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Bicuspid Aortic Valve: Timing of Surgery

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Abstract

Bicuspid aortic valve (BAV) disease is the most common congenital cardiovascular anomaly with the majority of patients requiring surgical intervention over the course of their lives. BAV aortopathy is increasingly recognized; however, the appropriate time to intervene continues to be debated. Furthermore, recent studies demonstrate that different BAV morphologies portend distinct prognoses: BAV stenosis with associated dilation of the tubular ascending aorta and BAV insufficiency with dilation of the proximal aortic root. Within this chapter we describe the best current recommendations for timing of aortic intervention in patients with BAV-associated aortopathy.

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Authors and Affiliations

  1. Department of Cardiac, Thoracic, and Vascular Surgery, Columbia University, New York, NY, USA

    Elizabeth H. Stephens

  2. Department for Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany

    Michael A. Borger

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  1. Elizabeth H. Stephens
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  2. Michael A. Borger
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Editors and Affiliations

  1. Fmr Royal Brompton Hospital, London, UK

    Olaf H. Stanger

  2. Royal Brompton Hospital, London, UK

    John R. Pepper

  3. Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA

    Lars G. Svensson

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Stephens, E.H., Borger, M.A. (2019). Bicuspid Aortic Valve: Timing of Surgery. In: Stanger, O., Pepper, J., Svensson, L. (eds) Surgical Management of Aortic Pathology. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4874-7_35

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