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.