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.

Departement of Cardiac Surgery Institut Mutualiste Montsouris Paris France

Department of Cardiac Surgery European Hospital Rome Italy

Department of Cardiac Surgery University Hospital Hradec K0ralove Czech Republic

Department of Cardiovascular Surgery Mount Sinai Hospital Icahn Scholl of Medicine at Mount Sinai New York USA

Department of Thoracic and Cardiovascular Surgery Saarland University Medical Center Homburg Saar Germany

Division of Cardiac Surgery University of Ottawa Heart Institute Canada

Division of Cardiac Surgery University of Pennsylvania Philadelphia United States of America

Pôle de Recherche Cardiovasculaire Institut de Recherche Expérimentale et Clinique Université Catholique de Louvain and Division of Cardiothoracic and Vascular Surgery Cliniques Universitaires Saint Luc Brussels Belgium

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