{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T17:30:20Z","timestamp":1786383020384,"version":"build-2736575974"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tetralogy of Fallot with absent pulmonary valve syndrome (TOF-APVS) presents significant surgical challenges in infants due to airway compression from dilated branch pulmonary arteries. Surgery typically involves closing the ventricular septal defect (VSD) and reducing the size of the pulmonary arteries to relieve airway compression. A competent pulmonary valve is especially beneficial in these cases. We describe creating an Ozaki pulmonary valve using native pericardium for this condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>Four infants (median age 4.8 months [IQR 4.3-5.4], median weight 3.5\u2005kg [IQR 2.0-5.0]) presented with respiratory distress and were diagnosed with TOF-APVS. The presence of bronchial compression was confirmed with computed tomography of the thorax. All patients underwent total intracardiac repair, including closure of the VSD, the Lecompte maneuver, reduction of the enlarged pulmonary arteries, and bicuspid pulmonary valve reconstruction using glutaraldehyde-treated pericardium with the Ozaki technique. Postoperative transesophageal echocardiogram confirmed well-functioning pulmonary valves with minimal pressure gradients. Each patient recovered uneventfully, was discharged, and is doing well on follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Ozaki technique facilitates precise and symmetric reconstruction of the bicuspid pulmonary valve in cases of TOF-APVS, demonstrating encouraging early results for infants, particularly in resource-limited environments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501351261459350","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T14:38:16Z","timestamp":1786113496000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Bicuspid Pulmonary Valve Neocuspidization Using Ozaki Technique in Infants With Tetralogy of Fallot With Absent Pulmonary Valve Syndrome\u2014Feasibility and Early Experience"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9706-2077","authenticated-orcid":false,"given":"Vijayakumar","family":"Raju","sequence":"first","affiliation":[{"name":"Department of Cardio Thoracic Surgery, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2986-928X","authenticated-orcid":false,"given":"Naveen","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"Department of Cardio Thoracic Surgery, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4240-6705","authenticated-orcid":false,"given":"Kaushik","family":"Jothinath","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anasthesia, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5107-0657","authenticated-orcid":false,"given":"Sridevi","family":"Sundarajan","sequence":"additional","affiliation":[{"name":"Division of pediatric cardiac intensive care, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1178-4288","authenticated-orcid":false,"given":"Mani Ram Krishna","family":"Singaravelan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Tiny Hearts, Thanjavur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2379-2445","authenticated-orcid":false,"given":"Sanchitha Harini","family":"Guruchandrasekar","sequence":"additional","affiliation":[{"name":"Department of Cardiology, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4605-9433","authenticated-orcid":false,"given":"Kalyanasundaram","family":"Muthusamy","sequence":"additional","affiliation":[{"name":"Department of Cardiology, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2010.253682"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9592.2002.00919.x"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(92)90078-I"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(96)00276-7"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(99)70116-9"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(02)03511-7"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(02)00035-0"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(97)00327-5"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.07.022"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.12.001"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(02)03511-7"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.01.050"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.2459\/JCM.0b013e32821626ce"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)00250-7"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(92)90078-I"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(99)70488-5"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/21501351251361504"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.01.087"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/21501351241259372"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8191.1995.tb00630.x"}],"container-title":["World Journal for Pediatric and Congenital Heart Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351261459350","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501351261459350","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351261459350","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T16:52:43Z","timestamp":1786380763000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501351261459350"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,7]]},"references-count":20,"alternative-id":["10.1177\/21501351261459350"],"URL":"https:\/\/doi.org\/10.1177\/21501351261459350","relation":{},"ISSN":["2150-1351","2150-136X"],"issn-type":[{"value":"2150-1351","type":"print"},{"value":"2150-136X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,7]]},"article-number":"21501351261459350"}}