Conventional aortic valve replacement (AVR) remains the standard treatment for aortic valve stenosis or insufficiency, but emerging techniques focus on valve reconstruction rather than replacement. One such method is the Ozaki procedure, which involves replacing each valve leaflet with glutaraldehyde-treated autologous pericardium to restore the natural anatomy of the aortic valve. Although challenging, especially for bicuspid aortic valves, this technique has shown success after a learning period. We report the case of a 54-year-old woman with a history of colorectal cancer, who underwent surgery for severe stenosis of a bicuspid aortic valve using tricuspidization with glutaraldehyde-treated autologous pericardium.
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