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Congenital Bicuspid Aortic Valve and an Aneurysm of the Ascending Aorta
Author(s) -
Olearchyk Andrew S.
Publication year - 2004
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.0886-0440.2004.04068.x
Subject(s) - medicine , bicuspid aortic valve , ascending aorta , aneurysm , surgery , cardiology , aorta , aortic aneurysm , aortic valve
Background: A congenital bicuspid aortic valve (BAV) in adults is known to be associated with aortopathy, specifically with aneurysms of the ascending aorta (AA). Materials and Methods: Ten (16.7%) patients with congenital BAV had an aneurysm of the AA. Aortic valve replacement was performed in 58 patients, repair in two. Aneurysms were repaired by a vertical reduction (tailoring) aortoplasty (VRA) with or without external synthetic grafting (wrapping, wrap) in nine patients, replaced in one. Results: There were no operative deaths. One patient died 87 months after the operation due to a noncardiac cause. Fifty‐four patients are alive and well, without the evidence of recurrence of an aneurysm. Conclusions: A VRA with or without external synthetic wrapping appears to be a satisfactory alternative to replacement procedures for the AA aneurysm in older patients with BAV, and those with comorbid conditions.