1. Concepts of Bicuspid Aortic Valve Repair: A Review
- Author
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Ismail Bouhout, Ismail El-Hamamsy, Ulrich Schneider, Duvuru Ram, Irem Karliova, and Hans-Joachim Schäfers
- Subjects
Pulmonary and Respiratory Medicine ,Aortic valve ,medicine.medical_specialty ,business.industry ,Heart Valve Diseases ,Regurgitation (circulation) ,030204 cardiovascular system & hematology ,medicine.disease ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Bicuspid aortic valve ,Aneurysm ,Bicuspid Aortic Valve Disease ,030228 respiratory system ,Aortic Valve ,Aortic valve surgery ,cardiovascular system ,medicine ,Humans ,Cardiac Surgical Procedures ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background 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. Methods This review summarized experience in BAV repair with a special focus on predictors of failure and specific surgical techniques addressing them. Results 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. Conclusions Today, BAV repair leads to excellent stability if an anatomy-oriented concept is used. Further improvements of cinical results and reproducibility can be anticipated.
- Published
- 2020
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