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Anatomical and Clinical Predictors of Valve Dysfunction and Aortic Dilation in Bicuspid Aortic Valve Disease

Sunday, March 18, 2018

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Source

Source Name: BMJ Heart

Author(s)

Arturo Evangelista, Pastora Gallego, Francisco Calvo-Iglesias, Javier Bermejo, Juan Robledo-Carmona, Violeta Sánchez, Daniel Saura, Roman Arnold, Amelia Carro, Giuliana Maldonado, Augusto Sao-Avilés, Gisela Teixidó, Laura Galian, José Rodríguez-Palomares, David García-Dorado

The authors studied 852 adults with bicuspid aortic valves.  The prevelance of three morphotypes was tallied.  Relative fusion rates were: RL 72.9%, RN 24.1% and LN 3%.  Additionally, 18.3% had no raphe.  Aortic regurgitation was unrelated to morphotype.  Aortic stenosis was more common in the RN fusion group and in the presence of a raphe.  Seventy-six percent had ascending aortic dilation unrelated to morphotype but associated with valve dysfunction.  Aortic root dilation was present in 34% and was more commonly associated with male sex and aortic regurgitation.

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