Ait-Ali Lamia, Foffa Ilenia, Festa Pierluigi, Graziaandreassi Maria
Istituto di Fisiologia Clinica, Consiglio Nazionale delle Ricerche, Pisa, Massa.
Recenti Prog Med. 2012 Dec;103(12):589-95. doi: 10.1701/1206.13363.
Bicuspid aortic valve (BAV) is the most common congenital cardiac malformation, affecting 1-2% of the general population. BAV is frequently associated with significant aortic pathology (valve regurgitation, endocarditis, severe aortic stenosis, aortic aneurysm and dissection) accounting for considerable morbidity and mortality. Despite its clinical relevance, the pathogenesis of BAV disease and its complications remain largely unknown. The purpose of this paper is to discuss and summarize our current understanding of BAV in terms of epidemiology, genetics and clinics.
二叶式主动脉瓣(BAV)是最常见的先天性心脏畸形,影响着1%至2%的普通人群。BAV常与严重的主动脉病变(瓣膜反流、心内膜炎、严重主动脉狭窄、主动脉瘤和主动脉夹层)相关,导致相当高的发病率和死亡率。尽管其具有临床相关性,但BAV疾病及其并发症的发病机制仍 largely未知。本文的目的是从流行病学、遗传学和临床方面讨论并总结我们目前对BAV的认识。 (注:“largely”此处翻译为“很大程度上”更合适,但按要求保留原文“largely”未替换)