TE Neocuspidization Procedure

Transesophageal Atlas of Valve Prosthesis: Ozaki procedure

February 13th, 2022
(updated April 14th, 2022)
Pages 1 – 3

Aortic Valve Neocuspidization Intervention (Ozaki)

Figure 1. Color Doppler Transgastric 5-chamber, pre-CPB, 0 deg.

Figure 1. TE exam pre-CPB. Severe aortic regurgitation, with central origin, as seen from the transgastric 5-chamber view

Figure 2. 2D upper esophagus long axis AV 146 deg, pre-CPB
Figure 3. 2D upper esophagus long axis AV 146 deg, post-CPB
Figure 4. 2D upper esophagus long axis AV, 146 deg. Pre and post surgery images of the aortic valve
Figure 4. 2D upper esophagus long axis AV, 146 deg

Figures 2-4. TE exam pre- and post-CPB. In the post-CPB images the AV neo-cusps are clearly seen with opening and closure dynamics similar to those of the native cusps. Notice the long apposition line in diastole which reaches the SDJ (sino-tubular junction) plane (dotted arrows).
AA: ascending aorta; LA: left atrium; LV: left ventricle; ncc: posterior non-coronary cusp.