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Magalie Ladouceur Magalie Ladouceur Search for more papers by this author. Maxime Vignac Maxime Vignac Search for more papers by this author. Christian Olsson Christian Olsson Search for more papers by this author. Per Eriksson Per Eriksson Search for more papers by this author. P Circulation. Previous Back to top.

Figures References Related Details. Originally published March 6, Prevention Congenital heart disease Aneurysms.


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The aortic valve was not the primary indication for surgery but was replaced at the time of aortic resection given the findings of moderate aortic regurgitation in association with evidence of progressive left ventricular dilatation and mild exercise limitation. AFH was the primary author, responsible for the manuscript's inception and preparation along with PF.

CF provided insight into the surgical management of bicuspid aortopathy. SV provided expertise for the management of BAV and bicuspid aortopathy. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Aortopathy and Bicuspid Aortic Valve in a College Football Player

Characteristics and long-term outcomes of contemporary patients with bicuspid aortic valves. J Thor Cardiovas Surg. The aortopathy of bicuspid aortic valve disease has distinctive patterns and usually involves the transverse aortic arch. J Thor Cardiovasc Surg. The american association for thoracic surgery consensus guidelines on bicuspid aortic valve-related aortopathy: full online-only version.

Eur J Cardio-thor Surg. Knowledge, attitudes, and practice patterns in surgical management of bicuspid aortopathy: a survey of cardiac surgeons. Endorsed by the society of cardiovascular anesthesiologists, society for cardiovascular angiography and interventions, and society of thoracic surgeons. J Am College Cardiol. Long-term risk for aortic complications after aortic valve replacement in patients with bicuspid aortic valve versus marfan syndrome. How does the ascending aorta geometry change when it dissects?

How does descending aorta geometry change when it dissects? Eur J Cardio-Thor Surg. Bicuspid aortic valve disease: recent insights in pathophysiology and treatment. Expert Rev Cardiovasc Ther. BMC Med Genet. The importance of genetics and genetic counselors in the evaluation of patients with bicuspid aortic valve and aortopathy. Curr Opin Cardiol. Evolution of precision medicine and surgical strategies for bicuspid aortic valve-associated aortopathy. Front Physiol. Bicuspid aortic valve is associated with altered wall shear stress in the ascending aorta.

Circul Cardiovasc Imaging. Bicuspid aortic cusp fusion morphology alters aortic three-dimensional outflow patterns, wall shear stress, and expression of aortopathy. Aortic dilation in bicuspid aortic valve disease: flow pattern is a major contributor and differs with valve fusion type. Valve-related hemodynamics mediate human bicuspid aortopathy: insights from wall shear stress mapping. Correlation between systolic transvalvular flow and proximal aortic wall changes in bicuspid aortic valve stenosis. Hoffman JI, Kaplan S. The incidence of congenital heart disease.

Sievers HH, Schmidtke C. A classification system for the bicuspid aortic valve from surgical specimens. New insights in the association between bicuspid aortic valve phenotype, aortic configuration and valve haemodynamics. The bicuspid aortic valve: an integrated phenotypic classification of leaflet morphology and aortic root shape. Towards an individualized approach to bicuspid aortopathy: different valve types have unique determinants of aortic dilatation. Aortic dilatation patterns and rates in adults with bicuspid aortic valves: a comparative study with Marfan syndrome and degenerative aortopathy.

Aortic dilation rates in patients with biscuspid aortic valve: correlations with cusp fusion phenotype. J Heart Valve Dis. PubMed Abstract Google Scholar. Retrospective study to identify predictors of the presence and rapid progression of aortic dilatation in patients with bicuspid aortic valves.

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Nat Clini Practice Cardiovasc Med. Progressive dilation of the ascending aorta in children with isolated bicuspid aortic valve. Am J Cardiol. Pattern of ascending aortic dimensions predicts the growth rate of the aorta in patients with bicuspid aortic valve.


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Verma S, Siu SC. Aortic dilatation in patients with bicuspid aortic valve. N Engl J Med. Fedak PW, Verma S. The molecular fingerprint of bicuspid aortopathy.

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Incidence of aortic complications in patients with bicuspid aortic valves. Is aortopathy in bicuspid aortic valve disease a congenital defect or a result of abnormal hemodynamics?

A critical reappraisal of a one-sided argument. Eur J Cardiothorac Surg. Aortic surgery for ascending aortic aneurysms under 5. Ouzounian M, Feindel CM.

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Partial root repair: paths to a middle ground. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American society of echocardiography and the european association of cardiovascular imaging.

Bicuspid Aortic Valve 2018: Patient Centered Therapy

J Am Soc Echocardiograp. Perioperative risk profiles and volume-outcome relationships in proximal thoracic aortic surgeries. Ann Thor Surg. Genes associated with thoracic aortic aneurysm and dissection: update and clinical implications. Sundt TM. Aortic replacement in the setting of bicuspid aortic valve: how big? How much? The fate of the bicuspid valve aortopathy after aortic valve replacement. Eur J Cardiothor Surg. Effect of aortic aneurysm replacement on outcomes after bicuspid aortic valve surgery: validation of contemporary guidelines. Replacement of the proximal arch: should it be routine in patients with bicuspid aortic valve and ascending aneurysms?

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Aortopathy

Fate of the aortic arch following surgery on the aortic root and ascending aorta in bicuspid aortic valve. Should the proximal arch be routinely replaced in patients with bicuspid aortic valve disease and ascending aortic aneurysm? Risk factors associated with reoperation and mortality in patients after aortic valve replacement for congenitally bicuspid aortic valve disease. Long-term risk of aortic events following aortic valve replacement in patients with bicuspid aortic valves. Long-term prognosis of ascending aortic aneurysm after aortic valve replacement for bicuspid versus tricuspid aortic valve stenosis.

This slows down the rate of dilatation of the aorta. Some patients with dilated aortas will need to have surgery to replace the areas of weakness. We perform a range of intervention procedures including:.