{"id":5600,"date":"2026-06-05T13:01:43","date_gmt":"2026-06-05T11:01:43","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5600"},"modified":"2026-06-05T13:01:43","modified_gmt":"2026-06-05T11:01:43","slug":"cvja-2026-007","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2026-007\/","title":{"rendered":"Mid-term results of bicuspid aortic valve repair with a new technique, the Ozbek procedure"},"content":{"rendered":"    <div id=\"article\">                                                                                                                        \r\n        <div id=\"title-container\">                                                                                                    \r\n        <div id=\"authors-title\">                                                                                                            \r\n        <!--Aurthors under Title-->                                                                                                            \r\n            \r\nBaburhan Ozbek, Murat Ugur\r\n<\/div>        \r\n<\/div>                                                                                                                            \r\n            <div id=\"copyright\">\r\n        <strong>Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n        of Cardiovascular Journal of Africa.<\/div>\r\n    <div style=\"clear: both;\"><\/div>                                                                                                                                \r\n        <div id=\"article-abstract\">                                                                                                            \r\n            <div id=\"abstract-title\">                                                                                                        \r\n                    Abstract                                                                                                                \r\n                <\/div>                                                                                                                        \r\n                                                                                                                                \r\n            <div id=\"abstract-content\">                                                                                                        \r\n            <!--Content of Abstract Article-->                                                                                                \r\n            <!--<strong>\"Abstract titles\":<\/strong>-->                                                                                        \r\n            <!--<br\/> at the end of each section!!-->                                                                                        \r\n                                                                                                                                                    \r\n\r\n        <strong>Introduction:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nAortic valve insufficiency has been reported in approximately one-third of patients with a bicuspid aortic valve (BAV). In this study, we describe a new use of an old aortic repair technique and report its mid-term results.\r\n<br \/>    \r\n\r\n        <strong>Methods:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nTwenty patients with BAV who underwent surgery for aortic valve insufficiency between January 2017 and March 2025 were retrospectively evaluated. All patients who underwent aortic valve repair using the Ozbek technique were included in the study. One case of moderate postoperative aortic insufficiency was identified via transesophageal echocardiography (TEE), requiring reinforcement of the commissural sutures during the surgery.\r\n<br \/>\r\n                \r\n                <strong>Results:<\/strong>                                                                                                    \r\nThere was no permanent pacemaker requirement, stroke, revision due to bleeding, or mortality in the early postoperative period. The mean follow-up duration was 59.0 \u00b1 16.8 months; all patients were asymptomatic or had a NYHA Class I functional status. There was moderate aortic insufficiency in seven patients (35%), and no reoperations were needed during the follow-up period.\r\n<br \/>\r\n                                                                                                                                                                                                                                                                        \r\n                                                                                                                                                \r\n        <strong>Conclusion:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nThe Ozbek technique, which allows commissural stabilization, leaflet augmentation, and preservation of annulus growth potential, might be considered an alternative method for aortic valve repair. Multi-centre studies reporting long-term outcomes are needed to demonstrate the effectiveness of this technique.\r\n<br \/>    \r\n                                                                                                        \r\n\r\n                                                                                                                                                \r\n            <\/div>                                                                                                                            \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                        \r\n                                                                                                                                                \r\n        <div id=\"keywords\">                                                                                                                    \r\n                                                                                                                                            \r\n            <strong>Keywords:<\/strong>                                                                                                        \r\n                                                                                                                                            \r\n            <strong>aortic valve, bicuspid aortic valve, valve repair<\/strong>                                                                                                                                                                                                                    \r\n                                                                                                                                                \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                                \r\n    <div id=\"publish-info\">                                                                                                                    \r\n                                                                                                                                \r\n    <strong>Submitted:<\/strong> September 12, 2025; <!--Month day, year; -->    \r\n    <strong>Accepted:<\/strong> February 26, 2026; <!--Month day, year; -->                                                                            \r\n    <strong>Published:<\/strong> June 5, 2026<!--Month day, year; -->                                                                                                                            <br \/>                                                            \r\n        <em>Cardiovasc J Afr 2025; <b>37<\/b>: 223-228<!--pg no. till pg no. \"eg. 4-7\"--><\/em>\r\n        <br \/><strong>Volume 37, Issue 2<\/strong> <br \/>                                                                            \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n    <div id=\"DOI\">                                                                                                                    \r\n            DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2026-007<!--DOI number-->                                                                \r\n        <\/div>                                                                                                                            \r\n                \r\n                <div id=\"author-affiliation\">                                                                                                \r\n\r\n\r\n<strong>Department of Cardiovascular Surgery, University of Health Sciences, Kosuyolu Training and Research Hospital, Istanbul, Turkey.\r\n\r\n<\/strong>    <br \/>                                                                            \r\nBaburhan Ozbek\r\n<br \/><br \/>   \r\n\r\n<strong>Department of Cardiovascular Surgery, Medican\u0430 Zincirlikuyu Hospital, Istanbul, Turkey.\r\n\r\n<\/strong>    <br \/>                                                                            \r\nMurat Ugur\r\n\r\n<br \/><br \/>   \r\n  \r\n\r\n                [soshsc hide=\"logged\"]\r\n                <strong>You need to be <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/member-login\/\" target=\"_blank\" rel=\"noopener\">logged in to view and download<\/a> the full text PDF version. <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/register\/\" target=\"_blank\" rel=\"noopener\">Register for a free account?<\/a><\/strong> <br \/><br \/>[\/soshsc]\r\n                \r\n                \r\n                \r\n                <\/div>\r\n    \r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Aortic valve insufficiency has been reported in approximately one-third of patients with a bicuspid aortic valve (BAV). In this study, we describe a new use of an old aortic repair technique and report its mid-term results.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[44,110],"tags":[],"class_list":["post-5600","post","type-post","status-publish","format-standard","hentry","category-cardiovascular-topics","category-volume-37-issue-2"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Mid-term results of bicuspid aortic valve repair with a new technique, the Ozbek procedure - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"Aortic valve insufficiency has been reported in approximately one-third of patients with a bicuspid aortic valve (BAV). In this study, we describe a new use of an old aortic repair technique and report its mid-term results.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cvja.co.za\/journal\/cvja-2026-007\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mid-term results of bicuspid aortic valve repair with a new technique, the Ozbek procedure - Cardiovascular Journal of Africa\" \/>\n<meta property=\"og:description\" content=\"Aortic valve insufficiency has been reported in approximately one-third of patients with a bicuspid aortic valve (BAV). 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