Introduction
Bicuspid aortic valve (BAV) is one of the most common congenital
diseases.(1–3) Some patients will develop an aneurysm or aortic
insufficiency and require surgery. The traditional treatment modality
for aortic root dilatation, with or without aortic dissection or aortic
insufficiency, has been a composite valve-conduit (Bentall). (4)
Patients with BAV tend to be younger than other patients undergoing
treatment, and Bentall’s procedure involves a mechanical prosthesis. (5)
An alternative for such patients is aortic valve-sparing root
replacement (AVSRR), which has been used with good results for three
decades in patients with tricuspid aortic valves (6,7) but remains
debated as an intervention for patients with BAV. (8,9) The aim of this
study was to assess short- and mid-term clinical and safety outcomes
with AVSRR, specifically Tirone’s procedure, in patients with BAV.
(10–14)