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The higher risk of adverse aortic events in patients with bicuspid aortic valve (BAV) disease and ascending aorta aneurysm is known, but the management of moderate aortic root dilatation in younger patients is a controversial issue. The aim of the study was to compare survival in patients with or without root replacement.

Bicuspid aortic valve disease and ascending aortic aneurysm: should an aortic root replacement be mandatory?