International consensus statement on nomenclature and classification of the congenital bicuspid aortic valve and its aortopathy, for clinical, surgical, interventional and research purposes,The Journal of Thoracic and Cardiovascular Surgery

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International consensus statement on nomenclature and classification of the congenital bicuspid aortic valve and its aortopathy, for clinical, surgical, interventional and research purposes
The Journal of Thoracic and Cardiovascular Surgery ( IF 4.9 ) Pub Date : 2021-07-22 , DOI: 10.1016/j.jtcvs.2021.06.019
Hector I Michelena ₁ , Alessandro Della Corte ₂ , Arturo Evangelista ₃ , Joseph J Maleszewski ₄ , William D Edwards ₄ , Mary J Roman ₅ , Richard B Devereux ₅ , Borja Fernández ₆ , Federico M Asch ₇ , Alex J Barker ₈ , Lilia M Sierra-Galan ₉ , Laurent De Kerchove ₁₀ , Susan M Fernandes ₁₁ , Paul W M Fedak ₁₂ , Evaldas Girdauskas ₁₃ , Victoria Delgado ₁₄ , Suhny Abbara ₁₅ , Emmanuel Lansac ₁₆ , Siddharth K Prakash ₁₇ , Malenka M Bissell ₁₈ , Bogdan A Popescu ₁₉ , Michael D Hope ₂₀ , Marta Sitges ₂₁ , Vinod H Thourani ₂₂ , Phillippe Pibarot ₂₃ , Krishnaswamy Chandrasekaran ₁ , Patrizio Lancellotti ₂₄ , Michael A Borger ₂₅ , John K Forrest ₂₆ , John Webb ₂₇ , Dianna M Milewicz ₁₇ , Raj Makkar ₂₈ , Martin B Leon ₂₉ , Stephen P Sanders ₃₀ , Michael Markl ₃₁ , Victor A Ferrari ₃₂ , William C Roberts ₃₃ , Jae-Kwan Song ₃₄ , Philipp Blanke ₃₅ , Charles S White ₃₆ , Samuel Siu ₃₇ , Lars G Svensson ₃₈ , Alan C Braverman ₃₉ , Joseph Bavaria ₄₀ , Thoralf M Sundt ₄₁ , Gebrine El Khoury ₁₀ , Ruggero De Paulis ₄₂ , Maurice Enriquez-Sarano ₁ , Jeroen J Bax ₁₄ , Catherine M Otto ₄₃ , Hans-Joachim Schäfers ₄₄

Affiliation

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minn.
Department of Translational Medical Sciences, University of Campania "L. Vanvitelli", Naples, Italy.
Department of Cardiology, Hospital Vall d'Hebron, Vall d'Hebron Research Institute (VHIR) Ciber-CV, Barcelona, Spain.
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minn.
Division of Cardiology, Weill Cornell Medicine, New York, NY.
Departamento de Biologia Animal, Facultad de Ciencias, Instituto de Investigación Biomédica de Málaga, Universidad de Málaga, Ciber-CV, Málaga, Spain.
MedStar Health Research Institute, Washington, DC.
Department of Radiology, Children's Hospital Colorado, University of Colorado, Anschutz Medical Campus, Aurora, Colo.
Cardiovascular Division, American British Cowdray Medical Center, Mexico City, Mexico.
Division of Cardiothoracic and Vascular Surgery, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.
Division of Pediatric Cardiology, Department of Pediatrics, Stanford University, Palo Alto, Calif; Division of Cardiovascular Medicine, Department of Medicine, Stanford University, Palo Alto, Calif.
Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Department of Cardiovascular Surgery, University Heart and Vascular Center Hamburg, Hamburg, Germany.
Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Cardiothoracic Imaging Division, Department of Radiology, UT Southwestern Medical Center, Dallas, Tex.
Department of Cardiac Surgery, Institute Mutualiste Montsouris, Paris, France.
Department of Internal Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Tex.
Department of Biomedical Imaging Science, Leeds Institute to Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Department of Cardiology, University of Medicine and Pharmacy "Carol Davila"-Euroecolab, Emergency Institute for Cardiovascular Diseases "Prof. Dr. C. C. Iliescu", Bucharest, Romania.
Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, Calif.
Cardiovascular Institute, Hospital Clinic, Universitat de Barcelona, IDIBAPS, CIBERCV, ISCIII (CB16/11/00354), CERCA Programme, Barcelona, Spain.
Department of Cardiovascular Surgery, Marcus Valve Center, Piedmont Heart Institute, Atlanta, Ga.
Department of Cardiology, Québec Heart & Lung Institute, Laval University Québec, Québec, Canada.
Department of Cardiology, University of Liège Hospital, GIGA Cardiovascular Sciences, CHU Sart Tilman, Liège, Belgium; Gruppo Villa Maria Care and Research, Maria Cecilia Hospital, Cotignola, and Anthea Hospital, Bari, Italy.
University Clinic of Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany.
Yale University School of Medicine & Yale New Haven Hospital, New Haven, Conn.
St Paul's Hospital, University of British Columbia, Vancouver, Canada.
Cedars Sinai Heart Institute, Los Angeles, Calif.
Division of Cardiology, Columbia University Irving Medical Center/NY Presbyterian Hospital, New York, NY.
Cardiac Registry, Departments of Cardiology, Pathology and Cardiac Surgery, Boston Children's Hospital, Boston, Mass; Department of Pediatrics, Harvard Medical School, Boston, Mass.
Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill.
Cardiovascular Medicine Division, University of Pennsylvania Medical Center and Penn Cardiovascular Institute, Philadelphia, Pa.
Baylor Heart and Vascular Institute, Baylor University Medical Center, Texas A& M School of Medicine, Dallas Campus, Dallas, Tex.
University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.
Department of Radiology, St. Paul's Hospital, Vancouver, British Columbia, Canada.
Department of Radiology, University of Maryland School of Medicine, Baltimore, Md.
Schulich School of Medicine and Dentistry, London, Ontario, Canada.
Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio.
Cardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, Mo.
Division of Cardiac Surgery, University of Pennsylvania, Philadelphia, Pa.
Division of Cardiac Surgery, Massachusetts General Hospital, Boston, Mass.
Department of Cardiac Surgery, European Hospital and Unicamillus University Rome, Rome, Italy.
Division of Cardiology, University of Washington, Seattle, Wash.
Department of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Homburg/Saar, Germany.

This International Consensus Classification and Nomenclature for the congenital bicuspid aortic valve condition recognizes 3 types of bicuspid valves: 1. The fused type (right-left cusp fusion, right-non-coronary cusp fusion and left-non-coronary cusp fusion phenotypes); 2. The 2-sinus type (latero-lateral and antero-posterior phenotypes); and 3. The partial-fusion (forme fruste) type. The presence of raphe and the symmetry of the fused type phenotypes are critical aspects to describe. The International Consensus also recognizes 3 types of bicuspid valve-associated aortopathy: 1. The ascending phenotype; 2. The root phenotype; and 3. Extended phenotypes.

中文翻译：

关于先天性二叶主动脉瓣及其主动脉病变的命名和分类的国际共识声明，用于临床、外科、介入和研究目的

该先天性二尖瓣疾病国际共识分类和命名法承认 3 种类型的二尖瓣： 1. 融合型（右-左瓣融合、右-非冠状动脉瓣融合和左-非冠状动脉瓣融合表型）；2. 2 窦型（外侧和前后表型）；3. 部分融合（forme fruste）类型。中缝的存在和融合型表型的对称性是描述的关键方面。国际共识还承认 3 种类型的二尖瓣相关主动脉病： 1. 上升表型；2. 根表型；3. 扩展表型。

更新日期：2021-08-11

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