a nonpledgeted suture technique is safe and efficient for aortic valve replacement. J Thorac Cardiovasc Surg 2011, 141: 388–393.
  7. Fallon J.M., DeSimone J.P., Brennan J.M. et al. The incidence and consequence of prosthesis-patient mismatch after surgical aortic valve replacement. Ann Thorac Surg 2018, 106: 14–22.
  8. Ugur M., Suri R.M., Daly R.C. et al. Comparison of early hemodynamic performance of 3 aortic valve bioprostheses. J Thorac Cardiovasc Surg 2014, 148: 1940–1946.
  9. Pibarot P., Dumesnil J.G. Prosthesis-patient mismatch: definition, clinical impact, and prevention. Heart 2006, 92: 1022–1029.

Supplementary files

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2. Fig. 1.T-access

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3. Fig. 2. Isolation of the pericardium

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4. Fig. 3. Fixation of the pericardium

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5. Fig. 4. Measurements with templates

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6. Fig. 5. Cutting out flaps

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7. Fig. 6. Implantation of valve leaflets

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Copyright (c) 2021 Kadyraliev B.K., Arutyunyan V.B., Chragyan V.A., Askadinov M.N., Enginoev S.T., Kucherenko S.V.

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