Progressive Dilation of the Ascending Aorta in Children With Isolated Bicuspid Aortic Valve

  • Holmes K
  • Lehmann C
  • Dalal D
 et al. 
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Abstract

Although patients with bicuspid aortic valves (BAVs) are predisposed to ascending aortic (AA) dilation, stenosis, and dissection, the development of aortic disease in children with BAVs is poorly described. The purposes of this study were to determine the rate of change of AA diameter in children with BAVs and to identify risk factors for the development of aortic dilation. The echocardiograms of 276 children aged 4), and 70 (25%) were moderately abnormal (z between 2 and 4). The mean ± SD AA diameter increased more than expected, at a rate of 0.18 ± 0.30 z score per year (p 2, at follow-up. Univariate analysis demonstrated right-noncoronary commissural fusion (p

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Authors

  • Kathryn W. Holmes

  • Christoph U. Lehmann

  • Darshan Dalal

  • Harry C. Dietz

  • William J. Ravekes

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