Repair of severe aortic insufficiency and stenosis after Ozaki surgery with Perceval™ sutureless aortic valve

The Ozaki technique is a novel technique which involves constructing a new aortic valve with autologous pericardium. The Perceval™ aortic valve is a foldable, stent-inserted aortic valve bioprosthesis that can be placed seamlessly. In a 58-year-old female patient who previously underwent the Ozaki procedure, severe aortic regurgitation and aortic valve stenosis were observed and surgical repair was performed using a Perceval™ valve. Only a trace amount of paravalvular aortic regurgitation was detected in the control echocardiography. The patient was uneventfully discharged five days after the operation. In conclusion, aortic valve replacement with the Perceval™ valve after the Ozaki procedure is an alternative that should be kept in mind in selected cases.