AVNeo® Newsle)er

Vol. 1 - March 2022

Missed the webinar? Don’t worry!
Are you interested intraining for the AVNeo®
procedure?
Training is fundamental for the AVNeo
procedure. JOMDD is supported by a
network of ten (10) proctors
worldwide who are responsible forsupporDng cardiac surgeons throughtheir learning journey.
Module I begins with didacDc lectures
where surgeons learn the beneﬁts,outcomes, and ideal paDent
populaDons for the AVNeo procedure
to the advanced techniques oftransforming a bicuspid valve into a
tricuspid valve.
Module II shiJs to hands-on Dry Lab
training by reconstrucDng a newaorDc valve into a silicone model. This
module oﬀers the opportunity tolearn proper measuring and sizing
techniques and the standardized
approach to suturing the new leaﬂets
into the naDve annulus.
Module III includes in operaDng room
experience to see your Course
Director reconstruct the aorDc valve
using the enDre AVNeo procedure.
Module IV is an opportunity for a
cerDﬁed AVNeo Proctor to visit yourfacility and support your ﬁrst AVNeo
cases.
We look forward to supporDng all
your training needs!

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Were you able to join the Dec 2021, AVNeo
webinar? We had a record turnout with over 200
individuals registered. This was Webinar #11 andfrom the feedback, it was our best webinar yet! Thefocus was on AVNeo or the Ross? Discussion
centered around a 50-year-old, acHve male, suﬀeringfrom symptomaHc, aorHc stenosis.
If you missed this or any of the AVNeo webinars, you
could ﬁnd them all on our AVNeo website:www.avneo.net

What’s New in Research?
The Ross procedure currently represents the preferred procedure inchildren with severe AV dysfunction. However, the procedure isburdened with its own complications including significant operative
mortality and late complications related to autograft dilatation anddurability. These issues suggest a growing need for the developmentof alternative solutions. The use of AVNeo, the Ozaki procedure, has
shown promising results as an alternative to the Ross procedure.
Polito et al. (2021) found that 38 children undergoing the AVNeo orRoss procedures both showed satisfactory early and midterm
hemodynamic results. Aortic ring and root indexed dimensions
remained stable throughout the five-year study period in both groups.
Secinaro et al. (2021) examined the hemodynamic profile of patients
undergoing AVNeo or Ross via 4D cardiovascular magnetic resonancestudies and found that proximal aorta flow dynamics of children
treated with the Ozaki and the Ross procedure are comparable.
AVNeo restores a physiological laminar flow pattern in the short-term
follow-up, similar to the Ross, while not inducing bi-valvular disease.
Both studies concluded that AVNeo showed good results and may bea viable alternative to the Ross procedure. Polito et al. (2021)
reported that it may be a better procedure for younger patients while
utilizing an integrated approach based on the early use of theprocedure as a bridging solution towards subsequent alternative
surgical treatments of AVD.
References:Polito, A., Albanese, S. B., Cetrano, E., Forcina, S., Cicenia, M., Rinelli, G., & Carotti, A. (2021). Aortic Valve Neocuspidalization
May Be a Viable Alternative to Ross Operation in Pediatric Patients. Pediatric cardiology, 42(3), 668–675.
https://doi.org/10.1007/s00246-020-02528-3
Secinaro, A., Milano, E. G., Ciancarella, P., Trezzi, M., Capelli, C., Ciliberti, P., Cetrano, E., Curione, D., Santangelo, T. P.,
Napolitano, C., Albanese, S. B., & Carotti, A. (2021). Blood flow characteristics after aortic valve
neocuspidization in paediatric patients: a comparison with the Ross procedure. European heart journal.
Cardiovascular Imagin, 23(2), 275-282. https://doi.org/10.1093/ehjci/jeab009

Center of Excellence & Proctor Spotlight

Dr. Danny Chu is an adult cardiovascular surgeon and currently serves as
the director of Cardiac Surgery at the VA Pi9sburgh Healthcare System andas a senior staﬀ cardiac surgeon at the UPMC Heart & Vascular InsBtute. He
has authored over 100 peer-reviewed manuscripts and serves on mulBple
editorial boards, including the American Journal of Cardiology, JAMA
Surgery, and World Journal of Surgery. Dr. Chu also serves as the Surgery
SecBon Editor for the journal Medicine.
Dr. Chu was one of thefirst US proctors for
AVNeo and was trainedby Professor Ozaki in2015. He hascompleted over 100
AVNeo cases.
Quarterly training isoffered at the Winter
Institute for Simulation
Education Research(WISER) in Pittsburgh,
JOMDD’s Center ofExcellence, since 2019.
JOMDD offers training
courses worldwide, soplease let us know if
you need assistance.

Upcoming 2022 2-Day AVNeo Training Courses
Training Dates - Loca@on- Course Director
May 2nd & 3rd - Co@gnola, Italy – Prof. Alber@ni
May 17th & 18th – Yale New Haven, CT – Dr. Krane
June 6th & 7th - Co@gnola, Italy – Prof. Alber@ni
June 21st & 22nd - PiUsburgh, PA, USA - Prof Chu
Contact avneo_admin@jomdd.com to reserve your spot

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