Surgical Treatment of Patients with a Bicuspid Aortic Valve and Concomitant Expansion of the Ascending Aorta

The aim. To evaluate the rate of long-term complications on ascending aorta after bicuspid aortic valve (BAV) replacement depending type defect (stenosis or insufficiency) and to determine indications certain surgery in this category patients.
 Materials methods. One hundred five patients underwent BAV between 2007 2014. were divided into two groups. Group 1 included 63 with stenosis prevalence, group 2 42 insufficiency. Aortic diameter at level sinuses Valsalva was assessed preoperatively postoperative period.
 Results. Long-term results studied 86 (81.9%) during 6.8 ± 2.2 years average. Sixteen (18.6%) developed complications: 6 (6.9%) them had progressive dilatation (10% from initial diameter), aneurysm formation detected 8 cases (9.3%) dissection, patient (1.3%) rupture. Freedom within 13 95.1% 62.3% 2. dissection 90.1% average (97% 80.6% 2).
 Conclusion. tactics correction depends its and, a lesser extent, presence insufficiency valve. With existing up 4.5 cm, it is possible consider without intervention aorta. such situation often requires additional manipulations