We report a 19-year-old woman with a history of percutaneous aortic valve (AV) balloon valvuloplasty 3 years ago. She was admitted with severe symptomatic AV stenosis with narrow aortic annulus. We decided to perform AV reconstruction with autologous pericardium. However, surgical findings revealed a very narrow AV annulus with a unicuspid valve; therefore, an AV enlargement was added.
NovaroGMMishraM and
GriffinBP. Incidence and echocardiographic features of congenital unicuspid aortic valve in an adult population. J Heart Valve Dis2003; 12: 674–678.
2.
MaratheSPChávezMSleeperLA, et al. Modified Ozaki procedure including annular enlargement for small aortic annuli in young patients. Ann Thorac Surg2020; 110: 1364–1371.
3.
KawaseIOzakiSYamashitaH, et al. Aortic valve reconstruction of unicuspid aortic valve by tricuspidization using autologous pericardium. Ann Thorac Surg2012; 94: 1180–1184.
4.
Rios-OrtegaJAranda-PretellNTalledo-ParedesL, et al. Aortic valve reconstruction surgery with Ozaki technique: initials results from a single center [in Spanish]. Arch Cardiol Mex. Epub ahead of print 20 February 2023. DOI: 10.24875/ACM.22000169.
5.
MassiasSAPittamsAMohamedM, et al. Aortic root enlargement: when and how. J Card Surg2021; 36: 229–235.
6.
SáMPBOChernovIMarchenkoA, et al. Aortic valve neocuspidization (Ozaki procedure) in patients with small aortic annulus (≤21 mm): a multicenter study. Structural Heart2020; 4: 413–419.
7.
BairdCWMaratheSP and
Del NidoPJ. Aortic valve neo-cuspidation using the Ozaki technique for acquired and congenital disease: where does this procedure currently stand?Indian J Thorac Cardiovasc Surg2020; 36(Suppl 1): 113–122.
8.
WigginsLMMimicBIssittR, et al. The utility of aortic valve leaflet reconstruction techniques in children and young adults. J Thorac Cardiovasc Surg2020; 159: 2369–2378.
