Division of Cardiac Surgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Division of Cardiac Surgery, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
J Card Surg. 2022 Aug;37(8):2475-2476. doi: 10.1111/jocs.16604. Epub 2022 May 9.
Aortic valve neocuspidization or Ozaki procedure represents an advanced surgical strategy for the management of patients with aortic valvulopathy. It has been shown to have clinical and hemodynamic outcomes that compare favorably with aortic valve replacement as it restores physiological aortic valve function and left ventricular remodeling. There are, however, a new set of issues including structural valve deterioration, leaflet tear/perforation, and need for reoperation. A keen understanding of the technical nuances involved with the Ozaki procedure may help in reducing the incidence of such adverse outcomes.
主动脉瓣新尖化术或 Ozaki 手术代表了一种治疗主动脉瓣病变患者的先进外科策略。它在恢复生理主动脉瓣功能和左心室重构方面具有与主动脉瓣置换相当的临床和血液动力学结果。然而，也出现了一系列新问题，包括结构性瓣膜退化、瓣叶撕裂/穿孔以及需要再次手术。深入了解 Ozaki 手术涉及的技术细节可能有助于降低此类不良结局的发生率。
