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Current topics on bicuspid aortic valve: clinical aspects and surgical management

Hiroshi Furukawa1, Kazuo Tanemoto

  • 1Department of Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Okayama, Japan.

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|June 23, 2015
PubMed

Insights

Bicuspid aortic valve (BAV) is a common heritable heart anomaly. Surgical management of BAV, especially with aortopathy, remains debated, requiring careful consideration of valve pathology.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Medical Genetics

Background:

  • Bicuspid aortic valve (BAV) is the most prevalent heart valve anomaly and a heritable disorder.
  • BAV is associated with various cardiovascular disorders, notably aortopathy.
  • Current clinical management strategies for BAV, including surgical interventions, are areas of active interest and debate.

Purpose of the Study:

  • To review current topics and findings regarding the clinical and surgical management of BAV.
  • To discuss pathological and morphological aspects of BAV and associated aortopathy.
  • To summarize evidence on surgical strategies, including aortic repair/replacement and interventional management.

Main Methods:

  • Comprehensive literature review of published studies on BAV management.
  • Analysis of current clinical guidelines and surgical preferences.
  • Inclusion of data on catheter-based interventional approaches.

Main Results:

  • Surgical indications for BAV, particularly with aortopathy, are subject to ongoing debate and influenced by guidelines and surgeon preference.
  • Careful consideration of valve pathology is crucial when deciding on ascending aorta replacement.
  • Previous studies offer insights into various clinical management and surgical techniques.

Conclusions:

  • Despite established guidelines, controversy persists regarding the optimal clinical and surgical management of BAV.
  • Surgeons must meticulously evaluate valve pathology to guide decisions on aortic replacement.
  • A thorough understanding of BAV's complexities, including aortopathy, is essential for effective patient care.

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