Bicuspid aortic valve and aortic root disease.
Bicuspid aortic valve and aortic root disease.
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DOI：
10.1007/s11886-011-0175-4
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发表时间：
2011-06-01
影响因子：
3.7
通讯作者：
Evangelista, Artur
中科院分区：
文献类型：
--
作者：
Evangelista, Artur
二叶式主动脉瓣（BAV）是最常见的先天性心脏病，心脏事件频繁且过早发生，主要表现为明显的瓣膜功能障碍。BAV的主动脉壁异常（如升主动脉扩张）患病率较高。由于主动脉扩张可能更快，一旦升主动脉达到40 mm，则需要每年使用超声心动图或其他成像技术进行成像。最可怕的并发症是主动脉夹层。然而，这种并发症的实际发生率很低（4%）。尽管关于预防性干预的数据有限，但建议更积极地推荐BAV相关主动脉扩张的择期手术修复。在BAV患者中，主动脉直径在50 - 55 mm之间的患者是否需要外科治疗的决定应基于患者年龄、体型、合并症、手术类型和是否存在其他风险因素。
Bicuspid aortic valve (BAV) is the most common form of congenital heart disease, with frequent and premature occurrence of cardiac events, dominated by significant valvular dysfunction. BAV has a high prevalence of aortic wall abnormalities such as ascending aortic dilatation. Because more rapid aortic dilatation can occur, once the ascending aorta reaches 40mm, annual imaging with echocardiography or other imaging techniques is indicated. The most feared complication is aortic dissection. However, the actual incidence of this complication is low (4%). Although limited data exist regarding prophylactic intervention, it is suggested that elective surgical repair of BAV-associated aortic dilatation should be more aggressively recommended. In patients with BAV, the decision to indicate surgical treatment in aortic diameters between 50 and 55mm should be based on patient age, body size, comorbidities, type of surgery, and the presence of additional risk factors.