title: Replacement of the proximal arch: should it be routine in patients with bicuspid aortic valve and ascending aneurysms?
abstract: Multiple lines of evidence establish a relationship between BAV and proximal aortic aneurysms. Emerging indications and techniques are leading to a more standardized surgical approach to these patients. In the individual patient, however, one must use judgment to determine the best approach on the basis of several factors, including age, comorbidities, extent of concomitant surgery, and the expected risk of subsequent complications.
authors.affiliation: Division of Cardiac Surgery, Brigham & Women's Hospital, Boston, Massachusetts 02115, USA. E-mail:rbolman@partners.org
authors.forename: R Morton
authors.initials: RM
authors.lastname: Bolman
mesh_terms: D001013:Aorta, Thoracic / Q000601:surgery*; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001021:Aortic Valve / Q000002:abnormalities*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D006330:Heart Defects, Congenital / Q000150:complications*; D006801:Humans; D018579:Patient Selection; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome