Bicuspid Aortic Valve Disease: Classifications, Treatments, and Emerging Transcatheter Paradigms

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Structural Heart Pub Date : 2024-01-01 DOI:10.1016/j.shj.2023.100227

Ankur Kalra MD , Rajiv Das MB ChB, MD , Mohammad Alkhalil MD, DPhil , Iryna Dykun MD , Alessandro Candreva MD , Omar Jarral MBBS, PhD , Syed M. Rehman MBBS , Monil Majmundar MD , Kunal N. Patel MD, MPH , Josep Rodes-Cabau MD, PhD , Michael J. Reardon MD , Rishi Puri MBBS, PhD

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Abstract

Bicuspid aortic valve (BAV) is a common congenital valvular malformation, which may lead to early aortic valve disease and bicuspid-associated aortopathy. A novel BAV classification system was recently proposed to coincide with transcatheter aortic valve replacement being increasingly considered in younger patients with symptomatic BAV, with good clinical results, yet without randomized trial evidence. Procedural technique, along with clinical outcomes, have considerably improved in BAV patients compared with tricuspid aortic stenosis patients undergoing transcatheter aortic valve replacement. The present review summarizes the novel BAV classification systems and examines contemporary surgical and transcatheter approaches.

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双尖瓣主动脉瓣疾病：分类、治疗和新兴的经导管范例

主动脉瓣二尖瓣（BAV）是一种常见的先天性瓣膜畸形，可能导致早期主动脉瓣病变和二尖瓣相关性主动脉病变。最近提出了一种新的 BAV 分类系统，同时经导管主动脉瓣置换术越来越多地被有症状的年轻 BAV 患者所考虑，并取得了良好的临床效果，但却没有随机试验的证据。与接受经导管主动脉瓣置换术的三尖瓣主动脉瓣狭窄患者相比，BAV 患者的手术技术和临床效果都有了显著改善。本综述总结了新的 BAV 分类系统，并研究了当代的手术和经导管方法。

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来源期刊

Structural Heart Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.60

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0.00%

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