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.