Short-term outcomes of Ozaki procedure: a multicenter study
Aim. To analyze the short-term outcomes of Ozaki procedure.Material and methods. This retro-prospective multicenter study included 724 patients with aortic valve (AV) disease, who underwent AV neo-cuspitization (AVNeo) from 2015 to 2019. The register included 395 (54,5%) men and 329 (45,5%) women. T...
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«FIRMA «SILICEA» LLC
2021-01-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/4157 |
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| author | I. I. Chernov S. T. Enginoev R. N. Komarov V. V. Bazylev D. G. Tarasov K. B. Kadyraliev D. S. Tungusov A. V. Arutyunyan A. V. Chragyan P. A. Batrakov A. M. Ismailbaev B. M. Tlisov А. Weymann M.B.O. Sá Pompeu K. Zhigalov |
| author_facet | I. I. Chernov S. T. Enginoev R. N. Komarov V. V. Bazylev D. G. Tarasov K. B. Kadyraliev D. S. Tungusov A. V. Arutyunyan A. V. Chragyan P. A. Batrakov A. M. Ismailbaev B. M. Tlisov А. Weymann M.B.O. Sá Pompeu K. Zhigalov |
| author_sort | I. I. Chernov |
| collection | DOAJ |
| description | Aim. To analyze the short-term outcomes of Ozaki procedure.Material and methods. This retro-prospective multicenter study included 724 patients with aortic valve (AV) disease, who underwent AV neo-cuspitization (AVNeo) from 2015 to 2019. The register included 395 (54,5%) men and 329 (45,5%) women. The median age of patients was 63 (57-67) years (minimum age, 10 years; maximum age, 83 years). A total of 496 (68,6%) patients had aortic stenosis, 44 (6%) — aortic regurgitation, 184 (25,4%) — aortic stenosis and regurgitation. Infective endocarditis as a cause of AV disease was diagnosed in 23 (3,2%) patients. NYHA class III-IV heart failure was in 348 (48%) patients. Atrial fibrillation was registered before surgery in 141 (19,5%) patients.Results. In total, 314 (43,4%) patients underwent a single intervention (AVNeo), while the remaining 410 (56,6%) patients underwent combined operations. Access to the heart was performed through a median sternotomy in 687 (95%) patients, and in 37 (5%) patients through a ministernotomy. The median cardiopulmonary bypass time was 130 (110-130) min, while the myocardial ischemic time — 104 (86-122) min. In-hospital mortality was 1,6%. The maximum and mean pressure gradient after surgery were 10,9 (7,4-14,8) mm Hg and 5,3 (3,5-7,3) mm Hg, respectively. The AV effective orifice area (EOA) and indexed EOA after surgery were 3 (2,5-3,9) cm2 and 1,6 (1,3-2) cm2/m2, respectively. Thirteen (1,8%) patients received a pacemaker. Acute renal failure was recorded in 4 (0,5%) patients, stroke — in 3 (0,4%), and sternal infection — in 10 (1,4%).Conclusion. The Ozaki procedure is feasible and reproducible, has good shortterm outcomes with excellent hemodynamic parameters. Further research is needed to assess long-term results. |
| format | Article |
| id | doaj-art-43bda9c59dfa41ce8f85649e23d7eace |
| institution | DOAJ |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| publishDate | 2021-01-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj-art-43bda9c59dfa41ce8f85649e23d7eace2025-08-20T02:59:04Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202021-01-01254S10.15829/1560-4071-2020-41573111Short-term outcomes of Ozaki procedure: a multicenter studyI. I. Chernov0S. T. Enginoev1R. N. Komarov2V. V. Bazylev3D. G. Tarasov4K. B. Kadyraliev5D. S. Tungusov6A. V. Arutyunyan7A. V. Chragyan8P. A. Batrakov9A. M. Ismailbaev10B. M. Tlisov11А. Weymann12M.B.O. Sá Pompeu13K. Zhigalov14Federal Center for Cardiovascular SurgeryFederal Center for Cardiovascular Surgery; Astrakhan State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityFederal Center for Cardiovascular SurgeryFederal Center for Cardiovascular SurgeryS.G. Sukhanov Federal Center for Cardiovascular SurgeryFederal Center for Cardiovascular SurgeryI.M. Sechenov First Moscow State Medical UniversityMedicine, JSCFederal Center for Cardiovascular SurgeryI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center Essen, University Hospital of Essen, University Duisburg-EssenDivision of Cardiovascular Surgery of Pronto Socorro Cardiologico de Pernambuco — PROCAPE, University of PernambucoDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center Essen, University Hospital of Essen, University Duisburg-EssenAim. To analyze the short-term outcomes of Ozaki procedure.Material and methods. This retro-prospective multicenter study included 724 patients with aortic valve (AV) disease, who underwent AV neo-cuspitization (AVNeo) from 2015 to 2019. The register included 395 (54,5%) men and 329 (45,5%) women. The median age of patients was 63 (57-67) years (minimum age, 10 years; maximum age, 83 years). A total of 496 (68,6%) patients had aortic stenosis, 44 (6%) — aortic regurgitation, 184 (25,4%) — aortic stenosis and regurgitation. Infective endocarditis as a cause of AV disease was diagnosed in 23 (3,2%) patients. NYHA class III-IV heart failure was in 348 (48%) patients. Atrial fibrillation was registered before surgery in 141 (19,5%) patients.Results. In total, 314 (43,4%) patients underwent a single intervention (AVNeo), while the remaining 410 (56,6%) patients underwent combined operations. Access to the heart was performed through a median sternotomy in 687 (95%) patients, and in 37 (5%) patients through a ministernotomy. The median cardiopulmonary bypass time was 130 (110-130) min, while the myocardial ischemic time — 104 (86-122) min. In-hospital mortality was 1,6%. The maximum and mean pressure gradient after surgery were 10,9 (7,4-14,8) mm Hg and 5,3 (3,5-7,3) mm Hg, respectively. The AV effective orifice area (EOA) and indexed EOA after surgery were 3 (2,5-3,9) cm2 and 1,6 (1,3-2) cm2/m2, respectively. Thirteen (1,8%) patients received a pacemaker. Acute renal failure was recorded in 4 (0,5%) patients, stroke — in 3 (0,4%), and sternal infection — in 10 (1,4%).Conclusion. The Ozaki procedure is feasible and reproducible, has good shortterm outcomes with excellent hemodynamic parameters. Further research is needed to assess long-term results.https://russjcardiol.elpub.ru/jour/article/view/4157ozaki procedureaortic valve neo-cuspitizationaortic valve |
| spellingShingle | I. I. Chernov S. T. Enginoev R. N. Komarov V. V. Bazylev D. G. Tarasov K. B. Kadyraliev D. S. Tungusov A. V. Arutyunyan A. V. Chragyan P. A. Batrakov A. M. Ismailbaev B. M. Tlisov А. Weymann M.B.O. Sá Pompeu K. Zhigalov Short-term outcomes of Ozaki procedure: a multicenter study Российский кардиологический журнал ozaki procedure aortic valve neo-cuspitization aortic valve |
| title | Short-term outcomes of Ozaki procedure: a multicenter study |
| title_full | Short-term outcomes of Ozaki procedure: a multicenter study |
| title_fullStr | Short-term outcomes of Ozaki procedure: a multicenter study |
| title_full_unstemmed | Short-term outcomes of Ozaki procedure: a multicenter study |
| title_short | Short-term outcomes of Ozaki procedure: a multicenter study |
| title_sort | short term outcomes of ozaki procedure a multicenter study |
| topic | ozaki procedure aortic valve neo-cuspitization aortic valve |
| url | https://russjcardiol.elpub.ru/jour/article/view/4157 |
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