biostudies-literatureUnknown38(5)Chiariello GA<h4>Objectives</h4>Ascending aorta (AA) dilatation in patients with bicuspid aortic valve (AV) is related both to genetic and haemodynamic factors. The aim of this study is to compare late progression of AA dilatation in bicuspid AV patients undergoing surgical aortic valve replacement (SAVR) versus transcatheter aortic valve implantation (TAVI).<h4>Methods</h4>Data of 189 consecutive patients who underwent AV replacement for severe bicuspid AV stenosis were prospectively collected. Patients who underwent SAVR were compared to patients who underwent TAVI. Indication to the procedure was validated by the institutional Heart Team. Aortic diameters were evaluated by transthoracic echocardiogram. Differences between preoperative and long-term follow-up AA diameters were compared in the 2 groupInterdisciplinary cardiovascular and thoracic surgeryivae100https://www.ebi.ac.uk/biostudies/studies/S-EPMC11142625biostudies-literatureProgression of the ascending aorta diameter after surgical or transcatheter bicuspid aortic valve replacement.PMC11142625Fabiani LBurzotta FMeloni MChiariello GAFerraro FMassetti MConserva ADD'Acierno EPonzo MDi Mauro MPasquini AVilla EMazza ANesta MBruno PBaldo ETrani CfalseProgression of the ascending aorta diameter after surgical or transcatheter bicuspid aortic valve replacement.<h4>Objectives</h4>Ascending aorta (AA) dilatation in patients with bicuspid aortic valve (AV) is related both to genetic and haemodynamic factors. The aim of this study is to compare late progression of AA dilatation in bicuspid AV patients undergoing surgical aortic valve replacement (SAVR) versus transcatheter aortic valve implantation (TAVI).<h4>Methods</h4>Data of 189 consecutive patients who underwent AV replacement for severe bicuspid AV stenosis were prospectively collected. Patients who underwent SAVR were compared to patients who underwent TAVI. Indication to the procedure was validated by the institutional Heart Team. Aortic diameters were evaluated by transthoracic echocardiogram. Differences between preoperative and long-term follow-up AA diameters were compared in the 2 group2024-01-01T00:00:00Z2024 May2026-05-19T03:13:07.485Z2026-05-19T03:07:21.42ZS-EPMC111426253877545810.1093/icvts/ivae100