Risk of proximal aortic dissection in patients with bicuspid aortic valve: how to address this controversy?
Key result
The assessment of aortic dissection risk in patients with bicuspid aortic valve disease requires careful consideration of the disease stage and functional phenotype to resolve inconsistencies in data.
Why the study?
What is the risk of proximal aortic dissection in patients with bicuspid aortic valve disease, and how do disease stage and functional phenotype affect this risk?
Population
Patients with bicuspid aortic valve (BAV) disease
Design
Review
Authors
Discussion
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Member takes
Implication
Risk assessment in bicuspid aortic valve requires stage and phenotype stratification; leaves open consistent risk estimates across studies.
Structured PICO
What is the risk of proximal aortic dissection in patients with bicuspid aortic valve disease, and how do disease stage and functional phenotype affect this risk?
P
Population
Patients with bicuspid aortic valve (BAV) disease
O
Outcome
Risk of acute aortic events / aortic dissection
Accurate assessment of aortic dissection risk in bicuspid aortic valve patients requires stratification by disease stage and functional phenotype, which are often conflated in existing literature.
Limitations
- The vast majority of published reports do not separate between the different BAV phenotypes, thereby complicating interpretation of the results.
Cite This Study
Girdauskas et al. (2013) conducted a review in Bicuspid aortic valve (BAV) disease. Bicuspid aortic valve disease was evaluated on Aortic dissection. The assessment of aortic dissection risk in patients with bicuspid aortic valve disease requires careful consideration of the disease stage and functional phenotype to resolve inconsistencies in data.