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Enginoev S.T.

Federal Center for Cardiovascular Surgery;
Astrakhan State Medical University

Chernov I.I.

Federal Center for Cardiovascular Surgery

Komarov R.N.

Sechenov First Moscow State Medical University

Belov V.A.

Sukhanov Federal Center for Cardiovascular Surgery

Gamzaev A.B.

Privolzhsky Research Medical University

Arutyunyan V.B.

Sukhanov Federal Center for Cardiovascular Surgery

Kadyraliev B.K.

Sukhanov Federal Center for Cardiovascular Surgery;
Perm National Research Polytechnic University

Semagin A.P.

Polyakov Regional Clinical Cardiology Dispensary

Ismailbaev A.M.

Sechenov First Moscow State Medical University

Kuznetsov D.V.

Polyakov Regional Clinical Cardiology Dispensary

Zybin A.A.

Polyakov Regional Clinical Cardiology Dispensary

Pashaeva A.R.

Astrakhan State Medical University

Tlisov B.M.

Sechenov First Moscow State Medical University

Three-year results of aortic valve neocuspidization (Ozaki procedure): a multiple-center retrospective study

Authors:

Enginoev S.T., Chernov I.I., Komarov R.N., Belov V.A., Gamzaev A.B., Arutyunyan V.B., Kadyraliev B.K., Semagin A.P., Ismailbaev A.M., Kuznetsov D.V., Zybin A.A., Pashaeva A.R., Tlisov B.M.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(4): 428‑435

DOI: 10.17116/kardio202417041428

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Table of contents

THREE-YEAR RESULTS OF AORTIC VALVE NEOCUSPIDIZATION (OZAKI PROCEDURE): A MULTIPLE-CENTER RETROSPECTIVE STUDY
THREE-YEAR RESULTS OF AORTIC VALVE NEOCUSPIDIZATION (OZAKI PROCEDURE): A MULTIPLE-CENTER RETROSPECTIVE STUDY

To cite this article:

Enginoev ST, Chernov II, Komarov RN, et al. . Three-year results of aortic valve neocuspidization (Ozaki procedure): a multiple-center retrospective study. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(4):428‑435. (In Russ.)
https://doi.org/10.17116/kardio202417041428

ЭндоКард
Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze 3-year outcomes after Ozaki procedure.

MATERIAL AND METHODS

A retrospective multiple-center study included 251 patients with aortic valve disease between January 2017 and February 2020.

RESULTS

The main indication for surgery was severe aortic stenosis in 230 (91.6%) cases, bicuspid aortic valve in 88 (35%) cases, aortic regurgitation (AR) in 21 (8.4%) cases and infective endocarditis (IE) in 12 (4.8%) cases. The sample included 116 (46.2%) men and 135 (53.8%) women (mean age 66 (60—70) years). There were no conversions of the Ozaki procedure to aortic valve replacement with biological or mechanical prostheses. Xenopericardium was used in 7 cases due to redo surgeries. Combined interventions were performed in 103 (42.2%) patients. In-hospital mortality was 1.2%. Two (0.8%) patients underwent redo sternotomy for bleeding. Follow-up was completed in all patients (median period 24 (17—32) months). Three-year survival and freedom from redo surgeries were 90.6% and 94.6%, respectively. Postoperative echocardiography revealed mean pressure gradient 6 mm Hg. AR ≥2 was detected in 13 (8.3%) patients in 22.6±9.9 months after surgery. Baseline IE (p=0.04) and AR ≥2 (p=0.006) at discharge are significant predictors of aortic valve dysfunction after Ozaki surgery.

CONCLUSION

The Ozaki procedure in patients with aortic valve disease has favorable immediate results regarding in-hospital mortality and postoperative morbidity, as well as optimal intermediate results regarding survival, freedom from redo surgeries and hemodynamic parameters. Further monitoring of patients is necessary to assess the long-term results after this procedure.

Keywords:

aortic valve neocuspidization
aortic valve
Ozaki procedure

Authors:

Enginoev S.T.

Federal Center for Cardiovascular Surgery;
Astrakhan State Medical University

Chernov I.I.

Federal Center for Cardiovascular Surgery

Komarov R.N.

Sechenov First Moscow State Medical University

Belov V.A.

Sukhanov Federal Center for Cardiovascular Surgery

Gamzaev A.B.

Privolzhsky Research Medical University

Arutyunyan V.B.

Sukhanov Federal Center for Cardiovascular Surgery

Kadyraliev B.K.

Sukhanov Federal Center for Cardiovascular Surgery;
Perm National Research Polytechnic University

Semagin A.P.

Polyakov Regional Clinical Cardiology Dispensary

Ismailbaev A.M.

Sechenov First Moscow State Medical University

Kuznetsov D.V.

Polyakov Regional Clinical Cardiology Dispensary

Zybin A.A.

Polyakov Regional Clinical Cardiology Dispensary

Pashaeva A.R.

Astrakhan State Medical University

Tlisov B.M.

Sechenov First Moscow State Medical University

Received:

31.03.2023

Accepted:

27.04.2023

Close metadata

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