Early outcomes of valve preservation in patients with ascending aortic aneurysm and bicuspid valve disease

Background: Bicuspid aortic valve (BAV) is the most frequent congenital heart disease affecting 1% to 2% of population, with thoracic aneurysm (TAA) formation being its second complication after dysfunction (stenosis or insufficiency). Aortic replacement (AVR) mechanical biologic prostheses has long been procedure choice. Although prosthetic AVR effective in correcting hemodynamic problem, there are important long-term drawbacks. These particularly present a younger patient such as majority individuals BAV. Patient and methods: 40 patients underwent repair for bicuspid ascending period between June 2020 February 2022 Kasr Alainy hospitals. Results: All our showed significant improvement regarding left ventricular dimensions contractility. Two had mild moderate regurge thirty eight non-significant six month follow up echo. One complicated by complete block required permanent pacemaker implantation, another two postoperative high drainage revision bleeding. died from ventilator associated pneumonia prolonged ventilation due disturbed conscious level.