{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:50:19Z","timestamp":1753890619271,"version":"3.41.2"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:00:00Z","timestamp":1733875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:p>Bicuspid aortic valve (BAV), the most common congenital cardiac anomaly, predisposes individuals to aortic stenosis and regurgitation due to valve degeneration. Abnormal hemodynamics, arterial wall characteristics, and genetic factors contribute to ascending aorta dilatation, potentially leading to severe complications like aortic dissection. Presently, the most recent guidelines propose that individuals with BAV requiring valve replacement due to valve dysfunction should undergo simultaneous replacement of the ascending aorta when the diameter of aortic dilatation exceeds 4.5\u2005cm. A 60-year-old female patient previously underwent mechanical aortic valve replacement and ascending aortoplasty at our center due to aortic stenosis and a 4.3\u2005cm diameter ascending aorta. In the sixth postoperative year, she was readmitted due to ascending aorta rupture, resulting in blood entering the right atrium and causing acute right heart failure. We performed repair of the rupture and concomitant ascending aorta replacement to prevent further exacerbation of the patient's condition.<\/jats:p>","DOI":"10.3389\/fcvm.2024.1471686","type":"journal-article","created":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T06:57:22Z","timestamp":1733900242000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Aortic valve replacement in a bicuspid aortic valve patient followed by reoperation for ascending aorta rupture: a case report"],"prefix":"10.3389","volume":"11","author":[{"given":"Yuehang","family":"Yang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinyi","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junwei","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiawei","family":"Shi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huadong","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1016\/j.tcm.2014.12.006","article-title":"Understanding and treating aortopathy in bicuspid aortic valve","volume":"25","author":"Broberg","year":"2015","journal-title":"Trends Cardiovasc Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1104","DOI":"10.1001\/jama.2011.1286","article-title":"Incidence of aortic complications in patients with bicuspid aortic valves","volume":"306","author":"Michelena","year":"2011","journal-title":"JAMA"},{"key":"B3","doi-asserted-by":"publisher","first-page":"473","DOI":"10.1016\/j.jtcvs.2017.10.161","article-title":"The American association for thoracic surgery consensus guidelines on bicuspid aortic valve-related aortopathy: executive summary","volume":"156","author":"Borger","year":"2018","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"648","DOI":"10.1161\/CIRCULATIONAHA.123.065406","article-title":"Bicuspid aortic valve and thoracic aortic disease: further evidence of clinically silent but deadly risk to family members of affected individuals","volume":"148","author":"Prakash","year":"2023","journal-title":"Circulation"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1317","DOI":"10.1001\/jama.300.11.1317","article-title":"Outcomes in adults with bicuspid aortic valves","volume":"300","author":"Tzemos","year":"2008","journal-title":"JAMA"},{"key":"B6","doi-asserted-by":"publisher","first-page":"e010448","DOI":"10.1161\/CIRCIMAGING.120.010448","article-title":"Dilatation of the aorta in bicuspid aortic valve disease","volume":"13","author":"Simpson","year":"2020","journal-title":"Circ Cardiovasc Imaging"},{"key":"B7","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1016\/j.jtcvs.2020.12.110","article-title":"The long-term fate of ascending aorta aneurysm after wrapping versus replacement","volume":"164","author":"Kim","year":"2022","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1093\/ejcts\/ezab420","article-title":"Impact of concomitant replacement of the ascending aorta in patients undergoing aortic valve replacement on operative morbidity and mortality","volume":"61","author":"Winkler","year":"2022","journal-title":"Eur J Cardiothorac Surg"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1669","DOI":"10.1016\/j.jtcvs.2019.05.001","article-title":"Risk of adding prophylactic aorta replacement to a cardiac operation","volume":"159","author":"Idrees","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B10","doi-asserted-by":"publisher","first-page":"809","DOI":"10.1016\/j.ejcts.2011.01.001","article-title":"Is aortopathy in bicuspid aortic valve disease a congenital defect or a result of abnormal hemodynamics? 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