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Bicuspid aortic valve repair adapted to aortic phenotype

   
@article{ACS16614,
	author = {Mustafa Zakkar and Pouya Youssefi and Christophe Acar and Nizar Khelil and Mathieu Debauchez and Emmanuel Lansac},
	title = {Bicuspid aortic valve repair adapted to aortic phenotype},
	journal = {Annals of Cardiothoracic Surgery},
	volume = {8},
	number = {3},
	year = {2019},
	keywords = {},
	abstract = {The bicuspid aortic valve (BAV) is the most common congenital cardiovascular anomaly and may present with differing phenotypes including almost constant annular dilation. We have developed a standardized approach to BAV repair with a systematic adjunct of aortic annuloplasty according to the three phenotypes of the proximal aorta, which include a dilated aortic root, dilated ascending aorta and normal root and ascending aorta. In our cohort of 191 patients, freedom from AV-related re-intervention was 98% for remodeling with annuloplasty (n=100) and 100% for tubular aortic replacement with annuloplasty (n=31) at 8 years. In an isolated aortic insufficiency (AI) group, freedom from AV-related re-intervention varied from 72.4% with a single subvalvular annuloplasty ring (n=31) compared to 100% at 6 years when a double sub- and supra-valvular (STJ) annuloplasty ring was performed (n=29). Restoration of the annulus: sinotubular junction (STJ) ratio is a key factor to ensure longevity of the bicuspid valve repair and freedom from re-intervention.},
	issn = {2304-1021},	url = {https://www.annalscts.com/article/view/16614}
}