%0 Journal Article
%T Should sinus of Valsalva be preserved in patients with bicuspid aortic valve and aortic dilation?
%A Chunsheng Wang
%A Hao Lai
%A Kai Zhu
%A Kanhua Yin
%A Yi Lin
%A Yongxin Sun
%A Yulin Wang
%A Zhaohua Yang
%J SCIE-indexed Journal
%D 2017
%R 10.21037/jtd.2017.08.15
%X Bicuspid aortic valve (BAV) is the most common type of congenital valvular heart disease, affecting 0.9% to 2.0% of the general population (1). BAV disease is a well-recognized risk factor for aortic dilation, aneurysm formation, dissection, and rupture (2,3). Aggressive intervention for BAV aortopathy is recommended by the current guidelines, but few studies have listed exact criteria regarding interventions targeting the sinuses of Valsalva in patients with BAV who have undergone selective aortic valve surgery. Although the risk of progressive dilatation of the ascending segment after replacement of the aortic valve and ascending aorta is well documented, the risk of progressive dilatation of the sinuses of Valsalva is less clear. The purpose of this study was to assess the risk of progressive sinus of Valsalva dilatation and dissection after replacement of the aortic valve and ascending aorta and to determine the threshold diameter at which the aortic root should be replaced in BAV patients
%U http://jtd.amegroups.com/article/view/15422/html