Bicuspid aortic stenosis treatment overview: Difference between revisions
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{{Bicuspid aortic stenosis}} | {{Bicuspid aortic stenosis}} | ||
{{CMG}} | {{CMG}} {{AE}} {{USAMA}} | ||
==Overview== | ==Overview== | ||
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==Concomitant Disease of the Aorta== | ==Concomitant Disease of the Aorta== | ||
The aorta of patients with bicuspid aortic valve does not have the same histological characteristics of a normal aorta. The tensile strength is reduced. These patients are at a higher risk for [[aortic dissection]] and aneurysm formation of the ascending aorta. The size of the proximal aorta should be evaluated carefully during the evaluation of the patient for [[aortic stenosis surgery]]. The initial diameter of the aorta should be noted and periodic evaluation with CT scan (every year or sooner if there is a change in aortic diameter) should be recommended. Therefore, if the patient needs surgery, the size of the aorta will determine what type of surgery should be offered to the patient. | The aorta of patients with bicuspid aortic valve does not have the same histological characteristics of a normal aorta. The tensile strength is reduced. These patients are at a higher risk for [[aortic dissection]] and aneurysm formation of the ascending aorta. The size of the proximal aorta should be evaluated carefully during the evaluation of the patient for [[aortic stenosis surgery]]. The initial diameter of the aorta should be noted and periodic evaluation with CT scan (every year or sooner if there is a change in aortic diameter) should be recommended. Therefore, if the patient needs surgery, the size of the aorta will determine what type of surgery should be offered to the patient. <ref>Cohn LH, Edmunds LH Jr. [http://cardiacsurgery.ctsnetbooks.org Cardiac Surgery in the Adult]. McGraw-Hill, 2003.</ref><ref>{{Cite journal | ||
| author = [[C. M. Otto]], [[I. G. Burwash]], [[M. E. Legget]], [[B. I. Munt]], [[M. Fujioka]], [[N. L. Healy]], [[C. D. Kraft]], [[C. Y. Miyake-Hull]] & [[R. G. Schwaegler]] | |||
| title = Prospective study of asymptomatic valvular aortic stenosis. Clinical, echocardiographic, and exercise predictors of outcome | |||
| journal = [[Circulation]] | |||
| volume = 95 | |||
| issue = 9 | |||
| pages = 2262–2270 | |||
| year = 1997 | |||
| month = May | |||
| pmid = 9142003 | |||
}}</ref> | |||
==Associated Congenital Heart Disease== | ==Associated Congenital Heart Disease== | ||
Latest revision as of 15:55, 5 January 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]
Overview
Approximately 40% of patients with a bicuspid aortic valve potentially require aortic valve replacement in the third or fourth decade of their life.
Concomitant Disease of the Aorta
The aorta of patients with bicuspid aortic valve does not have the same histological characteristics of a normal aorta. The tensile strength is reduced. These patients are at a higher risk for aortic dissection and aneurysm formation of the ascending aorta. The size of the proximal aorta should be evaluated carefully during the evaluation of the patient for aortic stenosis surgery. The initial diameter of the aorta should be noted and periodic evaluation with CT scan (every year or sooner if there is a change in aortic diameter) should be recommended. Therefore, if the patient needs surgery, the size of the aorta will determine what type of surgery should be offered to the patient. [1][2]
Associated Congenital Heart Disease
Patients with bicuspid aortic valve are also at higher risk of aortic coarctation, an abnormal narrowing of the thoracic aorta [3].
References
- ↑ Cohn LH, Edmunds LH Jr. Cardiac Surgery in the Adult. McGraw-Hill, 2003.
- ↑ C. M. Otto, I. G. Burwash, M. E. Legget, B. I. Munt, M. Fujioka, N. L. Healy, C. D. Kraft, C. Y. Miyake-Hull & R. G. Schwaegler (1997). "Prospective study of asymptomatic valvular aortic stenosis. Clinical, echocardiographic, and exercise predictors of outcome". Circulation. 95 (9): 2262–2270. PMID 9142003. Unknown parameter
|month=ignored (help) - ↑ Cohn LH, Edmunds LH Jr. Cardiac Surgery in the Adult. McGraw-Hill, 2003.