Introduction
Bicuspid aortic valve (BAV) morphology is a well-known cardiac anomaly with an incidence of about 2% in the adult population [1]. In comparison to tricuspid morphology BAV is more frequently associated with pathologies such as valve incompetence due to leaflet dysfunction, dilatation of the aortic annulus, aortic root, and/or ascending aorta, its prevalence varies between 20%-80% [2-4]. Repair of the BAV is technically challenging because of the complex pathology like changes in aortic root geometry with or without primary cusp pathology. There are durable surgical strategies for the treatment of BAV related aortic regurgitation or aortic root dilatation that have been developed over the past 25 years [5-7].
The aim of this study was to analyze the longer-term results of BAV repair with and without aortic root replacement.