The American Association for Thoracic Surgery consensus guidelines on bicuspid aortic valve–related aortopathy: Executive summary

Michael A. Borger, Paul W.M. Fedak, Elizabeth H. Stephens, Thomas G. Gleason, Evaldas Girdauskas, John S. Ikonomidis, Ali Khoynezhad, Samuel C. Siu, Subodh Verma, Michael D. Hope, Duke E. Cameron, Donald F. Hammer, Joseph S. Coselli, Marc R. Moon, Thoralf M. Sundt, Alex J. Barker, Michael Markl, Alessandro Della Corte, Hector I. Michelena, John A. Elefteriades

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

Bicuspid aortic valve disease is a common congenital cardiac disorder, being present in 1% to 2% of the general population. Associated aortopathy is a common finding in patients with bicuspid aortic valve disease, with thoracic aortic dilation noted in approximately 40% of patients in referral centers. Several previous consensus statements and guidelines have addressed the management of bicuspid aortic valve–associated aortopathy, but none focused entirely on this disease process. The current document is an executive summary of “The American Association for Thoracic Surgery Guidelines on Bicuspid Aortic Valve–Related Aortopathy.” All major aspects of bicuspid aortic valve aortopathy, including natural history, phenotypic expression, histology and molecular pathomechanisms, imaging, indications for surgery, surveillance, and follow-up, and recommendations for future research are contained within these guidelines. The current executive summary serves as a condensed version of the guidelines to provide clinicians with a current and comprehensive review of bicuspid aortic valve aortopathy and to guide the daily management of these complex patients.

Original languageEnglish (US)
Pages (from-to)473-480
Number of pages8
JournalJournal of Thoracic and Cardiovascular Surgery
Volume156
Issue number2
DOIs
StatePublished - Aug 2018

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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    Borger, M. A., Fedak, P. W. M., Stephens, E. H., Gleason, T. G., Girdauskas, E., Ikonomidis, J. S., Khoynezhad, A., Siu, S. C., Verma, S., Hope, M. D., Cameron, D. E., Hammer, D. F., Coselli, J. S., Moon, M. R., Sundt, T. M., Barker, A. J., Markl, M., Della Corte, A., Michelena, H. I., & Elefteriades, J. A. (2018). The American Association for Thoracic Surgery consensus guidelines on bicuspid aortic valve–related aortopathy: Executive summary. Journal of Thoracic and Cardiovascular Surgery, 156(2), 473-480. https://doi.org/10.1016/j.jtcvs.2017.10.161