{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:28:20Z","timestamp":1791390500781,"version":"4.3.3"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T00:00:00Z","timestamp":1619136000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ethics Committees of the Silesian Medical University","award":["KNW1\/146\/P\/\/10"],"award-info":[{"award-number":["KNW1\/146\/P\/\/10"]}]},{"DOI":"10.13039\/501100009687","name":"Wroclaw Medical University","doi-asserted-by":"publisher","award":["ST.6050.18027"],"award-info":[{"award-number":["ST.6050.18027"]}],"id":[{"id":"10.13039\/501100009687","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>\u2002<\/jats:title>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>This study presents the results of 17\u2009years of experience with bicuspid aortic valve (BAV) repair and the analysis of factors associated with repair failure and early echocardiographic outcome.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Between 2003 and 2020, a total of 206 patients [mean age: 44.5\u2009\u00b1\u200915.2\u2009years; 152 males (74%)] with BAV insufficiency with or without aortic dilatation underwent elective aortic valve repair performed by a single surgeon with a mean follow-up of 5\u2009\u00b1\u20093.5\u2009years. The transthoracic echocardiography examinations were reported.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>There were no deaths during the hospital stay, and all but 1 patient survived the follow-up period (99.5%). Overall, 10 patients (5%) developed severe insufficiency and 2 (1%) developed aortic dilatation requiring reoperation. Freedom from reoperation at 7 years reached 91.8%. Type 2 BAV configuration [hazard ratio (HR) 3.9; 95% confidence interval (CI): 1.01\u201360; P\u2009=\u20090.049], no sinotubular junction remodelling (HR 7; 95% CI: 1.7\u201323; P\u2009=\u20090.005), no circumferential annuloplasty (HR 3.9; 95% CI: 1.01\u201364; P\u2009=\u20090.047) and leaflet resection (HR 5.7; 95% CI 1.2\u201313. P\u2009=\u20090.017) have been identified as a risk factor of redo operation. Parameters of the postoperative left ventricle reverse remodelling improved significantly early after the operation and later at 2 years evaluation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The repair of BAV offers good short- and mid-term results providing a significant reverse left ventricular remodelling. Type 0 BAV preoperative configuration, circumferential annuloplasty and sinotubular junction remodelling are associated with better repair durability.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezab176","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T20:10:06Z","timestamp":1616616606000},"page":"1053-1061","source":"Crossref","is-referenced-by-count":36,"title":["Bicuspid aortic valve repair: outcomes after 17 years of experience"],"prefix":"10.1093","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9989-7748","authenticated-orcid":false,"given":"Marek J","family":"Jasinski","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Wroclaw Medical University, Wroclaw, Poland"},{"name":"Department of Pediatric Cardiothoracic Surgery, Children\u2019s Memorial Pediatric Health Institute, Warsaw, 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