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Cited by 227

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Aortopathy Is Prevalent in Relatives of Bicuspid Aortic Valve Patients

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Biner, Simon, Rafique, Asim M., Ray, Indraneil, Cuk, Olivera, Siegel, Robert J., Tolstrup, Kirsten·2009·Journal of the American College of Cardiology

Abstract

Objective We aimed to determine the prevalence of dilatation and abnormal elastic properties of aortic root in first degree relatives (FDRs) of bicuspid aortic valve patients. Background Evidence indicates that BAV is a genetic disorder. While FDRs of affected individuals have increased prevalence of BAV, their risk of aortic root abnormalities is unknown. Methods We studied dimensions as well as the elastic properties of the ascending aorta in 48 FDRs with morphologically normal, tricuspid aortic valves, 54 BAV patients, and 45 controls using two-dimensional echocardiography. Results The prevalence of aortic root dilatation was 32% in FDRs and 53% in BAV patients, whereas all controls demonstrated normal aortic dimensions (p<0.001). FDRs and BAVs had significantly lower aortic distensibility (1.7±1.4 and 1.4±2.0 vs. 2.5±1.6×10−3 mmHg, p<0.001) and greater aortic stiffness index (26.7±25.8 and 55.92±76.8 vs. 18.7±40.1, p=0.001) compared to controls. This difference remained significant in subjects without aortic root dilatation or hypertension (p=0.002 and p=0.004, respectively). Conclusions The aortic root is functionally abnormal and dilatation is common (32%) in first degree relatives of patients with BAV. Screening of FDRs by transthoracic 2-dimensional echocardiography should be considered for detection of aortic valve malformation and dilated ascending aorta.

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Crossref · 10.1016/j.jacc.2009.03.027

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Metadata

Authors
Biner, S., Rafique, A. M., Ray, I., Cuk, O., Siegel, R. J., & Tolstrup, K.
Venue
Journal of the American College of Cardiology
Publisher
Elsevier BV
Published
2009-06
Volume
53
Issue
24
Pages
2288-2295
ISSN
0735-1097 (ISSN-L)
OpenAlex
W2090312755
Cited by
227
References
2
FWCI
17.53
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Aortopathy Is Prevalent in Relatives of Bicuspid Aortic Valve Patients. https://app.cochat.ai/papers/10.1016/j.jacc.2009.03.027
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Biner, S., Rafique, A. M., Ray, I., Cuk, O., Siegel, R. J., & Tolstrup, K. (2009). Aortopathy Is Prevalent in Relatives of Bicuspid Aortic Valve Patients. Journal of the American College of Cardiology. https://doi.org/10.1016/j.jacc.2009.03.027

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