Bicuspid Aortic Valve and Aortic Root Disease
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Artur Evangelista
- چاپ و سال / کشور: 2011
Description
Bicuspid aortic valve (BAV) is the most common form of congenital heart disease, with frequent and premature occurrence of cardiac events, dominated by significant valvular dysfunction. BAV has a high prevalence of aortic wall abnormalities such as ascending aortic dilatation. Because more rapid aortic dilatation can occur, once the ascending aorta reaches 40 mm, annual imaging with echocardiography or other imaging techniques is indicated. The most feared complication is aortic dissection. However, the actual incidence of this complication is low (4%). Although limited data exist regarding prophylactic intervention, it is suggested that elective surgical repair of BAVassociated aortic dilatation should be more aggressively recommended. In patients with BAV, the decision to indicate surgical treatment in aortic diameters between 50 and 55 mm should be based on patient age, body size, comorbidities, type of surgery, and the presence of additional risk factors.
Curr Cardiol Rep (2011) 13:234–241 DOI 10.1007/s11886-011-0175-4 Published online: 11 March 2011
