State-of-the art bicuspid aortic valve repair in 2020

Prog Cardiovasc Dis. 2020 Jul-Aug;63(4):457-464. doi: 10.1016/j.pcad.2020.04.010. Epub 2020 May 5.


Patients with a bicuspid aortic valve (BAV) frequently require surgical intervention for aortic regurgitation (AR) and/or aneurysm. Valve-preserving surgery and repair of regurgitant BAVs have evolved into an increasingly used alternative to replacement. Anatomic predictors of possible repair failures have been identified and solutions developed. Using current techniques most non-calcified BAVs can be preserved or repaired. Excellent repair durability and freedom from valve-related complications can be achieved if all pathologic components of aortic valve and root including annular dilatation are corrected. Anatomic variations must be addressed using tailored approaches.

Keywords: Aortic regurgitation; Aortic valve repair; Aortic valve replacement; Bicuspid aortic valve.

Publication types

  • Review

MeSH terms

  • Aorta / pathology
  • Aortic Valve / abnormalities*
  • Aortic Valve / surgery
  • Bicuspid Aortic Valve Disease
  • Cardiac Valve Annuloplasty
  • Female
  • Heart Valve Diseases / complications
  • Heart Valve Diseases / diagnosis
  • Heart Valve Diseases / surgery*
  • Humans
  • Male
  • Patient Selection
  • Treatment Outcome