This review highlights that post-stenotic aortic dilatation in bicuspid aortic valve disease is likely driven by intrinsic aortic wall abnormalities, supporting consideration of concurrent aortic root replacement during aortic valve surgery.
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Supports intrinsic aortic wall pathology in BAV dilatation; leaves open whether this changes surgical thresholds for root replacement.
Wilton et al. (2006) studied this question.
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