From Failure to Positive Result: Turning Aortic Insufficiency in Neocuspidization Procedure Into Excellent Results

The neocuspidization technique is a surgical procedure used for aortic valve replacement. The technique involves reconstructing the aortic valve using autologous pericardium treated with glutaraldehyde. The results are excellent, with no need for long-term anticoagulation, a maximal effective orifice area, excellent survival, and freedom from reoperation. However, the technique requires expertise, particularly in calibrating the size of the cusps; a meta-analysis reports immediate complications requiring aortic valve replacement in proportions ranging from 0.7% to 2.2%.