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State-of-the art bicuspid aortic valve repair in 2020

T. Ehrlich, L. de Kerchove, J. Vojacek, M. Boodhwani, I. El-Hamamsy, R. De Paulis, E. Lansac, JE. Bavaria, G. El Khoury, HJ. Schäfers,

. 2020 ; 63 (4) : 457-464. [pub] 20200505

Language English Country United States

Document type Journal Article, Review

Patients with a bicuspid aortic valve (BAV) frequently require surgical intervention for aortic regurgitation (AR) and/or aneurysm. Valve-preserving surgery and repair of regurgitant BAVs have evolved into an increasingly used alternative to replacement. Anatomic predictors of possible repair failures have been identified and solutions developed. Using current techniques most non-calcified BAVs can be preserved or repaired. Excellent repair durability and freedom from valve-related complications can be achieved if all pathologic components of aortic valve and root including annular dilatation are corrected. Anatomic variations must be addressed using tailored approaches.

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$a Patients with a bicuspid aortic valve (BAV) frequently require surgical intervention for aortic regurgitation (AR) and/or aneurysm. Valve-preserving surgery and repair of regurgitant BAVs have evolved into an increasingly used alternative to replacement. Anatomic predictors of possible repair failures have been identified and solutions developed. Using current techniques most non-calcified BAVs can be preserved or repaired. Excellent repair durability and freedom from valve-related complications can be achieved if all pathologic components of aortic valve and root including annular dilatation are corrected. Anatomic variations must be addressed using tailored approaches.
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$a de Kerchove, Laurent $u Pôle de Recherche Cardiovasculaire, Institut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain and Division of Cardiothoracic and Vascular Surgery, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
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$a Vojacek, Jan $u Department of Cardiac Surgery, University Hospital Hradec K0ralove, Czech Republic.
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$a El-Hamamsy, Ismail $u Department of Cardiovascular Surgery, Mount Sinai Hospital, Icahn Scholl of Medicine at Mount Sinai, New York, USA.
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$a De Paulis, Ruggero $u Department of Cardiac Surgery, European Hospital, Rome, Italy.
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$a Lansac, Emmanuel $u Departement of Cardiac Surgery, Institut Mutualiste Montsouris, Paris, France.
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$a Bavaria, Joseph E $u Division of Cardiac Surgery, University of Pennsylvania, Philadelphia, United States of America.
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$a El Khoury, Gebrine $u Pôle de Recherche Cardiovasculaire, Institut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain and Division of Cardiothoracic and Vascular Surgery, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
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