Concepts of Bicuspid Aortic Valve Repair: A Review.

Ram, Duvuru; Bouhout, Ismail; Karliova, Irem; Schneider, Ulrich; El-Hamamsy, Ismail; Schäfers, Hans-Joachim · Ann Thorac Surg · 2020

review · Level V

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Abstract

The bicuspid aortic valve (BAV) frequently requires surgical intervention for aortic regurgitation (AR) and aneurysm. Valve-preserving surgery for BAV has evolved over the last 25 years. This review summarized experience in BAV repair with a special focus on predictors of failure and specific surgical techniques addressing them. Excellent repair stability can be achieved if a standardized approach addressing all pathologic components of aortic valve and root is used. Anatomic variations must be addressed with special approaches. Today, BAV repair leads to excellent stability if an anatomy-oriented concept is used. Further improvements of cinical results and reproducibility can be anticipated.

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