External or subcomissural annuloplasty in bicuspid aortic valve repair: Which is better?. Issue 3 (24th November 2021)

• Record Type: Journal Article
• Authors: Acharya, Metesh; Sherzad, Hiwa; Tan, Sven Zhen Cian Patrick; Bashir, Mohamad; Mariscalco, Giovanni
• Is Part Of: Journal of cardiac surgery. Volume 37:Issue 3(2022)
• Page Start: 532
• Page End: 534
• Publication Date: 2021-11-24
• Subjects: bicuspid aortic valve -- external annuloplasty -- subcomissural annuloplasty; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.16152
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: Patients with a bicuspid aortic valve (BAV) are at increased risk of valvular regurgitation compared to their counterparts with a tri‐leaflet aortic valve. There is now increasing emphasis to offer BAV repair to mitigate the risks of prosthesis‐related complications, including thromboembolism, hemorrhage and endocarditis, as well as structural valve deterioration and future reoperation with conventional valve replacement, particularly in younger populations. Furthermore, over the preceding two decades, our greater understanding of the functional anatomy of the BAV, pathophysiological mechanisms of BAV insufficiency, and the development of a functional classification of aortic regurgitation have significantly contributed to the evolution of aortic valve reconstructive surgery. In this commentary, we discuss a recent article from the Journal of Cardiac Surgery comparing external annuloplasty and subcommissural annuloplasty as techniques for BAV repair.