Autologous pericardial reconstruction of the pulmonary valve: the case for the pulmonary Ozaki procedure

Pulmonary valve pathology is the most common entity encountered in adults with congenital heart disease. Most of these patients have undergone a previous interventional cardiac catheterization procedure or were operated upon during childhood and later on had persistent or recurrent pulmonary valve pathology that warrants re-interventions. The majority of these adulthood re-interventions are in the form of pulmonary valve replacement, and while there are currently several options for replacement of the pulmonary valve, none is satisfactory and will create a need for future procedures considering the young age of these patients. In this video tutorial, we present another option for these patients, which is pulmonary valve reconstruction using the patient's own autologous pericardium.