Abstract
The Ozaki procedure is neotricuspidalization of the aortic valve with autologous pericardial flaps treated with glutaraldehyde. With such advantages as excellent postoperative hemodynamic parameters, preservation of natural expansion of the aortic root during systole, ensuring the most effective area of the aortic valve opening and no need for anticoagulants, this technique has proven itself well in adult patients with aortic valve pathology. Experience with the Ozaki operation in children is very limited and covers mainly older children, while the results of the operation for younger children and newborns are presented as isolated observations, are not discussed separately from the general cohort, and long-term results for them are completely absent. This report presents the early and intermediate results of aortic valve neocuspidalization using the Ozaki technique in a 3-year-old child with congenital aortic valve insufficiency.
References
- Chivers S.C., Pavy C., Vaja R., Quarto C., Ghez O., Daubeney P.E. The Ozaki procedure with CardioCel patch for children and young adults with aortic valve disease: preliminary experience – a word of caution. World J. Pediatr. Congenit. Heart Surg. 2019; 10 (6): 724–730. DOI: 10.1177/2150135119878108
- Halder V., Mishra A., Ghosh S., Singh H., Barwad P., Thingnam S.K. et al. Effectiveness and safety of the Ozaki procedure for aortic valve disease in pediatric patients: a systematic review and meta-analysis. Cureus. 2023; 15 (9): e45269. DOI: 10.7759/cureus.45269
- Etnel J.R., Elmont L.C., Ertekin E., Mokhles M.M., Heuvelman H.J., Roos-Hesselink J.W. et al. Outcome after aortic valve replacement in children: a systematic review and meta-analysis. J. Thorac. Cardiovasc. Surg. 2016; 151 (1): 143-52.e1-3. DOI: 10.1016/j.jtcvs.2015.09.083
- Pediatric and fetal echo Z-Score сalculators. http://parameterz.blogspot.com (дата обращения 12.12.2024).
- Bouhout I., Ba P.S., El-Hamamsy I., Poirier N. Aortic valve interventions in pediatric patients. Semin. Thorac. Cardiovasc. Surg. 2019; 31 (2): 277–287. DOI: 10.1053/j.semtcvs.2018.10.009
- Poncelet A.J., El Khoury G., De Kerchove L., Sluysmans T., Moniotte S., Momeni M. et al. Aortic valve repair in the paediatric population: insights from a 38-year single-centre experience. Eur. J. Cardiothorac. Surg. 2017; 51 (1): 43–49. DOI: 10.1093/ejcts/ezw259
- Shatalov K.V., Abdurazakov M.A., Muratov R.M., Arnautova I.V., Dzhidzhikhiya K.M. Aortic valve replacement in children: Ross operation or mechanical valve replacement? Grudnaya i Serdechno-Sosudistaya Khirurgiya. 2020; 62 (4): 318–324. DOI: 10.24022/0236-2791-2020-62-4-318-324
- Golukhova E.Z. Report on the scientific and clinical activity of Bakoulev National Medical Research Center for Cardiovascular Surgery for 2023 and development prospects. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2024; 25 (Special Issue): 5–141 (in Russ.). DOI: 10.24022/1810-0694-2024-25S
- Karamlou T., Jang K., Williams W.G., Caldarone C.A., Van Arsdell G., Coles J.G. et al. Outcomes and associated risk factors for aortic valve replacement in 160 children: a competing risks analysis. Circulation. 2005; 112: 3462–3469. DOI: 10.1161/CIRCULATIONAHA.105.541649
- Baird C.W., Myers P.O., del Nido P.J. Aortic valve reconstruction in the young infants and children. Semin. Thorac. Cardiovasc. Surg. Pediatr. Card. Surg. Ann. 2012; 15 (1): 9–19. DOI: 10.1053/j.pcsu.2012.01.004
- Alsoufi B., Al-Halees Z., Manlhiot C., McCrindle B.W., Al Ahmadi M., Sallehuddin A. et al. Mechanical valves versus the Ross procedure for aortic valve replacement in children: propensity-adjusted comparison of long-term outcomes. J. Thorac. Cardiovasc. Surg. 2009; 137 (2): 362–370. DOI: 10.1016/j.jtcvs.2008.10.010
- Luciani G.B., Lucchese G., Carotti A., Brancaccio G., Abbruzzese P., Caianiello G. et al. Two decades of experience with the Ross operation in neonates, infants and children from the Italian Paediatric Ross Registry. Heart. 2014; 100 (24): 1954–1959. DOI: 10.1136/heartjnl-2014-305873
- Lukyanov A., Karaskov A., Gorbatykh Yu., Naberukhin Yu., Omelchenko A., Khapaev T. et al. Immediate postoperative results and long term outcome after Ross procedure among the pediatric population. Patologiya Krovoobrashcheniya i Kardiokhirurgiya (Circulation Pathology and Cardiac Surgery). 2014; 18 (2): 5–9 (in Russ.). DOI: 10.21688/1681-3472-2014-2-5-9
- Gorustovich A.V., Zhitkova N.S., Linnik Yu.I., Drozdovskiy K.V. Reinterventions after Ross operation in children. Grudnaya i Serdechno-Sosudistaya Khirurgiya. 2024; 66 (1): 36–42 (in Russ.). DOI: 10.24022/0236-2791-2024-66-1-36-42
- Baird C.W., Marathe S.P., Del Nido P.J. Aortic valve neo-cuspidation using the Ozaki technique for acquired and congenital disease: where does this procedure cur-rently stand? Indian J. Thorac. Cardiovasc. Surg. 2020; 36 (Suppl. 1): 113–122. DOI: 10.1007/s12055-019-00917-9
- Baird Ch.W., Sefton B., Cha′vez M., Sleeper L.A., Marx G.R., Del Nido P.J. Congenital aortic and truncal valve reconstruction utilizing the Ozaki technique: Short-term clinical results. J. Thorac. Cardiovasc. Surg. 2021; 161 (5): 1567–1577. DOI: 10.1016/j.jtcvs.2020.01.087
- Ozaki S., Kawase I., Yamashita H., Uchida S., Nozawa Y., Takatoh M. et al. A total of 404 cases of aortic valve reconstruction with glutaraldehyde-treated autologous pericardium. J. Thorac. Cardiovasc. Surg. 2014; 147 (1): 301–306. DOI: 10.1016/j.jtcvs.2012.11.012
- Wiggins L.M., Mimic B., Issitt R., Ilich S., Bonello B., Marek Y. et al. The utility of aortic valve leaflet reconstruction techniques in children and young adults. J. Thorac. Cardiovasc. Surg. 2020; 159 (6): 2369–2378. DOI: 10.1016/j.jtcvs.2019.09.176
- Chernogrivov A.E., Chernogrivov I.E., Bofanov D.A., Bazylev V.V. Ozaki procedure in children: a single-center study of mid-term outcomes. Children’s Heart and Vascular Diseases. 2021; 18 (2): 129–140 (in Russ.). DOI: 10.24022/1810-0686-2021-18-2-129-140
About the authors
- Aleksey E. Chernogrivov, Dr. Med. Sci., Chief Researcher, Cardiovascular Surgeon; ORCID
- Dmitriy K. Gushchin, Cand. Med. Sci., Researcher, Cardiovascular Surgeon; ORCID
- Sergey S. Volkov, Cand. Med. Sci., Leading Researcher, Cardiovascular Surgeon; ORCID
- Mikhail M. Zelenikin, Dr. Med. Sci., Professor, Head of Department, Cardiovascular Surgeon; ORCID