References:
[1] Pirola S, Mastroiacovo G, Arlati FG, Mostardini G, Bonomi A, Penza E, Polvani G. Single Center Five Years’ Experience of Ozaki Procedure: Midterm Follow-up. Ann Thorac Surg. 2020 Oct 22:S0003-4975(20)31730-6. doi: 10.1016/j.athoracsur.2020.08.039. Epub ahead of print. PMID: 33597118.
[2] Ozaki S, Kawase I, Yamashita H, Uchida S, Takatoh M, Kiyohara N. Midterm outcomes after aortic valve neocuspidization with glutaraldehyde-treated autologous pericardium. J Thorac Cardiovasc Surg. 2018 Jun;155(6):2379-2387. doi: 10.1016/j.jtcvs.2018.01.087. Epub 2018 Feb 15. PMID: 29567131.
[3] Ozaki S. Ozaki Procedure: 1,100 patients with up to 12 years of follow-up. Turk Gogus Kalp Damar Cerrahisi Derg. 2019 Oct 23;27(4):454. doi: 10.5606/tgkdc.dergisi.2019.01904. PMID: 32082907; PMCID: PMC7018167.
[4] Pibarot P, Dumesnil JG. Prosthesis-patient mismatch: definition, clinical impact, and prevention. Heart. 2006 Aug;92(8):1022-9. doi: 10.1136/hrt.2005.067363. Epub 2005 Oct 26. PMID: 16251232; PMCID: PMC1861088.
Figures :
Figure 1: A: cusp measurement wider than 35 mm sizer.B: a 4-0 Prolene stitch is passed through the nadir of the cusp better exposing the ring. C: two dots are marked 3 mm besides the nadir. D: the two needles of a double arm 4-0 Prolene are passed from LVOT up through the dots. E: using one of the two needles the surgeon passes the same stich through the two dots once again creating a double loop around the nadir and ties the stitch down while the assistant gently pulls up the stitch on the nadir. F: perfect match between the 35 mm sizer and the reduced intercommisural distance