Department of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Homburg/Saar, Germany.
Pôle de Recherche Cardiovasculaire, Institut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain and Division of Cardiothoracic and Vascular Surgery, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Prog Cardiovasc Dis. 2020 Jul-Aug;63(4):457-464. doi: 10.1016/j.pcad.2020.04.010. Epub 2020 May 5.
Patients with a bicuspid aortic valve (BAV) frequently require surgical intervention for aortic regurgitation (AR) and/or aneurysm. Valve-preserving surgery and repair of regurgitant BAVs have evolved into an increasingly used alternative to replacement. Anatomic predictors of possible repair failures have been identified and solutions developed. Using current techniques most non-calcified BAVs can be preserved or repaired. Excellent repair durability and freedom from valve-related complications can be achieved if all pathologic components of aortic valve and root including annular dilatation are corrected. Anatomic variations must be addressed using tailored approaches.
患有二叶式主动脉瓣（BAV）的患者常因主动脉瓣反流（AR）和/或主动脉瘤而需要手术干预。保留瓣膜手术和反流性 BAV 的修复已逐渐成为瓣膜置换术的替代方法。已经确定了可能的修复失败的解剖预测因子，并制定了相应的解决方案。使用当前的技术，大多数非钙化性 BAV 可以被保留或修复。如果纠正了包括瓣环扩张在内的主动脉瓣和根部的所有病理性成分，就可以实现极好的修复耐久性和避免与瓣膜相关的并发症。必须使用定制方法来解决解剖学变异。
