INTRODUCTION
Aortic valve (AV) stenosis is the most common valve heart disease and it
is an important public health problem. 1,2 Prosthetics
AV replacement is the gold standard surgical procedure for treatment AV
disease, however this procedure has important complications such as
mismatch, anticoagulation complications (mechanical prosthesis),
degeneration (biological prosthesis), among others.3-5
AV repair is an alternative to AV replacement, nevertheless this
procedure requires more surgical expertise and is almost restricted to
aortic insufficiency.6-8
AV reconstruction (AVRec) surgery is a novel surgical procedure for
treatment AV disease, it is consisting of removing the AV and replacing
it with a neo-valve constructed with autologous pericardium treated with
glutaraldehyde. This procedure was described many years ago, however
Ozaki et al. have standardized this technique. The results of survival
and reoperation-free survival are excellent in medium-term follow-up,
with the fundamental advantage of avoiding the use of
anticoagulant.9-11
Currently, there is a standardized system of templates to perform this
procedure, however due to administrative and financial problems it is
difficult to acquire this in our center. That is why we designed our own
templates system. With this system, we have not only performed AVRec
surgeries, but also pulmonary valves.12,13
We present the surgical evolution of our first cases of AVRec surgeries
performed.