Introduction
Ozaki procedure aims to reconstruct patients’ aortic valve using
autologous pericardium, offering an alternative treatment to classic
AVR. Since its first description by Ozaki, AVNeo has yielded promising
results in adult populations worldwide, either in presence of bicuspid
or tricuspid aortic valve. [1, 2].
With respect to the tricuspid phenotype, it has been recommended that if
the difference between the sizing of each cusps is more than 2 mm, a new
commissure should be created to prevent misalignment between the cusps
[3]. However, re-locating a commissure could be technically
challenging.
Hereafter we describe our original “P-stich technique” which allows to
downsize the intercommisural distance in a tricuspid valve and thereby
achieve valvular symmetry during AVNeo avoiding the shifting of a
commissure from its natural position.