4.6 Article

International Consensus Statement on Nomenclature and Classification of the Congenital Bicuspid Aortic Valve and Its Aortopathy, for Clinical, Surgical, Interventional and Research Purposes

Journal

ANNALS OF THORACIC SURGERY
Volume 112, Issue 3, Pages E203-E235

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.athoracsur.2020.08.119

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This international consensus categorizes and defines the congenital bicuspid aortic valve condition into 3 types, emphasizing the presence of raphe and symmetry in the fused type phenotype, as well as recognizing 3 types of bicuspid valve-associated aortopathy.
This International Consensus Classification and Nomenclature for the congenital bicuspid aortic valve condition recognizes 3 types of bicuspid valves: 1. The fused type (right-left cusp fusion, right-non-coronary cusp fusion and left-non coronary cusp fusion phenotypes); 2. The 2-sinus type (latero-lateral and antero-posterior phenotypes); and 3. The partial-fusion (forme fruste) type. The presence of raphe and the symmetry of the fused type phenotypes are critical aspects to describe. The International Consensus also recognizes 3 types of bicuspid valve-associated aortopathy: 1. The ascending phenotype; 2. The root phenotype; and 3. Extended phenotypes. (Ann Thorac Surg 2021;112:e203-35) 2021 Jointly between The Society of Thoracic Surgeons, the American Association for Thoracic Surgery, the European Association for Cardio-Thoracic Surgery, and the Radiological Society of North America. Published by Elsevier Inc.

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