[Transcatheter aortic valve replacement after Ozaki procedure]

The Ozaki operation is currently considered to be a sufficiently known surgical procedure performed in aortic valve defects. Despite satisfactory results in the mid-term period after neocuspidalization, there have been reported cases of pronounced aortic insufficiency due to rupture of neocusps or their endocarditis. Transcatheter aortic valve replacement is a rapidly developing trend at the junction of modern cardiac surgery and interventional cardiology, expansively covering groups of patients at high, moderate and recently also low surgical risk. Repeat open cardiosurgical interventions remain a zone of especially increased risk of complications. This clinical case report describes technical aspects and immediate outcomes of successful transcatheter implantation of aortic valve prosthesis in a patient with aortic insufficiency revealed 2 years after the Ozaki procedure.