Unlocking insights in bicuspid aortic valve management in adult patients: the vital role of cardiac imaging
The bicuspid aortic valve (BAV) presents a multifaceted clinical challenge due to its diverse morphologies and associated complications. This review aims to elucidate the critical role of cardiac imaging in guiding optimal management strategies for BAV patients. BAV, with a prevalence of 1% to 2%,...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2023-09-01
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| Series: | Monaldi Archives for Chest Disease |
| Subjects: | |
| Online Access: | https://www.monaldi-archives.org/index.php/macd/article/view/2761 |
| _version_ | 1827816351996051456 |
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| author | Sara Di Michele Vito Maurizio Parato Giovanna Di Giannuario Naji Kholaif Mohammed Al Admawi Saif Aljheish Lana Arbili Amal Alshammari Andrea Giovanni Parato Hani Al sergani |
| author_facet | Sara Di Michele Vito Maurizio Parato Giovanna Di Giannuario Naji Kholaif Mohammed Al Admawi Saif Aljheish Lana Arbili Amal Alshammari Andrea Giovanni Parato Hani Al sergani |
| author_sort | Sara Di Michele |
| collection | DOAJ |
| description |
The bicuspid aortic valve (BAV) presents a multifaceted clinical challenge due to its diverse morphologies and associated complications. This review aims to elucidate the critical role of cardiac imaging in guiding optimal management strategies for BAV patients. BAV, with a prevalence of 1% to 2%, has genetic underpinnings linked to the NOTCH1 gene mutation. Variability in BAV morphology necessitates tailored surgical approaches. The three primary types of BAV morphology - right-left cusp fusion, right-noncoronary cusp fusion, and left-noncoronary cusp fusion - demand nuanced considerations due to their distinct implications. Valvular dysfunction results in aortic stenosis or regurgitation, attributed to altered valve structure and turbulent hemodynamics. Cardiac imaging modalities, including echocardiography, magnetic resonance imaging, and computerized tomography, are instrumental in assessing valve function, aortic dimensions, and associated complications. Imaging helps predict potential complications, enabling informed treatment decisions. Regular follow-up is crucial to detecting alterations early and intervening promptly. Surgical management options encompass aortic valve repair or replacement, with patient-specific factors guiding the choice. Post-surgical surveillance plays a vital role in preventing complications and optimizing patient outcomes. The review underscores the significance of advanced cardiac imaging techniques in understanding BAV's complexities, facilitating personalized management strategies, and improving patient care. By harnessing the power of multimodal imaging, clinicians can tailor interventions, monitor disease progression, and ultimately enhance the prognosis and quality of life for individuals with BAV.
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| first_indexed | 2024-03-12T00:14:33Z |
| format | Article |
| id | doaj.art-f1e008b3e12e49e08ef4e23d6c90b024 |
| institution | Directory Open Access Journal |
| issn | 1122-0643 2532-5264 |
| language | English |
| last_indexed | 2024-03-12T00:14:33Z |
| publishDate | 2023-09-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Monaldi Archives for Chest Disease |
| spelling | doaj.art-f1e008b3e12e49e08ef4e23d6c90b0242023-09-15T18:44:35ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642023-09-0110.4081/monaldi.2023.2761Unlocking insights in bicuspid aortic valve management in adult patients: the vital role of cardiac imagingSara Di Michele0Vito Maurizio Parato1Giovanna Di Giannuario2Naji Kholaif3Mohammed Al Admawi4Saif Aljheish5Lana Arbili6Amal Alshammari7Andrea Giovanni Parato8Hani Al sergani9Department of Cardiology, San Filippo Neri Hospital, RomeCardiology and Rehabilitation Unit, Emergency Department, San Benedetto del TrontoDepartment of Cardiology, Infermi Hospital, RiminiThe Heart Centre, King Faisal Specialist Hospital & Research Center, RiyadhHeart Centre, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi ArabiaThe Heart Centre, King Faisal Specialist Hospital & Research Center, RiyadhAlfaisal College of Medicine, Alfaisal University, RiyadhThe Heart Centre, King Faisal Specialist Hospital & Research Center, RiyadhDepartment of Cardiology, Tor Vergata University, RomeThe Heart Centre, King Faisal Specialist Hospital & Research Center, Riyadh The bicuspid aortic valve (BAV) presents a multifaceted clinical challenge due to its diverse morphologies and associated complications. This review aims to elucidate the critical role of cardiac imaging in guiding optimal management strategies for BAV patients. BAV, with a prevalence of 1% to 2%, has genetic underpinnings linked to the NOTCH1 gene mutation. Variability in BAV morphology necessitates tailored surgical approaches. The three primary types of BAV morphology - right-left cusp fusion, right-noncoronary cusp fusion, and left-noncoronary cusp fusion - demand nuanced considerations due to their distinct implications. Valvular dysfunction results in aortic stenosis or regurgitation, attributed to altered valve structure and turbulent hemodynamics. Cardiac imaging modalities, including echocardiography, magnetic resonance imaging, and computerized tomography, are instrumental in assessing valve function, aortic dimensions, and associated complications. Imaging helps predict potential complications, enabling informed treatment decisions. Regular follow-up is crucial to detecting alterations early and intervening promptly. Surgical management options encompass aortic valve repair or replacement, with patient-specific factors guiding the choice. Post-surgical surveillance plays a vital role in preventing complications and optimizing patient outcomes. The review underscores the significance of advanced cardiac imaging techniques in understanding BAV's complexities, facilitating personalized management strategies, and improving patient care. By harnessing the power of multimodal imaging, clinicians can tailor interventions, monitor disease progression, and ultimately enhance the prognosis and quality of life for individuals with BAV. https://www.monaldi-archives.org/index.php/macd/article/view/2761Bicuspid aortic valveimagingechocardiographyMRImorphologyoutcome |
| spellingShingle | Sara Di Michele Vito Maurizio Parato Giovanna Di Giannuario Naji Kholaif Mohammed Al Admawi Saif Aljheish Lana Arbili Amal Alshammari Andrea Giovanni Parato Hani Al sergani Unlocking insights in bicuspid aortic valve management in adult patients: the vital role of cardiac imaging Monaldi Archives for Chest Disease Bicuspid aortic valve imaging echocardiography MRI morphology outcome |
| title | Unlocking insights in bicuspid aortic valve management in adult patients: the vital role of cardiac imaging |
| title_full | Unlocking insights in bicuspid aortic valve management in adult patients: the vital role of cardiac imaging |
| title_fullStr | Unlocking insights in bicuspid aortic valve management in adult patients: the vital role of cardiac imaging |
| title_full_unstemmed | Unlocking insights in bicuspid aortic valve management in adult patients: the vital role of cardiac imaging |
| title_short | Unlocking insights in bicuspid aortic valve management in adult patients: the vital role of cardiac imaging |
| title_sort | unlocking insights in bicuspid aortic valve management in adult patients the vital role of cardiac imaging |
| topic | Bicuspid aortic valve imaging echocardiography MRI morphology outcome |
| url | https://www.monaldi-archives.org/index.php/macd/article/view/2761 |
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