Chan B. Park, MD, Kevin L. Greason, MD, Rakesh M. Suri, MD, Hector I

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Presentation transcript:

Fate of nonreplaced sinuses of Valsalva in bicuspid aortic valve disease Chan B. Park, MD, Kevin L. Greason, MD, Rakesh M. Suri, MD, Hector I. Michelena, MD, Hartzell V. Schaff, MD, Thoralf M. Sundt, MD The Journal of Thoracic and Cardiovascular Surgery Volume 142, Issue 2, Pages 278-284 (August 2011) DOI: 10.1016/j.jtcvs.2010.08.055 Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Freedom from late reoperation among patients with BAV disease undergoing separate AVR and repair of ascending aorta. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 278-284DOI: (10.1016/j.jtcvs.2010.08.055) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Overall survival in patients with BAV disease undergoing separate AVR and repair of ascending aorta and the survival of an age- and gender-matched Minnesota population. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 278-284DOI: (10.1016/j.jtcvs.2010.08.055) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Change in aortic root diameter by serial echocardiography versus time in years. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 278-284DOI: (10.1016/j.jtcvs.2010.08.055) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 In our experience, there are 3 commonly observed phenotypes of aneurysm associated with BAV disease: The most common is supracoronary enlargement with preservation of the sinotubular junction (type 1). The next most common demonstrates ectasia of the ascending aorta and root with effacement of the sinotubular junction (type 2). The least common is strikingly similar in appearance to the aneurysm typical of Marfan syndrome and is confined to the root itself (type 3). The Journal of Thoracic and Cardiovascular Surgery 2011 142, 278-284DOI: (10.1016/j.jtcvs.2010.08.055) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions