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La dilatacion de la aorta ascendente es un acompanante muy frecuente de la valvulopatia aortica bicuspide, y a su vez la cardiopatia congenita mas frecuente. Entre las teorias acerca de su origen, la mas establecida es la que la liga al efecto de metaloproteinasas sobre la pared arterial. En este editorial se hace referencia a la publicacion simultanea en este numero del articulo de Dayan et al., que describen la evolucion de la dilatacion aortica post reemplazo valvular. (AU) Aortic root and ascending aorta dilatacion is a common consequence of bicsupid aortic valve disease, in turn the most frequent form of congenital heart disease. Among the different theories proposed to explain this finding, the action of metallo proteinases upon the aortic wall seems to be well established. In this Editorial, the concurrent work by Dayan et al published in this issue, dealing with aortic root dilatation post aortic valve replacement in patients with bicuspid aortic valve is analyzed. (AU)

Válvula aórtica bicúspide y dilatación de la raíz de la aorta o de la aorta ascendente