Division of Cardiovascular Surgery, Peter Munk Cardiovascular Centre, Toronto General Hospital, University of Toronto, Ontario, Canada.
Curr Opin Cardiol. 2010 Mar;25(2):119-23. doi: 10.1097/HCO.0b013e328335ffde.
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.
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.
Surgery for bicuspid-aortic valve and associated aortic disease should be 'custom-made' for each patient and may require complex decision-making.
二叶式主动脉瓣合并主动脉瓣疾病的外科治疗仍然具有挑战性。基于最近的文献和我们自己的经验，我们为二叶式主动脉瓣疾病患者的最佳外科治疗提供了一些建议。
2006 年，美国心脏病学会和美国心脏协会发布了指南，以确定二叶式主动脉瓣患者管理的标准护理；然而，这些都是基于共识的，主要来自观察性研究，并非所有外科医生都接受这些建议。
二叶式主动脉瓣和相关主动脉疾病的手术应针对每个患者“定制”，可能需要复杂的决策。
