Conclusion
BAV repair has become a seemingly better alternative to AVR with favorable hemodynamics and survival, considering the younger age of presentation of such pathology. The reported incidence of repair-related complications is low with meticulous technique. Careful patient selection and adequate repair gives a good durability result. Evidence of bicuspid aortic valve preservation especially when regurgitation dominate the pathology started to be the rule with replacement of such valve becoming an exception.

Abbreviations

LV: left ventricle
BAV : Bicuspid aortic valve
MR: mitral regurgitation
MVP: mitral valve plasty
MVR: mitral valve replacement
TEE: transesophageal echocardiography
TTE: transthoracic echocardiography.