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European Heart Journal Advance Access published online on January 3, 2008
European Heart Journal, doi:10.1093/eurheartj/ehm609
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

Bicuspid aortic valve syndrome: heterogeneous but predictable?

Paul W. M. Fedak*

Division of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, 1403 29th St NW, Calgary, Alberta, Canada T2 N 2T9

* Corresponding author. Tel: +1 403 944 2515, Fax: +1 403 944 2906, Email: paul.fedak@gmail.com

This editorial refers to ‘Aortic elasticity and size in bicuspid aortic valve syndrome’ by S. Nistri et al., doi:10.1093/eurheartj/ehm528

The first 10% of the full text of this article appears below.

Bicuspid aortic valve (BAV) has long been associated with a spectrum of vascular complications such as ascending aortic dilatation, aortic aneurysms, and catastrophic aortic root dissection. The mechanism responsible for the associated vascular complications in this seemingly benign and common congenital lesion of aortic valve morphology remains controversial. Some argue that flow dynamics from the mis-shapen outflow valve result in aberrant post-valvular haemodynamics that trigger progressive aortic dilatation.1 In many patients with advanced valvular dysfunction this mechanism probably contributes to the progression of aortic pathology. However, is this the key initiating . . . [Full Text of this Article]


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Related articles in EHJ:

Aortic elasticity and size in bicuspid aortic valve syndrome
Stefano Nistri, Jane Grande-Allen, Marianna Noale, Cristina Basso, Paola Siviero, Stefania Maggi, Gaetano Crepaldi, and Gaetano Thiene
EHJ 2008 29: 472-479. [Abstract] [FREE Full Text]  



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