. Author manuscript; available in PMC: 2019 Feb 21.

Published in final edited form as: J Thorac Cardiovasc Surg. 2018 Aug;156(2):473–480. doi: 10.1016/j.jtcvs.2017.10.161

TABLE 3.

Recommendations for aortic repair in patients with bicuspid aortic valve aortopathy

Recommendation	Class/LOE
Repair of the ascending aorta/root is recommended when the aortic diameter is ≥55 mm in patients without risk factors.	I/B^{13,20,39–41}
Repair of the ascending aorta/root should be performed when the aortic diameter is ≥50 mm in patients with risk factors (ie, root phenotypeor predominantaortic insufficiency, uncontrolled hypertension, family history of aortic dissection/sudden death, or aortic growth >3 mm/y).	IIa/B^{13,20,39–41}
Repair of the ascending aorta/root may be performed in patients with an aortic diameter of ≥50 mm when the patients are at low surgical risk and operated on by an experienced aortic team in a center with established surgical results.	IIb/C^32,33
Concomitant repair of the ascending aorta/root should be performed when the aortic diameter is ≥45 mm in patients undergoing cardiac surgery.	IIa/B^13,19,39,42
Repair of the aortic arch is recommended in patients with an aortic arch diameter of ≥55 mm.	I/B^36,43
Concomitant repair of the aortic arch should be performed in patients undergoing cardiac surgery with an aortic arch diameter of ≥50 mm.	IIa/C⁴⁴
Concomitant repair of the aortic arch may be performed in patients undergoing cardiac surgery with an aortic arch diameter of ≥45 mm, provided the patients are at low surgical risk and operated on by an experienced aortic team with established surgical results.	IIb/C⁴⁵
It is recommended that patients undergoing elective aortic archrepair be referred to an experienced aortic team with established surgical results.	I/B^37,38

LOE, Level of evidence.