Evidence map›Paper›PMID 42604341›Full record

ArticleJTCVS open2026

Bicuspid versus tricuspid aortic valve morphology in elective ascending aortic aneurysm surgery: A propensity score-matched analysis.

Adam Ryszard Kowalówka, Mikołaj Jodłowski, Ryszard Bachowski, Radosław Gocoł

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Article in JTCVS open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Adam Ryszard KowalówkaDepartment of Cardiac Surgery, Upper-Silesian Heart Center, Katowice, Poland.
Mikołaj JodłowskiDepartment of Cardiac Surgery, Upper-Silesian Heart Center, Katowice, Poland.
Ryszard BachowskiDepartment of Cardiac Surgery, Upper-Silesian Heart Center, Katowice, Poland.
Radosław GocołDepartment of Cardiac Surgery, Upper-Silesian Heart Center, Katowice, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare perioperative and long-term outcomes between bicuspid (BAV) and tricuspid (TAV) aortic valve patients undergoing elective ascending aortic aneurysm surgery using propensity score matching (PSM). Methods: We retrospectively analyzed 1340 consecutive adults who underwent elective ascending aortic surgery for aneurysm at a single high-volume center between January 2014 and December 2025. After exclusions, 816 patients (373 BAV, 443 TAV) were eligible. PSM (1:1 nearest-neighbor, caliper width 0.2 SD on the logit scale; 14 baseline covariates, including ascending aortic diameter) produced 285 matched pairs (all with standardized mean difference <0.10). Primary endpoints were 30-day and 10-year all-cause mortality; secondary endpoints included early postoperative complications and late aortic reintervention. Results: The median follow-up was 5.4 years (interquartile range, 2.6-8.1; completeness, 96.7%). Thirty-day mortality was 0.7% (n = 2 of 285) in the BAV group versus 1.05% (n = 3 of 285) in the TAV group (odds ratio, 0.66; 95% confidence interval, [CI], 0.11-3.98; Conclusions: In this propensity score-matched cohort, BAV morphology was not associated with worse perioperative or long-term outcomes after elective ascending aortic surgery compared to TAV. These findings support managing BAV-related aortopathy according to the same patient- and anatomy-driven principles used for TAV rather than based on valve morphology alone.

Indexed as

ascending aortic aneurysmbicuspid aortic valvelong-term survivalperioperative mortalitypropensity score matchingtricuspid aortic valve

Identifiers

PMID42604341
PMCPMC13477129

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