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Bicuspid Aortic Valve Repair: Systematic Review on Long-Term Outcomes

Friday, June 28, 2019

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Source Name: Annals of Cardiothoracic Surgery


George J. Arnaoutakis, Ibrahim Sultan, Mary Siki, Joseph E. Bavaria

In this systematic review, Arnaoutakis and colleagues evaluated the repair durability and survival of patients who underwent repair for a bicuspid aortic valve (BAV). Twenty-six studies were evaluated after full exclusion criteria were applied. BAV repair was demonstrated to have low operative mortality and excellent 5-year survival. Variations in surgical technique (eg, in reimplantation or remodeling), were not associated with protection from reintervention. Systematic assessment of cusp height and annular stabilization favored long-term durability, and increased leaflet calcification was noted to have higher rates of reintervention.

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