{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T04:10:33Z","timestamp":1767154233502,"version":"build-2238731810"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T00:00:00Z","timestamp":1686787200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background\u2003Aortic valve replacement with mechanical valves is the standard treatment for aortic valve disease in Indonesia. Its usage is associated with high cost, risk of endocarditis and thromboembolic event, and lifetime consumption of anticoagulants. We performed a novel replacement technique of the aortic valve using an autologous pericardium and evaluated the short-term outcomes.<\/jats:p>\n                  <jats:p>Methods\u2003From April 2017 to April 2020, 16 patients underwent aortic valve replacement with a single-strip autologous pericardium. Outcomes of the left ventricular reverse remodeling (LVRR), 6-minute walk test (6MWT), and soluble suppression of tumorigenicity-2 (sST-2) were measured at 6 months postoperation.<\/jats:p>\n                  <jats:p>Results\u2003A total of 16 surgeries were performed using aortic valve replacement with single-strip pericardium without conversion to mechanical valve replacement. The patients included eight males and eight females, and the mean age was 49.63\u2009\u00b1\u200912.54 years. The most common diagnosis was mixed aortic valve stenosis and regurgitation (9 cases). Five patients underwent a concomitant coronary artery bypass graft (CABG) procedure and 12 patients underwent either mitral or tricuspid valve repair. The mean aortic cross-clamp time was 139.88\u2009\u00b1\u200923.21\u2009minutes and cardiopulmonary bypass time was 174.37\u2009\u00b1\u200933.53\u2009minutes. At 6 months postoperation, there was an increase in the distance walked at the 6MWT (p\u2009=\u20090.006) and a decrease of the sST-2 level (p\u2009=\u20090.098). Echocardiogram showed two patients had LVRR. Survival and freedom from reoperation are 100% at 1 year of follow-up.<\/jats:p>\n                  <jats:p>Conclusion\u2003Aortic valve replacement with a single strip of pericardium is a good alternative to aortic valve replacement with a mechanical valve. Short-term evaluation at 6 months postoperation showed improvement in clinical status and echocardiographic parameters compared to baseline.<\/jats:p>","DOI":"10.1055\/a-2111-1217","type":"journal-article","created":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T18:58:37Z","timestamp":1686855517000},"page":"304-307","source":"Crossref","is-referenced-by-count":0,"title":["Aortic Valve Replacement with Single-Strip Autologous Pericardium"],"prefix":"10.1055","volume":"73","author":[{"given":"Ismail","family":"Dilawar","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jusuf","family":"Rachmat","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ito","family":"Puruhito","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Airlangga, Surabaya, Jawa Timur, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Idrus","family":"Alwi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sudigdo","family":"Sastroasmoro","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suhendro","family":"Suhendro","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabella Kurnia","family":"Liem","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minarma","family":"Siagian","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad Aulia","family":"Jusuf","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Makdinata","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imamurahman","family":"Taslim","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefanie","family":"Melisa","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,8,7]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1510\/icvts.2010.253682","article-title":"Aortic valve reconstruction using self-developed aortic valve plasty system in aortic valve disease","volume":"12","author":"S Ozaki","year":"2011","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"11","key":"ref2","doi-asserted-by":"crossref","first-page":"e005220","DOI":"10.1161\/CIRCHEARTFAILURE.118.005220","article-title":"Clinical phenotype and genotype associations with improvement in left ventricular function in dilated cardiomyopathy","volume":"11","author":"J AJ Verdonschot","year":"2018","journal-title":"Circ Heart Fail"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1097\/HCR.0000000000000340","article-title":"Prognostic value of the 6-min walk test after open-heart valve surgery: experience of a cardiovascular rehabilitation program","volume":"38","author":"G Vitale","year":"2018","journal-title":"J Cardiopulm Rehabil Prev"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"e010980","DOI":"10.1136\/heartasia-2017-010980","article-title":"Prognostic value of soluble ST2 postaortic valve replacement: a meta-analysis","volume":"10","author":"G Tse","year":"2018","journal-title":"Heart Asia"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/S0022-5223(95)70248-2","article-title":"Aortic valve replacement with freehand autologous pericardium","volume":"110","author":"C MG Duran","year":"1995","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1016\/j.athoracsur.2016.06.060","article-title":"Prolonged cross-clamping during aortic valve replacement is an independent predictor of postoperative morbidity and mortality: analysis of the Japan Cardiovascular Surgery Database","volume":"103","author":"K Iino","year":"2017","journal-title":"Ann Thorac Surg"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1093\/icvts\/ivu102","article-title":"A need for speed? Bypass time and outcomes after isolated aortic valve replacement surgery","volume":"19","author":"J Chalmers","year":"2014","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"01","key":"ref8","first-page":"65","article-title":"The role of echocardiography in aortic valve repair","volume":"2","author":"J-L Vanoverschelde","year":"2013","journal-title":"Ann Cardiothorac Surg"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1093\/ageing\/afx203","article-title":"Functional capacity and health-related quality of life outcomes post transcatheter aortic valve replacement: a systematic review and meta-analysis","volume":"47","author":"N Straiton","year":"2018","journal-title":"Age Ageing"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/j.ijcard.2015.02.019","article-title":"Biomarker-assist score for reverse remodeling prediction in heart failure: the ST2-R2 score","volume":"184","author":"J Lup\u00f3n","year":"2015","journal-title":"Int J Cardiol"},{"issue":"05","key":"ref11","doi-asserted-by":"crossref","first-page":"1124","DOI":"10.1093\/ejcts\/ezr284","article-title":"Aortic annuloplasty: a new aspect of aortic valve repair","volume":"41","author":"H-J Sch\u00e4fers","year":"2012","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2111-1217.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T18:43:14Z","timestamp":1748371394000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2111-1217"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,15]]},"references-count":11,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2025,5,27]]},"published-print":{"date-parts":[[2025,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2111-1217","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,6,15]]},"published":{"date-parts":[[2023,6,15]]}}}