Conclusion
In conclusion in our study, mild to moderate regurgitation of a BAV did not significantly worse after isolated supracoronary ascending aorta replacement. When progression of the BAV disease occurs, the evolution seems to be more commonly towards a higher degree of stenosis. Despite this, the need of reoperation due to severe BAV disease is low and this finding is reassuring particularly when dealing with elderly patients. TAVI could be a subsequent possible therapeutic strategy in this case16. Our data can help the decision-making process in this controversial setting, although larger series and longer follow-ups are needed.