Vol. 26 No. 3 (2022)
REVIEWS

BioBentall procedure and autological materials in aortic root surgery

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  • R.N. Komarov,
  • A.M. Ismailbaev,
  • S.V. Cherniavskii,
  • A.N. Dzyundzya,
  • A.O. Danachev,
  • O.O. Ognev,
  • M.V. Lencovets
R.N. Komarov
Sechenov University
A.M. Ismailbaev
Sechenov University
S.V. Cherniavskii
Sechenov University
A.N. Dzyundzya
Sechenov University
A.O. Danachev
Sechenov University
Bio
O.O. Ognev
Sechenov University
M.V. Lencovets
Sechenov University
DOI: https://doi.org/10.21688/1681-3472-2022-3-9-20

Published 2022-09-30

Keywords

  • Aortic Aneurysm,
  • Bioprosthesis,
  • Pericardium

How to Cite

Komarov, R., Ismailbaev, A., Cherniavskii, S., Dzyundzya, A., Danachev, A., Ognev, O., & Lencovets, M. (2022). BioBentall procedure and autological materials in aortic root surgery. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 26(3), 9–20. https://doi.org/10.21688/1681-3472-2022-3-9-20

Copyright (c) 2022 Komarov R.N., Ismailbaev A.M., Cherniavskii S.V., Dzyundzya A.N., Danachev A.O., Ognev O.O., Lencovets M.V.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

The BioBentall procedure has many options, but the optimal approach is still not determined. Alternative options for aortic root surgery include Ross procedure and modification of the Bentall – De Bono procedure using autologous pericardium leaflets. This literature review showed topical issues of surgical technique and the results of various modifications of the BioBentall operation, as well as methods of the aortic root repair using autologous materials. The search strategy included the analysis of international (PubMed, Scopus, Embase) and Russian’s databases (Russian Science Citation Index). The BioBentall procedure demonstrates satisfactory early and long-term results comparable to both the classic Bentall – De Bono procedure and valve-sparing techniques. Composite grafts containing frameless bioprostheses seem to be more promising and durable in comparison with stent-grafts, however, given the minimal amount of publications directly comparing these techniques, further study of this hypothesis is necessary. Total xenopericardial conduits have demonstrated higher rates of degradation and are currently not recommended for use, as demonstrated in most foreign studies. Modified Ross procedure shows excellent hemodynamic outcomes in the long-term follow-up, however, the literature data regarding its applicability in a cohort of patients with proximal aortic aneurysms are limited. The combination of the Bentall – De Bono procedure and autopericardial neocuspidization seems to be a promising and cost-effective method, however, this approach requires a clinical assessment, which results have not been yet published.

Received 26 February 2022. Revised 20 April 2022. Accepted 21 April 2022.

Funding: The study did not have sponsorship.

Conflict of interest: Authors declare no conflict of interest.

Contribution of the authors
Conception and study design: R.N. Komarov, A.M. Ismailbaev
Drafting the article: A.N. Dzyundzya, A.O. Danachev, O.O. Ognev, M.V. Lencovets
Critical revision of the article: S.V. Cherniavskii
Final approval of the version to be published: R.N. Komarov, A.M. Ismailbaev, S.V. Cherniavskii, A.N. Dzyundzya, A.O. Danachev, O.O. Ognev, M.V. Lencovets

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References

  1. Bentall H., De Bono A. A technique for complete replacement of the ascending aorta. Thorax. 1968;23(4):338-339. PMID: 5664694; PMCID: PMC471799. https://doi.org/10.1136/thx.23.4.338
  2. Urbanski P.P. Replacement of the ascending aorta and aortic valve with a valved stentless composite graft. Ann Thorac Surg. 1999;67(5):1501-1502. https://doi.org/10.1016/s0003-4975(99)00184-8
  3. Komarov R., Chernov I., Enginoev S., Sá M.P.B.O., Tarasov D. The Russian conduit – combining Bentall and Ozaki procedures for concomitant ascending aorta replacement and aortic valve neocuspidization. Braz J Cardiovasc Surg. 2019;34(5):618-623. PMID: 31719014; PMCID: PMC6852441. https://doi.org/10.21470/1678-9741-2019-0329
  4. Karaskov A.M., Bogachev-Prokofiev A.V., Sharifulin R.M., Demin I.I., Zheleznev S.I., Open A.B., Pivkin A.N. Outcomes of the Ross procedure in patients with an accompanying ascending aortic aneurysm. Angiol Sosud Khir. 2016;22(1):142-158. PMID: 27100550.
  5. Mingke D., Dresler C., Stone C.D., Borst H.G. Composite graft replacement of the aortic root in 335 patients with aneurysm or dissection. Thorac Cardiovasc Surg. 1998;46(1):12-19. PMID: 9554042. https://doi.org/10.1055/s-2007-1010177
  6. Kouchoukos N.T., Wareing T.H., Murphy S.F., Perrillo J.B. Sixteen-year experience with aortic root replacement. Results of 172 operations. Ann Surg. 1991;214(3):308-318; discussion 318-320. PMID: 1834031; PMCID: PMC1358653. https://doi.org/10.1097/00000658-199109000-00013
  7. Mykén P.S., Caidahl K., Larsson P., Larsson S., Wallentin I., Berggren H.E. Mechanical versus biological valve prosthesis: a ten-year comparison regarding function and quality of life. Ann Thorac Surg. 1995;60(2 Suppl):S447-S452. PMID: 7646206. https://doi.org/10.1016/0003-4975(95)00266-n
  8. Цукерман Г.И., Быкова В.А., Фурсов Б.А. Первый опыт замены митрального и трикуспидального клапанов сердца аортальным гомо- и гетеротрансплантатами. Грудная хирургия. 1969;4:3-9. Tsukerman G.I., Bykova V.A., Fursov B.A. The first experience of replacing the mitral and tricuspid heart valves with aortic homo- and heterografts. Grudnaya khirurgiya = Thoracic Surgery. 1969;4:3-9. (In Russ.)
  9. Малашенков А.И., Русанов Н.И., Быкова В.А., Рычин С.В., Паджев М.А., Костава В.Т., Занкина О.И. 15-летний опыт применения ксеноперикардиального кондуита при операции Бенталла – Де Боно. Бюллетень НЦССХ им. А.Н. Бакулева РАМН. Сердечно-сосудистые заболевания. 2006;7(S3):34. Malashenkov A.I., Rusanov N.I., Bykova V.A., Rychin S.V., Padzhev M.A., Kostava V.T., Zankina O.I. 15 years of experience in the use of xenopericardial conduit in Bentall – De Bono surgery. Byulleten' NTSSSKH im. A.N. Bakuleva RAMN. Serdechno-sosudistyye zabolevaniya = The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2006;7(S3):34. (In Russ.)
  10. Малашенков А.И., Русанов Н.И., Рычин С.В., Терещенко В.И., Мовсесян Р.А., Фунг З.Х.Ш., Дорофеев А.В. Отдаленные результаты имплантации ксеноперикардиальных кондуитов при хирургической коррекции аневризм восходящей аорты. Грудная и сердечно-сосудистая хирургия. 2010;(1):29-30. Malashenkov A.I., Rusanov N.I., Rychin S.V., Tereshchenko V.I., Movsesyan R.A., Fung Z.Kh.Sh., Dorofeyev A.V. Long-term results of implantation of xenopericardial conduits during surgical correction of ascending aortic aneurysms. Grudnaya i serdechno-sosudistaya khirurgiya = Russian Journal of Thoracic and Cardiovascular Surgery. 2010;(1):29-30. (In Russ.)
  11. Белов Ю.В., Комаров Р.Н. Хирургия аорты. М.: Мед. информ. агентство, 2018. 304 с. Belov Yu.V., Komarov R.N. Aortic surgery. Moscow: Meditsinskoe informatsionnoe agentstvo Publ.; 2018. 304 p. (In Russ.)
  12. Kirsch M.E.W., Ooka T., Zannis K., Deux J.-F., Loisance D.Y. Bioprosthetic replacement of the ascending thoracic aorta: what are the options? Eur J Cardiothorac Surg. 2009;35(1):77-82. PMID: 18952452. https://doi.org/10.1016/j.ejcts.2008.09.011
  13. Hilgenberg A.D., Mora B.N. Composite aortic root replacement with a bovine pericardial valve conduit. Ann Thorac Surg. 2003;75(4):1338-1339. PMID: 12683599. https://doi.org/10.1016/s0003-4975(02)04510-1
  14. Galla J.D., Lansman S.L., Spielvogel D., Minanov O.P., Ergin M.A., Bodian C.A., Griepp R.B. Bioprosthetic valved conduit aortic root reconstruction: the Mount Sinai experience. Ann Thorac Surg. 2002;74(5):S1769-S1772; discussion S1792-S1799. PMID: 12440662. https://doi.org/10.1016/s0003-4975(02)04144-9
  15. Gatti G., Dell'Angela L., Pinamonti B., Moncada A., Minati A., Benussi B., Sinagra G., Pappalardo A. Aortic root replacement with a stented bioprosthetic valved conduit: mid-term results. J Heart Valve Dis. 2013;22(4):500-508. PMID: 24224412.
  16. Beck A., Thubrikar M.J., Robicsek F. Stress analysis of the aortic valve with and without the sinuses of Valsalva. J Heart Valve Dis. 2001;10(1):1-11. PMID: 11206754.
  17. Sripathi V.C., Kumar R.K., Balakrishnan K.R. Further insights into normal aortic valve function: role of a compliant aortic root on leaflet opening and valve orifice area. Ann Thorac Surg. 2004;77(3):844-851. PMID: 14992884. https://doi.org/10.1016/S0003-4975(03)01518-2
  18. De Paulis R., De Matteis G.M., Nardi P., Scaffa R., Colella D.F., Chiarello L. A new aortic Dacron conduit for surgical treatment of aortic root pathology. Ital Heart J. 2000;1(7):457-463. PMID: 10933327.
  19. Mutsuga M., Narita Y., Usui A. Mid-term results of Biological Bentall using a larger valve implantation technique. Nagoya J Med Sci. 2020;82(4):645-655. PMID: 33311795; PMCID: PMC7719461. https://doi.org/10.18999/nagjms.82.4.645
  20. Beckerman Z., Leshnower B.G., McPherson L., Binongo J.N., Lasanajak Y., Chen E.P. The evidence in a Bentall procedure with Valsalva graft: is this standard of care? J Vis Surg. 2018;4:98. PMID: 29963387; PMCID: PMC5994456. https://doi.org/10.21037/jovs.2018.04.05
  21. Grande-Allen K.J., Cochran R.P., Reinhall P.G., Kun­zelman K.S. Re-creation of sinuses is important for sparing the aortic valve: a finite element study. J Thorac Cardiovasc Surg. 2000;119(4 Pt 1):753-763. PMID: 10733765. https://doi.org/10.1016/S0022-5223(00)70011-0
  22. Etz C.D., Homann T.M., Rane N., Bodian C.A., Di Luozzo G., Plestis K.A., Spielvogel D., Griepp R.B. Aortic root reconstruction with a bioprosthetic valved conduit: a consecutive series of 275 procedures. J Thorac Cardiovasc Surg. 2007;133(6):1455-1463. PMID: 17532939. https://doi.org/10.1016/j.jtcvs.2007.01.058
  23. Kirsch E.W.M., Radu N.C., Mekontso-Dessap A., Hillion M.L., Loisance D. Aortic root replacement after previous surgical intervention on the aortic valve, aortic root, or ascending aorta. J Thorac Cardiovasc Surg. 2006;131(3):601-608. PMID: 16515911. https://doi.org/10.1016/j.jtcvs.2005.11.007
  24. Joudinaud T.M., Baron F., Raffoul R., Pagis B., Vergnat M., Parisot C., Hvass U., Nataf P.R. Redo aortic root surgery for failure of an aortic homograft is a major technical challenge. Eur J Cardiothorac Surg. 2008;33(6):989-994. PMID: 18328723. https://doi.org/10.1016/j.ejcts.2008.01.054
  25. Liu C., Doig F., Naidoo R., Tesar P. Redo aortic valve replacement following Bio-Bentall's procedure. Heart Lung Circ. 2019;28(10):e131-e133. PMID: 31175018. https://doi.org/10.1016/j.hlc.2019.04.015
  26. Albertini A., Dell'Amore A., Zussa C., Lamarra M. Modified Bentall operation: the double sewing ring technique. Eur J Cardiothorac Surg. 2007;32(5):804-806. PMID: 17766138. https://doi.org/10.1016/j.ejcts.2007.07.011
  27. Dapunt O.E., Easo J., Hölzl P.P.F., Murin P., Südkamp M., Horst M., Natour E. Stentless full root bioprosthesis in surgery for complex aortic valve-ascending aortic disease: a single center experience of over 300 patients. Eur J Cardiothorac Surg. 2008;33(4):554-559. PMID: 18282760. https://doi.org/10.1016/j.ejcts.2007.12.053
  28. Easo J., Weymann A., Hölzl P., Horst M., Eichstaedt H., Mashhour A., Zhigalov K., Szczechowicz M., Thomas R.P., Sabashnikov A., Dapunt O.E. Hospital results of a single center database for stentless xenograft use in a full root technique in over 970 patients. Sci Rep. 2019;9(1):4371. PMID: 30867492; PMCID: PMC6416277. https://doi.org/10.1038/s41598-019-40772-7
  29. Ennker J.A.C., Albert A.A., Rosendahl U.P., Ennker I.C., Dalladaku F., Florath I. Ten-year experience with stentless aortic valves: full-root versus subcoronary implantation. Ann Thorac Surg. 2008;85(2):445-452; discussion 452-453. PMID: 18222240. https://doi.org/10.1016/j.athoracsur.2007.10.015
  30. Stefanelli G., Pirro F., Macchione A., Bellisario A., Weltert L. Long-term follow-up after Bentall operation using a stentless Shelhigh NR-2000 bio-conduit. J Card Surg. 2020;35(5):988-995. PMID: 32176376. https://doi.org/10.1111/jocs.14510
  31. Carrel T.P., Berdat P., Englberger L., Eckstein F., Immer F., Seiler C., Kipfer B., Schmidli J. Aortic root replacement with a new stentless aortic valve xenograft conduit: preliminary hemodynamic and clinical results. J Heart Valve Dis. 2003;12(6):752-757. PMID: 14658817.
  32. Siniawski H., Lehmkuhl H., Weng Y., Pasic M., Yankah C., Hoffmann M., Behnke I., Hetzer R. Stentless aortic valves as an alternative to homografts for valve replacement in active infective endocarditis complicated by ring abscess. Ann Thorac Surg. 2003;75(3):803-808; discussion 808. PMID: 12645697. https://doi.org/10.1016/s0003-4975(02)04555-1
  33. Pantaleo A., Murana G., Di Marco L., Jafrancesco G., Barberio G., Berretta P., Leone A., Di Bartolomeo R., Pacini D. Biological versus mechanical Bentall procedure for aortic root replacement: a propensity score analysis of a consecutive series of 1112 patients. Eur J Cardiothorac Surg. 2017;52(1):143-149. PMID: 28407120. https://doi.org/10.1093/ejcts/ezx070
  34. Lechiancole A., Celiento M., Isola M., Gatti G., Melina G., Vendramin I., Battistella C., Pappalardo A., Sinatra R., Bortolotti U., Livi U. Modified Bentall procedure: mechanical vs biological valved conduits in patients older than 65 years. Int J Cardiol. 2019;296:38-42. PMID: 31351789. https://doi.org/10.1016/j.ijcard.2019.07.053
  35. Urbanski P.P., Heinz N., Zacher M., Diegeler A. Bio-Bentall procedure versus isolated biological aortic valve replacement: a case-match study. Eur J Cardiothorac Surg. 2015;47(6):1077-1082. PMID: 25143239. https://doi.org/10.1093/ejcts/ezu316
  36. Arabkhani B., Etnel J., Vriesendorp M., van Valen R., Lansac E., van Brakel T., Bogers A., Takkenberg H. Clinical outcome after bioprosthetic aortic root replacement: a meta-analysis and microsimulation model. Authorea. 2020. Nov. 19. https://doi.org/10.22541/au.160579289.94820860/v1
  37. Schamberger L., Leontyev S., Davierwala P.M., Von Aspern K., Lehmann S., Misfeld M., Borger M.A. David aortic valve-sparing reimplantation versus biological aortic root replacement: a retrospective analysis of 411 patients. Indian J Thorac Cardiovasc Surg. 2020;36(Suppl 1):97-103. PMID: 33061190; PMCID: PMC7525841. https://doi.org/10.1007/s12055-019-00873-4
  38. Bethancourt C.-N., Blitzer D., Yamabe T., Zhao Y., Nguyen S., Nitta S., Kelebeyev S., Borger M.A., Kurlansky P.A., George I., Smith C., Takayama H. Valve-sparing root replacement versus Bio-Bentall: inverse propensity weighting of 796 patients. Ann Thorac Surg. 2022;113(5):1529-1535. PMID: 34116001. https://doi.org/10.1016/j.athoracsur.2021.05.044
  39. Stefanelli G., Pirro F., Gabbieri D., Bellisario A., Weltert L. Long-term outcomes of stentless Bio-Bentall vs. David reimplantation for aortic root dilatation and aortic valve pathology. Structural Heart. 2021;5(Suppl 1):64. https://doi.org­/10.1080/24748706.2021.1900696
  40. Yamabe T., Zhao Y., Kurlansky P.A., Nitta S., Borger M.A., George I., Smith C.R., Takayama H. Assessment of long-term outcomes: aortic valve reimplantation versus aortic valve and root replacement with biological valved conduit in aortic root aneurysm with tricuspid valve. Eur J Cardiothorac Surg. 2021;59(3):658-665. PMID: 33230518. https://doi.org/10.1093/ejcts/ezaa389
  41. Esaki J., Leshnower B.G., Binongo J.N., Lasanajak Y., McPherson L., Halkos M.E., Guyton R.A., Chen E.P. Clinical outcomes of the David V valve-sparing root replacement compared with bioprosthetic valve-conduits for aortic root aneurysms. Ann Thorac Surg. 2017;103(6):1824-1832. PMID: 27964919. https://doi.org/10.1016/j.athoracsur.2016.09.055
  42. Sahin A., Müggler O., Sromicki J., Caliskan E., Reser D., Emmert M.Y., Alkadhi H., Maisano F., Falk V., Holubec T. Long-term follow-up after aortic root replacement with the Shelhigh® biological valved conduit: a word of caution! Eur J Cardiothorac Surg. 2016;50(6):1172-1178. PMID: 27229673. https://doi.org/10.1093/ejcts/ezw167
  43. Kouchoukos N.T., Masetti P., Nickerson N.J., Castner C.F., Shannon W.D., Dávila-Román V.G. The Ross procedure: long-term clinical and echocardiographic follow-up. Ann Thorac Surg. 2004;78(3):773-781; discussion 773-781. PMID: 15336990. https://doi.org/10.1016/j.athoracsur.2004.02.033
  44. Luciani G.B., Casali G., Favaro A., Prioli M.A., Barozzi L., Santini F., Santini F., Mazzucco A. Fate of the aortic root late after Ross operation. Circulation. 2003;108 Suppl 1:II61-II67. PMID: 12970210. https://doi.org/10.1161/01.cir.0000089183.92233.75
  45. Elkins R.C., Lane M.M., McCue C. Ross procedure for ascending aortic replacement. Ann Thorac Surg. 1999;67(6):1843-1845. PMID: 10391322. https://doi.org/10.1016/s0003-4975(99)00392-6
  46. Slater M., Shen I., Welke K., Komanapalli C., Ungerleider R. Modification to the Ross procedure to prevent autograft dilatation. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2005;181-184. PMID: 15818376. https://doi.org/10.1053/j.pcsu.2005.01.022
  47. Ashfaq A., Leeds H., Shen I., Muralidaran A. Reinforced Ross operation and intermediate to long term follow up. J Thorac Dis. 2020;12(3):1219-1223. PMID: 32274203; PMCID: PMC7139019. https://doi.org/10.21037/jtd.2019.09.53
  48. Brown J.W., Ruzmetov M., Shahriari A.P., Rodefeld M.D., Mahomed Y., Turrentine M.W. Modification of the Ross aortic valve replacement to prevent late autograft dilatation. Eur J Cardiothorac Surg. 2010;37(5):1002-1007. PMID: 20138780. https://doi.org/10.1016/j.ejcts.2009.12.012
  49. Leyh R.G., Hagl C., Kofidis T., Haverich A. Impact of ascending aorta replacement combined with a Ross procedure on autograft root distensibility and function in patients with combined pathology of the aortic valve and ascending aorta. Interact Cardiovasc Thorac Surg. 2003;2(2):116-119. PMID: 17670005. https://doi.org/10.1016/S1569-9293(02)00116-0
  50. Juthier F., Banfi C., Vincentelli A., Ennezat P.-V., Le Tourneau T., Pinçon C., Prat A. Modified Ross operation with reinforcement of the pulmonary autograft: Six-year results. J Thorac Cardiovasc Surg. 2010;139(6):1420-1423. PMID: 20381090. https://doi.org/10.1016/j.jtcvs.2010.01.032
  51. Andreas M., Seebacher G., Reida E., Wiedemann D., Pees C., Rosenhek R., Heinze G., Moritz A., Kocher A., Laufer G. A single-center experience with the Ross procedure over 20 years. Ann Thorac Surg. 2014;97(1):182-188. PMID: 24119982. https://doi.org/10.1016/j.athoracsur.2013.08.020
  52. Leeds H., Ashfaq A., McGrath L., Dewey E.N., Ungerleider R.M., Shen I., Muralidaran A. Short- and mid-term autograft outcomes following the reinforced Ross operation. World J Pediatr Congenit Heart Surg. 2022;13(1):38-45. PMID: 34919480. https://doi.org/10.1177/21501351211061086
  53. David T.E., David C., Woo A., Manlhiot C. The Ross procedure: outcomes at 20 years. J Thorac Cardiovasc Surg. 2014;147(1):85-93. PMID: 24084276. https://doi.org/10.1016/j.jtcvs.2013.08.007
  54. Kouchoukos N.T. Aortic allografts and pulmonary autografts for replacement of the aortic valve and aortic root. Ann Thorac Surg. 1999;67(6):1846-1848. PMID: 10391323. https://doi.org/10.1016/s0003-4975(99)00443-9
  55. Ootaki Y., Walsh M.J., Shen I., Ungerleider R.M. Ross procedure for patient with Marfan syndrome. Ann Thorac Surg. 2014;97(6):2186-2188. PMID: 24882304. https://doi.org/10.1016/j.athoracsur.2013.09.021
  56. Ross D.N. Surgical reconstruction of the aortic valve. Lancet. 1963;1(7281):571-574. PMID: 13975079. https://doi.org/10.1016/s0140-6736(63)92687-4
  57. Комаров Р.Н., Симонян А.О., Борисов И.А., Далинин В.В., Исмаилбаев А.М., Курасов Н.О., Щеглов М.И. История применения аутологичных материалов в хирургии аортального клапана. Патология кровообращения и кардиохирургия. 2021;25(3):106-115. https://dx.doi.org/10.21688/1681-3472-2021-3-106-115 Komarov R.N., Simonyan A.O., Borisov I.A., Dalinin V.V., Ismailbayev A.M., Kurasov N.O., Tcheglov M.I. History of the use of autologous materials in aortic valve surgery. Patologiya krovoobrashcheniya i kardiokhirurgiya = Circulation Pathology and Cardiac Surgery. 2021;25(3):106-115. (In Russ.) https://dx.doi.org/10.21688/1681-3472-2021-3-106-115
  58. Duran C.M., Gometza B., Kumar N., Gallo R., Martin-Duran R. Aortic valve replacement with freehand autologous pericardium. J Thorac Cardiovasc Surg. 1995;110(2):511-516. PMID: 7637369. https://doi.org/10.1016/S0022-5223(95)70248-2
  59. Ozaki S., Kawase I., Yamashita H., Uchida S., Nozawa Y., Matsuyama T., Takatoh M., Hagiwara S. Aortic valve reconstruction using self-developed aortic valve plasty system in aortic valve disease. Interact Cardiovasc Thorac Surg. 2011;12(4):550-553. PMID: 21273254. https://doi.org/10.1510/icvts.2010.253682
  60. Ozaki S. Ozaki procedure: 1,100 patients with up to 12 years of follow-up. Turk Gogus Kalp Damar Cerrahisi Derg. 2019;27(4):454. PMID: 32082907; PMCID: PMC7018167. https://doi.org/10.5606/tgkdc.dergisi.2019.01904
  61. Reuthebuch O., Koechlin L., Schurr U., Grapow M., Fassl J., Eckstein F.S. Aortic valve replacement using autologous pericardium: single centre experience with the Ozaki technique. Swiss Med Wkly. 2018;148:w14591. PMID: 29442340. https://doi.org/10.4414/smw.2018.14591
  62. Ngo H.T., Nguyen H.C., Nguyen T.T., Le T.N., Camilleri L., Doan H.Q. Reconstruction of aortic valve by autologous pericardium (Ozaki's procedure): Single center experience in Vietnam. Asian Cardiovasc Thorac Ann. 2021;29(5):394-399. PMID: 33307715. https://doi.org/10.1177/0218492320981468
  63. Pirola S., Mastroiacovo G., Arlati F.G., Mostardini G., Bonomi A., Penza E., Polvani G. Single center five years' experience of Ozaki procedure: midterm follow-up. Ann Thorac Surg. 2021;111(6):1937-1943. PMID: 33597118. https://doi.org/10.1016/j.athoracsur.2020.08.039
  64. Чернов И.И., Энгиноев С.Т., Комаров Р.Н., Тарасов Д.Г., Синельников Ю.С., Марченко А.В., Арутюнян В.Б., Кадыралиев Б.К., Исмаилбаев А.М., Тлисов Б.М., Зорин Д.А., Щеглов М.И., Жигалов К.Ю. Трехлетние результаты операции Озаки у пациентов 65 лет и старше: многоцентровое исследование. Патология кровообращения и кардиохирургия. 2021;25(4):53-63. https://dx.doi.org/10.21688/1681-3472-2021-4-53-63 Chernov I.I., Enginoyev S.T., Komarov R.N., Tarasov D.G., Sinelnikov Yu.S., Marchenko A.V., Arutyunayan V.B., Kadyraliev B.K., Ismailbaev A.M., Tlisov B.M., Zorin D.A., Tcheglov M.I., Zhigalov K.Yu. Three-year results of Ozaki surgery in patients 65 years and older: a multicenter study. Patologiya krovoobrashcheniya i kardiokhirurgiya = Circulation Pathology and Cardiac Surgery. 2021;25(4):53-63. (In Russ.) https://dx.doi.org/10.21688/1681-3472-2021-4-53-63
  65. Polito A., Albanese S.B., Cetrano E., Forcina S., Cicenia M., Rinelli G., Carotti A. Aortic valve neocuspidalization may be a viable alternative to Ross operation in pediatric patients. Pediatr Cardiol. 2021;42(3):668-675. PMID: 33394106; PMCID: PMC7780600. https://doi.org/10.1007/s00246-020-02528-3
  66. Seese L., Yoon P., Morell V.O., Chu D. Aortic root replacement with autologous pericardium valved conduit. Ann Thorac Surg. 2022;113(3):e227-e229. PMID: 33971175. https://doi.org/10.1016/j.athoracsur.2021.04.076