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J Thorac Cardiovasc Surg 2008;136:1604
© 2008 The American Association for Thoracic Surgery

Letter to the Editor

Bicuspid aortopathy or bicuspid aortopathies? The risk in generalizing

Alessandro Della Corte, MD, Maurizio Cotrufo, MD

Department of Cardiothoracic Sciences, Second University of Naples, V. Monaldi Hospital, Naples, Italy

The first 20% of the full text of this article appears below.

To the Editor:

We read with interest the article by Fazel and coworkers,1Go which highlighted the previously underreported issue of transverse aortic arch involvement in aortopathy related to the bicuspid aortic valve (BAV). We totally agree with the authors' claim that the surgical approach to BAV aortopathy should be custom-tailored, inasmuch as different morphologic patterns can be encountered: this emerged also in our recent study on 280 BAV subjects.2Go However, their conclusion in favor of pre-emptive concomitant total arch replacement for the majority of BAV patients undergoing proximal aortic operations may raise concerns.

In a recent large series,3Go the dilatation/aneurysm . . . [Full Text of this Article]






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