Bicuspid aortic valve and aortic root disease

被引:19
作者
Evangelista A. [1 ]
机构
[1] Department of Cardiac Imaging, Hospital Vall d'Hebron, Barcelona 08035
关键词
Aortic valve; Aortic valve repair; Ascending aorta; Cardiac magnetic resonance; Cardiac surgery; Computed tomography; Echocardiography; Valvular disease;
D O I
10.1007/s11886-011-0175-4
中图分类号
学科分类号
摘要
Bicuspid aortic valve (BAV) is the most common form of congenital heart disease, with frequent and premature occurrence of cardiac events, dominated by significant valvular dysfunction. BAV has a high prevalence of aortic wall abnormalities such as ascending aortic dilatation. Because more rapid aortic dilatation can occur, once the ascending aorta reaches 40 mm, annual imaging with echocardiography or other imaging techniques is indicated. The most feared complication is aortic dissection. However, the actual incidence of this complication is low (4%). Although limited data exist regarding prophylactic intervention, it is suggested that elective surgical repair of BAV-associated aortic dilatation should be more aggressively recommended. In patients with BAV, the decision to indicate surgical treatment in aortic diameters between 50 and 55 mm should be based on patient age, body size, comorbidities, type of surgery, and the presence of additional risk factors. © 2011 Springer Science+Business Media, LLC.
引用
收藏
页码:234 / 241
页数:7
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