Key result
Surgical management of bicuspid-aortic valve disease should be individualized for each patient, as current guidelines are largely consensus-based and derived from observational studies.
Why the study?
What is the most appropriate surgical management for patients with bicuspid-aortic valve disease?
What is the most appropriate surgical management for patients with bicuspid-aortic valve disease?
Surgical management of bicuspid aortic valve disease requires individualized, complex decision-making rather than a one-size-fits-all approach.
PURPOSE OF REVIEW: The surgical management of the bicuspid-aortic valve along with associated aortic disease remains a challenge. On the basis of recent literature as well as on our own experience, we offer several recommendations for the most appropriate surgical management of the patients with bicuspid-aortic valve disease. RECENT FINDINGS: In 2006, the American College of Cardiology and the American Heart Association published guidelines in order to define the standard of care for the management of patients with bicuspid-aortic valve; however, these are consensus-based, mainly from observational studies, and not all surgeons accept these recommendations. SUMMARY: Surgery for bicuspid-aortic valve and associated aortic disease should be 'custom-made' for each patient and may require complex decision-making.
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Bajona et al. (2010) conducted a review in Bicuspid-aortic valve disease. Bicuspid-aortic valve surgery was evaluated. Surgical management of bicuspid-aortic valve disease should be individualized for each patient, as current guidelines are largely consensus-based and derived from observational studies.
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