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Bicuspid Aortic Valve
Santiago Martínez-Jiménez, MDCarlos S. Restrepo, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Bicuspid aortic valve (BAV)
            • Synonyms

              • Bicuspid aortopathy
              • BAV syndrome
            • Definitions

              • Aortic valve with only 2 leaflets, usually of unequal size; fusion of 2 cusps forming ridge (raphe)

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Echocardiographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        Selected References

                                        1. Galian-Gay L et al: Multimodality imaging in bicuspid aortic valve. Prog Cardiovasc Dis. 63(4):442-51, 2020
                                        2. Stock S et al: Bicuspid aortic valve related aortopathy. Gen Thorac Cardiovasc Surg. 67(1):93-101, 2019
                                        3. Borger MA et al: The American Association for Thoracic Surgery consensus guidelines on bicuspid aortic valve-related aortopathy: Executive summary. J Thorac Cardiovasc Surg. 156(2):473-80, 2018
                                        4. Kong WK et al: Sex differences in phenotypes of bicuspid aortic valve and aortopathy: insights from a large multicenter, international registry. Circ Cardiovasc Imaging. 10(3), 2017
                                        5. Martín M et al: Bicuspid aortic valve syndrome: a multidisciplinary approach for a complex entity. J Thorac Dis. 9(Suppl 6):S454-64, 2017
                                        6. Michelena HI et al: Bicuspid aortic valve aortopathy in adults: Incidence, etiology, and clinical significance. Int J Cardiol. 201:400-7, 2015
                                        7. Schaefer BM et al: The bicuspid aortic valve: an integrated phenotypic classification of leaflet morphology and aortic root shape. Heart. 94(12):1634-8, 2008
                                        8. Sievers HH et al: A classification system for the bicuspid aortic valve from 304 surgical specimens. J Thorac Cardiovasc Surg. 133(5):1226-33, 2007
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Bicuspid aortic valve (BAV)
                                                  • Synonyms

                                                    • Bicuspid aortopathy
                                                    • BAV syndrome
                                                  • Definitions

                                                    • Aortic valve with only 2 leaflets, usually of unequal size; fusion of 2 cusps forming ridge (raphe)

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Echocardiographic Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Staging, Grading, & Classification

                                                                    • Gross Pathologic & Surgical Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Consider

                                                                              Selected References

                                                                              1. Galian-Gay L et al: Multimodality imaging in bicuspid aortic valve. Prog Cardiovasc Dis. 63(4):442-51, 2020
                                                                              2. Stock S et al: Bicuspid aortic valve related aortopathy. Gen Thorac Cardiovasc Surg. 67(1):93-101, 2019
                                                                              3. Borger MA et al: The American Association for Thoracic Surgery consensus guidelines on bicuspid aortic valve-related aortopathy: Executive summary. J Thorac Cardiovasc Surg. 156(2):473-80, 2018
                                                                              4. Kong WK et al: Sex differences in phenotypes of bicuspid aortic valve and aortopathy: insights from a large multicenter, international registry. Circ Cardiovasc Imaging. 10(3), 2017
                                                                              5. Martín M et al: Bicuspid aortic valve syndrome: a multidisciplinary approach for a complex entity. J Thorac Dis. 9(Suppl 6):S454-64, 2017
                                                                              6. Michelena HI et al: Bicuspid aortic valve aortopathy in adults: Incidence, etiology, and clinical significance. Int J Cardiol. 201:400-7, 2015
                                                                              7. Schaefer BM et al: The bicuspid aortic valve: an integrated phenotypic classification of leaflet morphology and aortic root shape. Heart. 94(12):1634-8, 2008
                                                                              8. Sievers HH et al: A classification system for the bicuspid aortic valve from 304 surgical specimens. J Thorac Cardiovasc Surg. 133(5):1226-33, 2007