The possibilities of valve-sparing surgical treatment of bicuspid aortic valve syndrome

The Bentall procedure is the gold standard for the treatment of bicuspid aortic valve insufficiency, aortic root aneurysm and ascending aortic aneurysm today. Valve-sparing methods of reconstruction of the aortic root are becoming increasingly common, with the accumulation of experience in the reconstruction of the bicuspid aortic valve and more favorable hemodynamic characteristics of the native valve compared to any prosthesis. The purpose of our study is to determine the indications for surgical correction of BAV-related aortopathy and the most effective method of surgical treatment. We performed a literature review of the variants of valve-sparing surgical treatment of bicuspid aortic valve syndrome, which have shown satisfactory med-term and long-term results. The article will be interested to cardiovascular surgeons and cardiologists.Received 6 December 2021. Revised 15 February 2022. Accepted 5 March 2022.Funding: The study did not have sponsorship.Conflict of interest: Authors declare no conflict of interest.Contribution of the authors: The authors contributed equally to this article.