علاج الصمام الأبهري ثنائي الشرف في اعتلال الأبهر من النمط الصاعد مع تضيق الأبهر

References

DOI: 10.1093/eurheartj/ehae179

• In patients with low surgical risk, surgery for bicuspid aortopathy of ascending phenotype should be considered when the maximum aortic diameter is >52 mm.
• In patients with low surgical risk and ascending phenotype bicuspid aortopathy, surgery should be considered at a maximum diameter ≥50 mm if any of the following is the case: Age <50 years; Shorter stature; Ascending aortic length ≥11 cm; Aortic diameter growth rate ≥3 mm per year; Family history of acute aortic syndrome; Aortic coarctation; Resistant hypertension; Concomitant non-aortic-valve cardiac surgery; Desire for pregnancy.
• Ascending phenotype = aortic dilatation with tubular diameter > sinus diameter.
• Patient height between 1.50 and 1.69 m (yielding a CSA/h ratio >13 cm²/m).