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Review
. 2018 Dec;8(6):780-788.
doi: 10.21037/cdt.2018.09.20.

Bicuspid aortic valve and aortic coarctation in congenital heart disease-important aspects for treatment with focus on aortic vasculopathy

Christoph Sinning  1   2 , Elvin Zengin  1 , Rainer Kozlik-Feldmann  3 , Stefan Blankenberg  1   2 , Carsten Rickers  3 , Yskert von Kodolitsch  1 , Evaldas Girdauskas  4
Affiliations
Review

Bicuspid aortic valve and aortic coarctation in congenital heart disease-important aspects for treatment with focus on aortic vasculopathy

Christoph Sinning et al. Cardiovasc Diagn Ther. 2018 Dec.

Abstract

Prevalence of congenital heart disease (CHD) is constantly increasing during the last decades in line with the treatment options for patients ranging from the surgical as well to the interventional spectrum. This mini-review addresses two of the most common defects with bicuspid aortic valve (BAV) and coarctation of the aorta (CoA). Both diseases are connected to aortic vasculopathy which is one of the most common reasons for morbidity and mortality in young patients with CHD. The review will focus as well on other aspects like medication and treatment of pregnant patients with BAV and CoA. New treatment aspects will be as well reviewed as currently there are additional treatment options to treat aortic regurgitation or aortic aneurysm especially in patients with valvular involvement and a congenital BAV thus avoiding replacement of the aortic valve and potentially improving the future therapy course of the patients.

Keywords: Bicuspid aortic valve (BAV); aortic coarctation; aortic valve reconstruction; aortic vasculopathy.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Different types of aortic valve morphology with (A) unicuspid valve, (B) bicuspid aortic valve after reconstruction and (C) bicuspid valve.
Figure 2
Figure 2
An example of aortopathy with aneurysm of the ascending aorta.
Figure 3
Figure 3
Computer tomography reconstruction of coarctation of the aorta.
See this image and copyright information in PMC

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