{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T12:13:18Z","timestamp":1789819998815,"version":"4.0.1"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To develop and internally validate a novel scoring system for bicuspid aortic valve (BAV) reparability based on routinely collected transoesophageal echocardiography (TEE) parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective analysis of 203 consecutive BAV patients who underwent surgery for aortic regurgitation between 2018 and 2024. Ten preoperative TEE parameters associated with valve repair were systematically analysed; significant variables were included in a multivariate analysis and then integrated into a scoring system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four baseline TEE measurements emerged as independent parameters associated with BAV repair: geometric height\u2009\u2265\u200918 mm (odds ratio [OR]: 8.05; 95% confidence interval (CI): 3.15 to 22.94; P \u2264 .001), commissural orientation\u2009\u2265\u2009140\u00b0 (OR: 8.29; 95% CI: 2.67-25.67; P \u2264 .001), good cusp quality (OR: 20.4; 95% CI: 6.59-63.53; P \u2264 .001), and preserved cusp mobility (OR: 11.1; 95% CI: 3.98-31.45; P \u2264 .001). We integrated these findings into the simple, 9-point HOME score. The score demonstrated excellent discrimination for successful repair (area under the curve\u2009=\u20090.89, 95% CI: 0.79-0.94), effectively stratifying patients into groups with low (score 0-4), intermediate (5-6), and high (7-9) likelihoods of a valve-preserving surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The HOME score may help identify BAV patients with a high probability of preserving surgery in a more standardized and reliable way.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejcts\/ezag085","type":"journal-article","created":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T12:41:22Z","timestamp":1769863282000},"source":"Crossref","is-referenced-by-count":1,"title":["An Innovative Echocardiographic Scoring System for Bicuspid Aortic Valve Repair"],"prefix":"10.1093","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0109-5342","authenticated-orcid":false,"given":"Gianpiero","family":"Italiano","sequence":"first","affiliation":[{"name":"Cardiology Department, European Hospital , Rome 00149,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Belli","sequence":"additional","affiliation":[{"name":"Cardiology Department, European Hospital , Rome 00149,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6708-6617","authenticated-orcid":false,"given":"Giulio","family":"Folino","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Department, European Hospital , Rome 00149,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Lassandro Pepe","sequence":"additional","affiliation":[{"name":"Cardiology Department, European Hospital , Rome 00149,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donatella","family":"Cantisani","sequence":"additional","affiliation":[{"name":"Cardiology Department, European Hospital , Rome 00149,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Salvatore","sequence":"additional","affiliation":[{"name":"Cardiology Department, European Hospital , Rome 00149,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiziana","family":"Salatino","sequence":"additional","affiliation":[{"name":"Cardiology Department, European Hospital , Rome 00149,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaele","family":"Scaffa","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Department, European Hospital , Rome 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