Worldwide experience in aortic valve neocuspidization
Abstract
Aortic valve neocuspidization (split replacement of the leaflets) has gained wide popularity after the Japanese surgeon Shigeyuki Ozaki had developed an original method and special instruments. However, there is a number of other methods of neocuspidization. Many medical centers have yielded experience in neocuspidization for a wide range of indications as aortic stenosis, aortic regurgitation, infective endocarditis, congenital defect. Especially, this method is useful for the patients with the narrow aortic annulus. Neocuspidization is feasible as for the elderly and senile, as for the young and even children. Aortic valve anatomy may vary.
Early results of neocuspidization are associated with better hemodynamics than the biological or mechanical prostheses. The mid-term follow-up showed low mortality, low rates of structural degeneration, recurrent or new aortic regurgitation, and reoperations.
Due to the accumulated experience, aortic valve neocuspidization is regarded as an alternative to conventional aortic valve replacement with a biological or mechanical prosthesis. However, a lack of longterm results prevents us from recommending of neocuspidization as a method of choice so far.
About the Authors
P. A. Karavaikin
Central Clinical Hospital with Polyclinic of the Administrative Directorate of the President of the Russian Federation; Federal State Autonomous Educational Institution of Higher Education "Russian National Research Medical University named after N.I. Pirogov" of the Ministry of Health of Russia
Russian Federation
Russian Federation
Karavaikin Pavel A. - M.D., Ph.D., Cardiovascular Surgeon of the Department of Cardiac Surgery, Central Clinical Hospital with Polyclinic of the Administrative Directorate of the President of the RF, Assistant of the Department of Cardiovascular Surgery, School of Continuing Medical Education, N.I. Pirogov RNRMU.
15, Marshala Timoshenko St., Moscow, 121359; st. Ostrovityanova 1, Moscow, 1117997
A. V. Molochkov
Central Clinical Hospital with Polyclinic of the Administrative Directorate of the President of the Russian Federation; Federal State Budgetary Institution of Further Professional Education "Central State Medical Academy" of the Administration of the President of the Russian Federation
Russian Federation
Russian Federation
Molochkov Anatoly V. - M.D., Ph.D., Head of the Center for Cardiovascular Diseases, Chief Surgeon of the Department of Cardiac Surgery, CCH with Polyclinic of the Administrative Directorate of the President of the RF, professor of the Department of Surgery, Central State Medical Academy of the Administrative Directorate of the President of the RF.
15, Marshala Timoshenko St., Moscow, 121359; st. Marshala Timoshenko 19, bldg. 1A, Moscow, 121359
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Karavaikin P.A., Molochkov A.V. Worldwide experience in aortic valve neocuspidization. Minimally Invasive Cardiovascular Surgery. 2023;3(3):45-63. (In Russ.)
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