About time of transcatheter treatment, consideration shall be made available to valve replacement for in such instances (8)
Very first, when you find yourself there are several conflicting account, more recent studies indicate standard of preoperative AR cannot take a look to-be for the successful valve fix on short otherwise overall. Beckerman analyzed sixty BAV people in the process of VSRR and discovered that within the their collection >50% out-of patients got preoperative reasonable otherwise tough AR, and you can freedom from >2+ AR at the 9 years are 97% (42).
BAV physiology is changeable once the confirmed from the seminal anatomic malfunction said by Sievers (5). You can find nuanced technical regions of aortic valve repair you to definitely differ predicated on Sievers classification, particularly offered planning so you’re able to retaining cusp height, direction, and you will proportion. It was found you to definitely commissural orientation try alone associated with chance for reoperation (11).