Actualización en válvula aórtica bicúspide y complicaciones asociadas

Autores/as

  • Laura Galian-Gay Servicio de Cardiología. Hospital Universitario Vall d´Hebron. Barcelona. España
  • Arturo Evangelista-Masip Servicio de Cardiología. Hospital Universitario Vall d´Hebron. Barcelona. España

DOI:

https://doi.org/10.37615/retic.n3a3

Palabras clave:

aorta bicúspide, dilatación de aorta, cirugía valvular.

Resumen

La válvula aórtica bicúspide (VAB) es la cardiopatía congénita más frecuente y afecta a un 1-2% de la población. Afecta de forma más habitual a varones que a mujeres, con una relación 3:1. A pesar de haberse considerado históricamente una patología de carácter relativamente benigno, un 35% de los individuos con VAB desarrollará a lo largo de la vida complicaciones derivadas como disfunción valvular, endocarditis, aneurisma aórtico o disección aórtica. A pesar de la relevancia de esta patología quedan aún muchos aspectos por dilucidar.

El objetivo de este artículo es mostrar una revisión actualizada de los aspectos básicos de esta patología haciendo hincapié en las últimas novedades relacionadas con su diagnóstico, evolución y complicaciones asociadas desde el punto de vista de la imagen cardíaca.

Descargas

Los datos de descargas todavía no están disponibles.

Métricas

Cargando métricas ...

Citas

Tanaka R, Yoshioka K, Niinuma H, et al. Diagnostic value of cardiac CT in the evaluation of bicuspid aortic stenosis: Comparison with echocardiography and operative findings. AJR Am J Roentgenol 2010; 195 (4): 895-899. DOI: https://doi.org/10.2214/AJR.09.3164

Erbel R, Aboyans V, Boileau C, et al. 2014 ESC guidelines on the diagnosis and treatment of aortic diseases. Eur Heart J 2014; 35 (41): 2.873-2.926. DOI: https://doi.org/10.1093/eurheartj/ehu281

Beppu S, Suzuki S, Matsuda H, et al. Rapidity of progression of aortic stenosis in patients with congenital bicuspid aortic valves. Am J Cardiol 1993; 71 (4): 322-327. DOI: https://doi.org/10.1016/0002-9149(93)90799-I

Wallby L, Janerot-Sjöberg B, Steffensen T, Broqvist M. T lymphocyte infiltration in non-rheumatic aortic stenosis: A comparative descriptive study between tricuspid and bicuspid aortic valves. Heart 2002; 88 (4): 348-351. DOI: https://doi.org/10.1136/heart.88.4.348

Michelena HI, Desjardins VA, Avierinos JF, et al. Natural history of asymptomatic patients with normally functioning or minimally dysfunctional bicuspid aortic valve in the community. Circulation 2008; 117 (21): 2.776-2.784. DOI: https://doi.org/10.1161/CIRCULATIONAHA.107.740878

Tzemos N, Therrien J, Thanassoulis G, et al. Outcomes in adults with bicuspid aortic valves. JAMA 2008; 300 (11): 1.317-1.325. DOI: https://doi.org/10.1001/jama.300.11.1317

Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: A report of the American college of cardiology/American heart association task force on practice guidelines. J Am Coll Cardiol 2014; 63 (22): 2.438-2.488.

Vahanian A, Alfieri O, Andreotti F, et al. Guidelines on the management of valvular heart disease (version 2012). Eur Heart J 2012; 33 (19): 2.451-2.496.

Keane MG, Wiegers SE, Plappert T, et al. Bicuspid aortic valves are associated with aortic dilatation out of proportion to coexistent valvular lesions. Circulation 2000; 102 (19 Suppl 3): III35-39. DOI: https://doi.org/10.1161/01.CIR.102.suppl_3.III-35

Schaefer BM, Lewin MB, Stout KK, et al. The bicuspid aortic valve: An integrated phenotypic classification of leaflet morphology and aortic root shape. Heart 2008; 94 (12): 1.634-1.638. DOI: https://doi.org/10.1136/hrt.2007.132092

Corte A Della, Bancone C, Buonocore M, et al. Pattern of ascending aortic dimensions predicts the growth rate of the aorta in patients with bicuspid aortic valve. JACC Cardiovasc Imaging 2013; 6 (12): 1.301-1.310. DOI: https://doi.org/10.1016/j.jcmg.2013.07.009

Detaint D, Michelena HI, Nkomo VT, et al. Aortic dilatation patterns and rates in adults with bicuspid aortic valves: A comparative study with Marfan syndrome and degenerative aortopathy. Heart 2014; 100 (2): 126-134. DOI: https://doi.org/10.1136/heartjnl-2013-304920

Mahadevia R, Barker AJ, Schnell S, et al. Bicuspid aortic cusp fusion morphology alters aortic three-dimensional outflow patterns, wall shear stress, and expression of aortopathy. Circulation 2014; 129 (6): 673-682. DOI: https://doi.org/10.1161/CIRCULATIONAHA.113.003026

Biner S, Rafique AM, Ray I, et al. Aortopathy is prevalent in relatives of bicuspid aortic valve patients. J Am Coll Cardiol 2009; 53 (24): 2.288-2.295. DOI: https://doi.org/10.1016/j.jacc.2009.03.027

Huntington K, Hunter AGW, Chan KL. A prospective study to assess the frequency of familial clustering of congenital bicuspid aortic valve. J Am Coll Cardiol 1997; 30 (7): 1.809-1.812. DOI: https://doi.org/10.1016/S0735-1097(97)00372-0

Cripe L, Andelfinger G, Martin LJ, et al. Bicuspid aortic valve is heritable. J Am Coll Cardiol 2004; 44 (1): 138-143. DOI: https://doi.org/10.1016/j.jacc.2004.03.050

Guntheroth WG. A Critical Review of the American College of Cardiology/ American Heart Association Practice Guidelines on Bicuspid Aortic Valve With Dilated Ascending Aorta. Am J Cardiol 2008; 102: 107-110. DOI: https://doi.org/10.1016/j.amjcard.2008.02.106

Michelena HI, Khanna AD, Mahoney D, et al. Incidence of aortic complications in patients with bicuspid aortic valves. JAMA 2011; 306 (10): 1.104-1.112. DOI: https://doi.org/10.1001/jama.2011.1286

Hayashida K, Bouvier E, Lefèvre T, et al. Transcatheter aortic valve implantation for patients with severe bicuspid aortic valve stenosis. Circ Cardiovasc Interv 2013; 6 (3): 284-291. DOI: https://doi.org/10.1161/CIRCINTERVENTIONS.112.000084

Girdauskas E, Disha K, Raisin HH, et al. Risk of late aortic events after an isolated aortic valve replacement for bicuspid aortic valve stenosis with concomitant ascending aortic dilation. Eur J CardioThoracic Surg 2012; 42 (5): 832-838. DOI: https://doi.org/10.1093/ejcts/ezs137

McKellar SH, Michelena HI, Li Z, et al. Long-term risk of aortic events following aortic valve replacement in patients with bicuspid aortic valves. Am J Cardiol 2010; 106 (11): 1.626-1.633. DOI: https://doi.org/10.1016/j.amjcard.2010.07.043

Borger MA, Preston M, Ivanov J, et al. Should the ascending aorta be replaced more frequently in patients with bicuspid aortic valve disease? J Thorac Cardiovasc Surg 2004; 128 (5): 677-683. DOI: https://doi.org/10.1016/S0022-5223(04)00984-5

Goland S, Czer LSC, De Robertis MA, et al. Risk Factors Associated With Reoperation and Mortality in 252 Patients After Aortic Valve Replacement for Congenitally Bicuspid Aortic Valve Disease. Ann Thorac Surg 2007; 83 (3): 931-937. DOI: https://doi.org/10.1016/j.athoracsur.2006.10.047

Goel SS, Tuzcu EM, Agarwal S, et al. Comparison of ascending aortic size in patients with severe bicuspid aortic valve stenosis treated with versus without a statin drug. Am J Cardiol 2011; 108 (10): 1.458-1.462. DOI: https://doi.org/10.1016/j.amjcard.2011.06.071

Regeer MV, van Rosendael PJ, Kamperidis V, et al. Effect of statins on aortic root growth rate in patients with bicuspid aortic valve anatomy. Int J Cardiovasc Imaging 2015; 31 (8): 1.583-1.590. DOI: https://doi.org/10.1007/s10554-015-0749-0

Antonini-Canterin F, Hirsu M, Popescu BA, et al. Stage-Related Effect of Statin Treatment on the Progression of Aortic Valve Sclerosis and Stenosis. Am J Cardiol 2008; 102 (6): 738-742. DOI: https://doi.org/10.1016/j.amjcard.2008.04.056

Robledo-Carmona J, Rodríguez-Bailón I, Carrasco-Chinchilla F, et al. Hereditary patterns of bicuspid aortic valve in a hundred families. Int J Cardiol 2013; 168 (4): 3.443-3.449. DOI: https://doi.org/10.1016/j.ijcard.2013.04.180

Descargas

Publicado

2016-12-31

Cómo citar

1.
Galian-Gay L, Evangelista-Masip A. Actualización en válvula aórtica bicúspide y complicaciones asociadas. Rev Ecocar Pract (RETIC) [Internet]. 31 de diciembre de 2016 [citado 17 de abril de 2024];(3):9-14. Disponible en: https://imagenretic.org/RevEcocarPract/article/view/34

Artículos más leídos del mismo autor/a