Surgery for Aortic Dilatation in Patients With Bicuspid Aortic Valves: A Statement of Clarification From the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

Journal Article (Journal Article)

Two guidelines from the American College of Cardiology (ACC), the American Heart Association (AHA), and collaborating societies address the risk of aortic dissection in patients with bicuspid aortic valves and severe aortic enlargement: the "2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease" (Circulation. 2010;121:e266-e369) and the "2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease" (Circulation. 2014;129:e521-e643). However, the 2 guidelines differ with regard to the recommended threshold of aortic root or ascending aortic dilatation that would justify surgical intervention in patients with bicuspid aortic valves. The ACC and AHA therefore convened a subcommittee representing members of the 2 guideline writing committees to review the evidence, reach consensus, and draft a statement of clarification for both guidelines. This statement of clarification uses the ACC/AHA revised structure for delineating the Class of Recommendation and Level of Evidence to provide recommendations that replace those contained in Section of the thoracic aortic disease guideline and Section 5.1.3 of the valvular heart disease guideline.

Full Text

Duke Authors

Cited Authors

  • 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM GUIDELINES FOR THE DIAGNOSIS AND MANAGEMENT OF PATIENTS WITH THORACIC AORTIC DISEASE REPRESENTATIVE MEMBERS*, ; Hiratzka, LF; Creager, MA; Isselbacher, EM; Svensson, LG; 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease Representative Members*, ; Nishimura, RA; Bonow, RO; Guyton, RA; Sundt, TM; ACC/AHA TASK FORCE MEMBERS, ; Halperin, JL; Levine, GN; Anderson, JL; Albert, NM; Al-Khatib, SM; Birtcher, KK; Bozkurt, B; Brindis, RG; Cigarroa, JE; Curtis, LH; Fleisher, LA; Gentile, F; Gidding, S; Hlatky, MA; Ikonomidis, J; Joglar, J; Kovacs, RJ; Ohman, EM; Pressler, SJ; Sellke, FW; Shen, W-K; Wijeysundera, DN

Published Date

  • February 16, 2016

Published In

Volume / Issue

  • 133 / 7

Start / End Page

  • 680 - 686

PubMed ID

  • 26637530

Electronic International Standard Serial Number (EISSN)

  • 1524-4539

Digital Object Identifier (DOI)

  • 10.1161/CIR.0000000000000331


  • eng

Conference Location

  • United States