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Among these,49 patients received aggressive aortic valve replace (AVR)\u2009+\u2009ascending aorta wrapped (wrapped group) while the other 70 patients received AVR\u2009+\u2009ascending aorta replacement (wheat group). All patients clinical and follow up data were collected for 12\u2009months.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Aortic clamping and cardio-pulmonary bypass times were significantly longer in wheat group than wrap group (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001and 0.021,respectively). The first 24\u2009h drainage in wheat group were much more than wrap group(<jats:italic>P<\/jats:italic>\u2009=\u20090.04). Ascending aorta diameter\u3001left ventricular end diameter and ejection fraction were statistically different between pre- and post-operation (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) in both groups, but the heart function and complication were no difference during follow up.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>External wrapping of the ascending aorta and wheat procedure have good short-term and long-term results in BAV patients with a mild to moderately dilated ascending aorta. The perioperative period results of external wrapping of the ascending aorta for BAV patients were encouraging.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s13019-020-1068-7","type":"journal-article","created":{"date-parts":[[2020,1,17]],"date-time":"2020-01-17T14:02:50Z","timestamp":1579269770000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Surgical treatment of mild to moderately dilated ascending aorta in bicuspid aortic valve aortopathy: the art of safety and simplicity"],"prefix":"10.1186","volume":"15","author":[{"given":"Peng","family":"Zhu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pengyu","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Ling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bright Eric","family":"Ohene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao Ming","family":"Bian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxiao","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,1,17]]},"reference":[{"issue":"6","key":"1068_CR1","doi-asserted-by":"publisher","first-page":"1356","DOI":"10.1253\/circj.CJ-15-1378","volume":"80","author":"T Kinoshita","year":"2016","unstructured":"Kinoshita T, Naito S, Suzuki T, et al. 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