Vol. 25 No. 1 (2021)
HOW TO DO IT

How to do it: autopericardial neocuspidisation of the aortic valve

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  • R.N. Komarov,
  • S.V. Chernyavskii,
  • A.M. Ismailbaev,
  • A.O. Simonyan
R.N. Komarov
Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow
S.V. Chernyavskii
Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow
A.M. Ismailbaev
Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow
A.O. Simonyan
Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Moscow
Bio
DOI: https://doi.org/10.21688/1681-3472-2021-1-120-127

Published 2021-04-02

Keywords

  • aortic root reconstruction,
  • aortic valve,
  • autopericardium,
  • neocuspidisation,
  • prosthetics

How to Cite

Komarov, R., Chernyavskii, S., Ismailbaev, A., & Simonyan, A. (2021). How to do it: autopericardial neocuspidisation of the aortic valve. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 25(1), 120–127. https://doi.org/10.21688/1681-3472-2021-1-120-127

Copyright (c) 2021 Komarov R.N., Chernyavskii S.V., Ismailbaev A.M., Simonyan A.O.

Creative Commons License

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

Abstract

Neocuspidisation of the aortic valve with autopericardial leaflets has been actively introduced into widespread cardiac surgery practice within the last decade. Most practicing surgeons associate this technique with scientists such as Carlos Duran and Shigeyuki Ozaki. The accumulated experience of the N. N. Burdenko Faculty of Surgery Clinic of Sechenov First Moscow State Medical University allows us to optimize approaches to autopericardial neocuspidisation of the aortic valve in order to increase the availability of procedures. The article describes in detail the technique of neocuspidisation of the aortic valve, as well as reveals some technical features and improvements regarding the quality of this procedure.

Received 23 September 2020. Revised 17 November 2020. Accepted 18 November 2020.

Funding: The study did not have sponsorship.

Conflict of interest: Authors declare no conflict of interest.

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References

  1. 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
  2. Ozaki S., Kawase I., Yamashita H., Uchida S., Takatoh M., Hagiwara S., Kiyohara N. Aortic valve reconstruction using autologous pericardium for aortic stenosis. Circ J. 2015;79(7):1504-1510. PMID: 25818901. https://doi.org/10.1253/circj.CJ-14-1092
  3. 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;155(6):2379-2387. PMID: 29567131. https://doi.org/10.1016/j.jtcvs.2018.01.087
  4. 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
  5. Arutyunyan V., Chernov I., Komarov R., Sinelnikov Y., Kadyraliev B., Enginoev S., Tcheglov M., Ismailbaev A., Baranov A., Ashurov F., Clavel M.A., Pibarot P., Pompeu M. B. O. Sá, Weymann A., Zhigalov K. Immediate outcomes of aortic valve neocuspidization with glutaraldehyde-treated autologous pericardium: a multicenter study. Braz J Cardiovasc Surg. 2020;35(3):241-248. PMID: 32549094, PMCID: PMC7299575. https://doi.org/10.21470/1678-9741-2020-0019
  6. Одинокова С.Н., Николенко В.Н., Комаров Р.Н., Винокуров И.А., Мнацаканян Г.В., Белхароева Р.Х. Корреляции морфометрических параметров структур корня аорты, имеющие практическое значение в хирургической коррекции аортального клапана. Морфологические ведомости. 2020;28(1):30-36. [Odinokova S.N., Nikolenko V.N., Komarov R.N., Vinokurov I.A., Mnatsakanyan G.V., Belkharoeva R.Kh. The correlations of morphometric parameters of structures of the aortic root having practical significance in the surgical correction of the aortic valve. Morphological Newsletter = Morfologicheskie Vedomosti. 2020;28(1):30-36. (In Russ.)] https://doi.org/10.20340/mv-mn.2020.28(1):30-36
  7. Liao K., Frater R.W., LaPietra A., Ciuffo G., Ilardi C.F., Seifter E. Time-dependent effect of glutaraldehyde on the tendency to calcify of both autografts and xenografts. Ann Thorac Surg. 1995;60(2 Suppl):S343-S347. PMID: 7646185. https://doi.org/10.1016/0003-4975(95)00286-t
  8. Bianchi G. eComment. Autologous pericardium is superior to conventional bovine patch in congenital heart disease reconstructive surgery: an appraisal for tissueengineered xenograft. Interact Cardiovasc Thorac Surg. 2013;17(4):702-703. PMID: 24065756, PMCID: PMC3781826. https://doi.org/10.1093/icvts/ivt368
  9. Jiang W.-J., Cui Y.-C., Li J.-H., Zhang X.-H., Ding H.-H., Lai Y.-Q., Zhang H.-J. Is autologous or heterologous pericardium better for valvuloplasty? A comparative study of calcification propensity. Tex Heart Inst J. 2015;42(3):202-208. PMID: 26175630, PMCID: PMC4473611. https://doi.org/10.14503/THIJ-14-4296
  10. Swanson M., Clark R.E. Dimensions and geometric relationships of the human aortic valve as a function of pressure. Circ Res. 1974;35(6):871-882. PMID: 4471354. https://doi.org/10.1161/01.res.35.6.871
  11. Wang K., Zhang H., Jia B. Current surgical strategies and techniques of aortic valve diseases in children. Transl Pediatr. 2018;7(2):83-90. PMID: 29770290, PMCID: PMC5938258. https://doi.org/10.21037/tp.2018.02.03