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Long-term Results of Differentiated Anatomic Reconstruction of Bicuspid Aortic Valves

Long-term Results of Differentiated Anatomic Reconstruction of Bicuspid Aortic Valves Key PointsQuestionWhat is the long-term stability of bicuspid aortic valve repair for aortic regurgitation and/or aneurysm, and what are the risk factors associated with valve failure? FindingsIn this case series of 1024 patients who underwent bicuspid aortic valve repair with a differentiated anatomic repair approach, 15-year survival was 82%. Cusp calcification, asymmetric commissural orientation, and the need for partial cusp replacement were risk factors associated with valve failure. MeaningBicuspid aortic valve repair with or without concomitant aortic replacement is associated with long-term stability if all pathologic components of the aortic valve and root, including commissural orientation, are addressed. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Cardiology American Medical Association

Long-term Results of Differentiated Anatomic Reconstruction of Bicuspid Aortic Valves

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Publisher
American Medical Association
Copyright
Copyright 2020 American Medical Association. All Rights Reserved.
ISSN
2380-6583
eISSN
2380-6591
DOI
10.1001/jamacardio.2020.3749
Publisher site
See Article on Publisher Site

Abstract

Key PointsQuestionWhat is the long-term stability of bicuspid aortic valve repair for aortic regurgitation and/or aneurysm, and what are the risk factors associated with valve failure? FindingsIn this case series of 1024 patients who underwent bicuspid aortic valve repair with a differentiated anatomic repair approach, 15-year survival was 82%. Cusp calcification, asymmetric commissural orientation, and the need for partial cusp replacement were risk factors associated with valve failure. MeaningBicuspid aortic valve repair with or without concomitant aortic replacement is associated with long-term stability if all pathologic components of the aortic valve and root, including commissural orientation, are addressed.

Journal

JAMA CardiologyAmerican Medical Association

Published: Dec 16, 2020

References