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Duvuru Ram, MD, Ismail Bouhout, MD, Irem Karliova, MD, Ulrich Schneider, MD, Ismail El-Hamamsy, MD,Hans-Joachim Schäfers, MD

September 19, 2019 | The Annals of Thoracic Surgery

Abstract

Background: The bicuspid aortic valve (BAV) frequently requires surgical intervention for aortic regurgitation (AR) and aneurysm. Valve-preserving surgery for BAV has evolved over the last 25 years.

Methods: This review summarized experience in BAV repair with a special focus on predictors of failure and specific surgical techniques addressing them.

Results: Excellent repair stability can be achieved if a standardized approach addressing all pathologic components of aortic valve and root is used. Anatomic variations must be addressed with special approaches.

Conclusions: Today, BAV repair leads to excellent stability if an anatomy-oriented concept is used. Further improvements of clinical results and reproducibility can be anticipated.

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