首页|Can the bicuspid aortic valve be spared? The con position, with caveats and nuances
Can the bicuspid aortic valve be spared? The con position, with caveats and nuances
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NSTL
The new (2010) American Heart Association/American College of Cardiology guidelines present a dilemma to the cardio-aortic surgical community regarding bicuspid aortic valve (BAV) when found in combination with pure aortic insufficiency (AI) (no aortic stenosis) and with proximal aortic aneurysmal disease. The new guidelines recommend resection at 5.0 cm, and there are additional indications for resection at 4.5 cm in patients who have genetically triggered aortic conditions. The denomination inherent in this general recommendation will affect many patients, including a significant number of "4.5 to 5.0 cm" BAV patients who have proximal aortic aneurysms and physiologically normal valves, near-normal valves, valves with pure AI, or eminently repairable cusps. As a result, the task and challenge facing the cardio-aortic surgical community is to spare and repair these valves when possible and when appropriate.
NSTL
