The need for comprehensive multidisciplinary programs, complex interventions, and precision medicine for bicuspid aortic valve disease

被引：5

作者：

Crawford, Erin E. ^{[1
]}

McCarthy, Patrick M. ^{[1
,2
]}

Malaisrie, S. Chris ^{[1
,2
]}

Mehta, Christopher K. ^{[1
,2
,3
]}

Puthumana, Jyothy J. ^{[4
]}

Robinson, Joshua D. ^{[5
,6
,7
]}

Markl, Michael ^{[7
,8
]}

Bonow, Robert O. ^{[3
,4
]}

Fedak, Paul W. M. ^{[1
,9
,10
]}

机构：

[1] Northwestern Med, Div Cardiac Surg, Chicago, IL USA

[2] Northwestern Univ, Feinberg Sch Med, Dept Surg, Chicago, IL USA

[3] Northwestern Med, Div Cardiol, Chicago, IL USA

[4] Northwestern Univ, Feinberg Sch Med, Dept Internal Med, Chicago, IL USA

[5] Ann & Robert H Lurie Childrens Hosp Chicago, Div Cardiol, Chicago, IL USA

[6] Northwestern Univ, Feinberg Sch Med, Dept Pediat, Chicago, IL USA

[7] Northwestern Univ, Feinberg Sch Med, Dept Radiol, Chicago, IL USA

[8] Northwestern Univ, McCormick Sch Engn, Evanston, IL USA

[9] Univ Calgary, Cumming Sch Med, Sect Cardiac Surg, Dept Cardiac Sci, Calgary, AB, Canada

[10] Libin Cardiovasc Inst, Calgary, AB, Canada

来源：

ANNALS OF CARDIOTHORACIC SURGERY | 2022年 / 11卷 / 04期

关键词：

Bicuspid aortic valve (BAV); congenital; aortic surgery; LONG-TERM OUTCOMES; WALL SHEAR-STRESS; ASCENDING AORTA; NATURAL-HISTORY; REPLACEMENT; RISK; DILATATION; MORPHOLOGY; CHILDREN; ADULTS;

D O I：

10.21037/acs-2021-bav-207

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Patients with bicuspid aortic valves commonly require an intervention on their valve and/or aorta. Because of their heterogeneous presentations, recommendations for imaging surveillance and surgery timing are highly individualized. Critical points in care include time of diagnosis, transition from adolescent to adult medicine, and surgery referral. To better support patients with bicuspid aortic valves, we developed a comprehensive program that utilizes the multidisciplinary care team, complex interventions, and translational research protocols. We describe our program structure and experience with this common and sometimes challenging diagnosis.

引用

页码：369 / 379

页数：11

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