Until a durable, anticoagulation-free valve prosthesis is developed, preservation of a well-functioning bicuspid aortic valve may be the best course in the setting of isolated ascending aortic replacement, a new study suggests.
Outcomes appear to diverge over time between patients with bicuspid versus tricuspid valves, raising concern over the use of bicuspid valve reimplantation in the absence of extensive surgical expertise.
Knowing when to operate for BAV is critical. While echocardiography is still the mainstay imaging method to guide decisions, most patients benefit from a multimodality approach. We share insights on the options.
For patients with BAV who have aortic stenosis and no need for intervention on the aorta, minimally invasive surgical options are now available. Here’s how we apply them at Cleveland Clinic.
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services Policy
Heterogeneity is the rule with bicuspid aortic valves, so optimal surgical solutions vary by patient. Our experts share experience-based guidance for managing various presentations of BAV and aortopathy.
For the first time, a statistical relationship has been established between the shapes of bicuspid aortic valves and the patterns of aortic aneurysms.
Our experts say “not so fast” in the wake of a study suggesting prophylaxis against endocarditis should perhaps be expanded to patients with bicuspid aortic valves or mitral valve prolapse.
Beyond revealing the value of surgery for many patients with BAV, a new cohort analysis shows why Cleveland Clinic now routinely performs CT or MRI in these patients.
Two recent sizeable retrospective reviews yield insights from Cleveland Clinic’s more than three decades of experience repairing bicuspid valves and using bioprostheses for aortic valve replacement.