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国际共识声明:先天性二叶主动脉瓣及其主动脉病变的命名和分类,用于临床、外科、介入和研究目的。

International Consensus Statement on Nomenclature and Classification of the Congenital Bicuspid Aortic Valve and Its Aortopathy, for Clinical, Surgical, Interventional and Research Purposes.

机构信息

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

Department of Translational Medical Sciences, University of Campania "L. Vanvitelli", Naples, Italy.

出版信息

Ann Thorac Surg. 2021 Sep;112(3):e203-e235. doi: 10.1016/j.athoracsur.2020.08.119. Epub 2021 Jul 22.

Abstract

This International Consensus Classification and Nomenclature for the congenital bicuspid aortic valve condition recognizes 3 types of bicuspid valves: 1. The fused type (right-left cusp fusion, right-non-coronary cusp fusion and left-non-coronary cusp fusion phenotypes); 2. The 2-sinus type (latero-lateral and antero-posterior phenotypes); and 3. The partial-fusion (forme fruste) type. The presence of raphe and the symmetry of the fused type phenotypes are critical aspects to describe. The International Consensus also recognizes 3 types of bicuspid valve-associated aortopathy: 1. The ascending phenotype; 2. The root phenotype; and 3. Extended phenotypes.

摘要

这份国际共识分类和命名法用于先天性二叶主动脉瓣病变,将二叶主动脉瓣识别为 3 种类型:1. 融合型(右-左瓣叶融合、右-无冠瓣叶融合和左-无冠瓣叶融合表型);2. 二窦型(侧-侧和前-后表型);3. 部分融合(不完全融合)型。融合型表型的嵴和对称性的存在是描述的关键方面。国际共识还将二叶主动脉瓣相关主动脉病变识别为 3 种类型:1. 升主动脉表型;2. 根部表型;3. 扩展表型。

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