%0 Journal Article
%T Bicuspid aortic valve repair adapted to aortic phenotype
%A Christophe Acar
%A Emmanuel Lansac
%A Mathieu Debauchez
%A Mustafa Zakkar
%A Nizar Khelil
%A Pouya Youssefi
%J Archive of "Annals of Cardiothoracic Surgery".
%D 2019
%R 10.21037/acs.2019.04.13
%X 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
%K Bicuspid aortic valve (BAV)
%K aortic repair
%K ring annuloplasty
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6562075/