Aortic valve reconstruction surgery (Ozaki procedure) is a promising alternative to traditional aortic valve replacement, showing good medium-term results in a study of 37 patients.
Most patients had AV stenosis, primarily due to a bicuspid valve, and additional surgery was often required for related conditions.
The procedure had a low in-hospital death rate, with significant improvements in aortic valve function and high survival rates during follow-up, indicating its effectiveness and safety.
Pulmonary valve surgery in adults is rare but suggested when needed, typically involving prosthetic replacement.
Mechanical prostheses pose risks related to blood clots and need for blood thinners, while biologic ones lack long-term durability.
PV reconstruction surgery offers a promising alternative, avoiding anticoagulation and showing good durability, as demonstrated in four patients with severe valve issues.