Is there any difference in aortic wall quality between patients with bicuspid aortic valve stenosis and those with bicuspid aortic valve insufficiency?

摘要

We read with a great interest the manuscript by Benedik et a. [1] published in the recent issue of European Journal of Cardio-Thoracic Surgery, Benedik et al. should be congratulated for pro-spectively addressing the issue of proximal aortic disease in aortic valve stenosis vs aortic valve insufficiency in a reasonable number of consecutively enrolled patients. The background of this study is of great interest and absolutely well-taken, as patients with aortic valve insufficiency have been repeatedly demonstrated to be at higher risk of late aortic events after isolated aortic valve replacement (AVR) surgery [2]. The findings of this study are in line with the previous reports and support once again common surgical observation that, in terms of aortopathy, aortic valve insufficiency is a different clinical entity when compared with valve stenosis.