David and you may Feindel who 1st discussed the latest reimplantation strategy (VSRR) shown the fresh longest offered realize inside people that provided 333 people more an effective 20 year months (18). not, only forty five (thirteen.5%) people had good BAV, 20% survival of your complete cohort try 72.4%±3.8% within 2 decades. Liberty away from reoperation in the 2 decades was as much as 96% into total cohort that have you to bicuspid patient in the process of reoperation on 7 ages of list valve resolve.

of Stanford School analyzed 75 BAV people undergoing reimplantation technique for often AR (31%) otherwise sources aneurysm (69%) (25). From the half dozen years, emergency is actually 99%, and you will independence out of reoperation ninety%. Cusp 100 % free margin shortening was not from the device destruction, but commissural suspensory neochord portended a high likelihood of recurrent AR (P=0.025).

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