International consensus statement on nomenclature and classification of the congenital bicuspid aortic valve and its aortopathy, for clinical, surgical, interventional and research purposes.

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Citation: European Journal of Cardio-Thoracic Surgery. 60(3):448-476, 2021 09 11.PMID: 34293102Institution: MedStar Health Research InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Aortic Valve Stenosis | *Bicuspid Aortic Valve Disease | Aortic Valve/dg [Diagnostic Imaging] | Aortic Valve/su [Surgery] | Consensus | Humans | PhenotypeYear: 2021ISSN:
  • 1010-7940
Name of journal: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic SurgeryAbstract: 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. Copyright This article has been co-published with permission in the European Journal of Cardio-Thoracic Surgery, The Annals of Thoracic Surgery, the Journal of Thoracic and Cardiovascular Surgery, and in Radiology: Cardiothoracic Imaging. All rights reserved. (c) 2021 Jointly between the European Association for Cardio-Thoracic Surgery, The Society of Thoracic Surgeons, the American Association for Thoracic Surgery, and the Radiological Society of North America. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style.All authors: Abbara S, Asch FM, Barker AJ, Bavaria J, Bax JJ, Bissell MM, Blanke P, Borger MA, Braverman AC, Chandrasekaran K, De Kerchove L, De Paulis R, Delgado V, Della Corte A, Devereux RB, Edwards WD, El Khoury G, Endorsed by the Heart Valve Society (HVS), European Association of Cardiovascular Imaging (EACVI), Society of Thoracic Surgeons (STS), American Association for Thoracic Surgery (AATS), Society for Cardiovascular Magnetic Resonance (SCMR), Society of Cardiovascular Computed Tomography (SCCT), North American Society for Cardiovascular Imaging (NASCI) and the International Bicuspid Aortic Valve Consortium (BAVCon), Enriquez-Sarano M, Evangelista A, Fedak PWM, Fernandes SM, Fernandez B, Ferrari VA, Forrest JK, Girdauskas E, Hope MD, Lancellotti P, Lansac E, Leon MB, Makkar R, Maleszewski JJ, Markl M, Michelena HI, Milewicz DM, Otto CM, Pibarot P, Popescu BA, Prakash SK, Roberts WC, Roman MJ, Sanders SP, Schafers HJ, Sierra-Galan LM, Sitges M, Siu S, Song JK, Sundt TM, Svensson LG, Thourani VH, Webb J, White CSOriginally published: European Journal of Cardio-Thoracic Surgery. 60(3):448-476, 2021 Sep 11.Fiscal year: FY2022Digital Object Identifier: Date added to catalog: 2021-11-01
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Journal Article MedStar Authors Catalog Article 34293102 Available 34293102

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. Copyright This article has been co-published with permission in the European Journal of Cardio-Thoracic Surgery, The Annals of Thoracic Surgery, the Journal of Thoracic and Cardiovascular Surgery, and in Radiology: Cardiothoracic Imaging. All rights reserved. (c) 2021 Jointly between the European Association for Cardio-Thoracic Surgery, The Society of Thoracic Surgeons, the American Association for Thoracic Surgery, and the Radiological Society of North America. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style.

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