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      Different hemodynamic stress of the ascending aorta wall in patients with bicuspid and tricuspid aortic valve.

      Journal of Cardiac Surgery
      Aged, Aorta, Thoracic, physiopathology, Aortic Valve, abnormalities, ultrasonography, Aortic Valve Stenosis, Blood Flow Velocity, physiology, Echocardiography, Doppler, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prospective Studies, Severity of Illness Index

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          Abstract

          It is unclear whether ascending aorta dilation in patients with bicuspid aortic valve is caused by abnormal hemodynamics or by a common developmental defect of the aortic valve and aortic wall. We performed an echocardiographic study to examine the differences in hemodynamic stress at the ascending aorta in patients with bicuspid and tricuspid aortic valve. We studied prospectively 58 consecutive patients referred for preoperative echocardiographic examination with aortic valve stenosis and either bicuspid or tricuspid valve and an ascending aortic diameter of

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