current indications for surgical repair in patients with bicuspid aortic valve and ascending aortic ectasia目前的迹象表明手术修复患者的二叶主动脉瓣和升主动脉扩张.pdfVIP

Hindawi Publishing Corporation Cardiology Research and Practice Volume 2012, Article ID 313879, 9 pages doi:10.1155/2012/313879 Review Article Current Indications for Surgical Repair in Patients with Bicuspid Aortic Valve and Ascending Aortic Ectasia Christian D. Etz,1, 2 Martin Misfeld,1 Michael A. Borger,1 Maximilian Luehr,1 Elfriede Strotdrees,1 and Friedrich-Wilhelm Mohr1 1 Department of Cardiac Surgery, Leipzig Heart Center, University of Leipzig, Strumpellstraße 39, 04289 Leipzig, Germany ¨ 2 Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, New York, NY 10029, USA Correspondence should be addressed to Christian D. Etz, christian.etz@med.uni-leipzig.de Received 15 March 2012; Accepted 12 July 2012 Academic Editor: Ani C. Anyanwu Copyright © 2012 Christian D. Etz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Preventive surgical repair of the moderately dilated ascending aorta/aortic root in patients with bicuspid aortic valve (BAV) is controversial. Most international reference centers are currently proposing a proactive approach for BAV patients with a maximum ascending aortic/root diameter of 45 mm since the risk of dissection/rupture raises significantly with an aneurysm diameter 50 mm. Current guidelines of the European Society of Cardiology (ESC) and the joint guidelines of the American College of Cardiology (ACC)/American Heart Association (AHA) recommend elective repair in symptomatic patients with dysfunctional BAV (aortic diameter ≥45 mm).