Version June 2024
| Patient groups with a bicuspid aortic valve | Test or therapy | Evaluation | Comments |
| All bicuspid valve patients | Transthoracic echocardiography | Evaluate valve morphology Measure severity of AS and AR Shape and size of aortic sinuses and ascending aorta | |
| When aortic anatomy is not adequately evaluated by TTE | CMR or CT angiography | Shape and size of aortic sinuses and ascending aorta | |
| Aortic diameter >4.0 cm | Serial evaluation of aorta by echo, CMR, or CT angiography | Shape and size of aortic sinuses and ascending aorta | Examination frequency determined by degree and rate of progression and family history |
| Aortic diameter >4.5 cm | Serial evaluation of aorta by echo, CMR, or CT angiography | Shape and size of aortic sinuses and ascending aorta | Annual evaluation recommended |
| Aortic diameter >5.5 cm | Operative intervention to repair the aortic sinuses or replace the ascending aorta | Strong recommendation | |
| Aortic diameter >5.0 cm plus a risk factor for dissection | Operative intervention to repair the aortic sinuses or replace the ascending aorta | Weak recommendation; additional risk factors for dissection are a family history of dissection or a rate of progressive dilation 0.5 cm/yr or greater | |
| Aortic diameter >4.5 cm in patients undergoing surgery for severe AS or AR | Operative intervention to repair the aortic sinuses or replace the ascending aorta | Weak recommendation |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
