International Consensus Statement on Nomenclature and Classification of the Congenital Bicuspid Aortic Valve and Its Aortopathy, for Clinical, Surgical, Interventional and Research Purposes

This International Consensus Classification and Nomenclature for the congenital bicuspid aortic valve condition recognizes 3 types of bicuspid valves: 1. The fused type (right-left cusp fusion, right-non-coronary cusp fusion and left-non-coronary cusp fusion phenotypes); 2. The 2-sinus type (latero-...

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Veröffentlicht in:Radiology. Cardiothoracic imaging 2021-08, Vol.3 (4), p.e200496-e200496
Hauptverfasser: Michelena, Hector I, Corte, Alessandro Della, Evangelista, Arturo, Maleszewski, Joseph J, Edwards, William D, Roman, Mary J, Devereux, Richard B, Fernández, Borja, Asch, Federico M, Barker, Alex J, Sierra-Galan, Lilia M, De Kerchove, Laurent, Fernandes, Susan M, Fedak, Paul W M, Girdauskas, Evaldas, Delgado, Victoria, Abbara, Suhny, Lansac, Emmanuel, Prakash, Siddharth K, Bissell, Malenka M, Popescu, Bogdan A, Hope, Michael D, Sitges, Marta, Thourani, Vinod H, Pibarot, Phillippe, Chandrasekaran, Krishnaswamy, Lancellotti, Patrizio, Borger, Michael A, Forrest, John K, Webb, John, Milewicz, Dianna M, Makkaar, Raj, Leon, Martin B, Sanders, Stephen P, Markl, Michael, Ferrari, Victor A, Roberts, William C, Song, Jae-Kwan, Blanke, Philipp, White, Charles S, Siu, Samuel, Svensson, Lars G, Braverman, Alan C, Bavaria, Joseph, Sundt, Thoralf M, El Khoury, Gebrine, De Paulis, Ruggero, Enriquez-Sarano, Maurice, Bax, Jeroen J, Otto, Catherine M, Schäfers, Hans-Joachim
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container_issue 4
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container_title Radiology. Cardiothoracic imaging
container_volume 3
creator Michelena, Hector I
Corte, Alessandro Della
Evangelista, Arturo
Maleszewski, Joseph J
Edwards, William D
Roman, Mary J
Devereux, Richard B
Fernández, Borja
Asch, Federico M
Barker, Alex J
Sierra-Galan, Lilia M
De Kerchove, Laurent
Fernandes, Susan M
Fedak, Paul W M
Girdauskas, Evaldas
Delgado, Victoria
Abbara, Suhny
Lansac, Emmanuel
Prakash, Siddharth K
Bissell, Malenka M
Popescu, Bogdan A
Hope, Michael D
Sitges, Marta
Thourani, Vinod H
Pibarot, Phillippe
Chandrasekaran, Krishnaswamy
Lancellotti, Patrizio
Borger, Michael A
Forrest, John K
Webb, John
Milewicz, Dianna M
Makkaar, Raj
Leon, Martin B
Sanders, Stephen P
Markl, Michael
Ferrari, Victor A
Roberts, William C
Song, Jae-Kwan
Blanke, Philipp
White, Charles S
Siu, Samuel
Svensson, Lars G
Braverman, Alan C
Bavaria, Joseph
Sundt, Thoralf M
El Khoury, Gebrine
De Paulis, Ruggero
Enriquez-Sarano, Maurice
Bax, Jeroen J
Otto, Catherine M
Schäfers, Hans-Joachim
description This International Consensus Classification and Nomenclature for the congenital bicuspid aortic valve condition recognizes 3 types of bicuspid valves: 1. The fused type (right-left cusp fusion, right-non-coronary cusp fusion and left-non-coronary cusp fusion phenotypes); 2. The 2-sinus type (latero-lateral and antero-posterior phenotypes); and 3. The partial-fusion (forme fruste) type. The presence of raphe and the symmetry of the fused type phenotypes are critical aspects to describe. The International Consensus also recognizes 3 types of bicuspid valve-associated aortopathy: 1. The ascending phenotype; 2. The root phenotype; and 3. Extended phenotypes. ©  2021 Jointly between the RSNA, the European Association for Cardio-Thoracic Surgery, The Society of Thoracic Surgeons, and the American Association for Thoracic Surgery. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. All rights reserved. Bicuspid Aortic Valve, Aortopathy, Nomenclature, Classification.
doi_str_mv 10.1148/ryct.2021200496
format Article
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The fused type (right-left cusp fusion, right-non-coronary cusp fusion and left-non-coronary cusp fusion phenotypes); 2. The 2-sinus type (latero-lateral and antero-posterior phenotypes); and 3. The partial-fusion (forme fruste) type. The presence of raphe and the symmetry of the fused type phenotypes are critical aspects to describe. The International Consensus also recognizes 3 types of bicuspid valve-associated aortopathy: 1. The ascending phenotype; 2. The root phenotype; and 3. Extended phenotypes. ©  2021 Jointly between the RSNA, the European Association for Cardio-Thoracic Surgery, The Society of Thoracic Surgeons, and the American Association for Thoracic Surgery. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. All rights reserved. Bicuspid Aortic Valve, Aortopathy, Nomenclature, Classification.</description><identifier>ISSN: 2638-6135</identifier><identifier>EISSN: 2638-6135</identifier><identifier>DOI: 10.1148/ryct.2021200496</identifier><identifier>PMID: 34505060</identifier><language>eng</language><publisher>United States: Radiological Society of North America Inc</publisher><subject>Aortopathy ; Bicuspid Aortic Valve ; Cardiovascular &amp; respiratory systems ; Classification ; Human health sciences ; Nomenclature ; Radiology, Nuclear Medicine and Imaging ; Sciences de la santé humaine ; Special Report ; Systèmes cardiovasculaire &amp; respiratoire</subject><ispartof>Radiology. 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Cardiothoracic imaging</title><addtitle>Radiol Cardiothorac Imaging</addtitle><description>This International Consensus Classification and Nomenclature for the congenital bicuspid aortic valve condition recognizes 3 types of bicuspid valves: 1. The fused type (right-left cusp fusion, right-non-coronary cusp fusion and left-non-coronary cusp fusion phenotypes); 2. The 2-sinus type (latero-lateral and antero-posterior phenotypes); and 3. The partial-fusion (forme fruste) type. The presence of raphe and the symmetry of the fused type phenotypes are critical aspects to describe. The International Consensus also recognizes 3 types of bicuspid valve-associated aortopathy: 1. The ascending phenotype; 2. The root phenotype; and 3. Extended phenotypes. ©  2021 Jointly between the RSNA, the European Association for Cardio-Thoracic Surgery, The Society of Thoracic Surgeons, and the American Association for Thoracic Surgery. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. All rights reserved. Bicuspid Aortic Valve, Aortopathy, Nomenclature, Classification.</description><subject>Aortopathy</subject><subject>Bicuspid Aortic Valve</subject><subject>Cardiovascular &amp; respiratory systems</subject><subject>Classification</subject><subject>Human health sciences</subject><subject>Nomenclature</subject><subject>Radiology, Nuclear Medicine and Imaging</subject><subject>Sciences de la santé humaine</subject><subject>Special Report</subject><subject>Systèmes cardiovasculaire &amp; respiratoire</subject><issn>2638-6135</issn><issn>2638-6135</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpVkk1v1DAYhCMEolXpmRvykUO39Vec5IJUVtCuVAGiwNVynDdZI6-92M5K--P4bzhJKeXkkTPPeCJNUbwm-JIQXl-Fo06XFFNCMeaNeFacUsHqlSCsfP5EnxTnMf7EOBs5L0nzsjhhvMQlFvi0-L1xCYJTyXinLFp7F8HFMaL7pBLswCXkHfrks9JWpTEAUq5Da6tiNL3RM4h8j9IWJnoAZ1IOem_0GPemQ9c-JKPRD2UPC7pJcb70e5W2xwvU-5DjjMtZ9gLdj2FY1FzskAsszSb0K0RQQW_RlzHsfYT4qnjRKxvh_OE8K75__PBtfbu6-3yzWV_frTRnVVrpSncYNCaCt8C10KolVUuoaDSnnHYMaCNY29ak4rgSNe86qAitNeG6L0vGzop3S-5-bHfQ6dwqKCv3wexUOEqvjPz_izNbOfiDrHN-hXEOYEuANTCA9KE18kBncNajHaTSsgVJqaglw7SiE_X24dngf40Qk9yZqMFa5cCPUdKyIg2dvNl6tVh18DEG6B_LESyntchpLfLfWjLx5uk_Pfr_boP9AYAwwBw</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Michelena, Hector I</creator><creator>Corte, Alessandro Della</creator><creator>Evangelista, Arturo</creator><creator>Maleszewski, Joseph J</creator><creator>Edwards, William D</creator><creator>Roman, Mary J</creator><creator>Devereux, Richard B</creator><creator>Fernández, Borja</creator><creator>Asch, Federico M</creator><creator>Barker, Alex J</creator><creator>Sierra-Galan, Lilia M</creator><creator>De Kerchove, Laurent</creator><creator>Fernandes, Susan M</creator><creator>Fedak, Paul W M</creator><creator>Girdauskas, Evaldas</creator><creator>Delgado, Victoria</creator><creator>Abbara, Suhny</creator><creator>Lansac, Emmanuel</creator><creator>Prakash, Siddharth K</creator><creator>Bissell, Malenka M</creator><creator>Popescu, Bogdan A</creator><creator>Hope, Michael D</creator><creator>Sitges, Marta</creator><creator>Thourani, Vinod H</creator><creator>Pibarot, Phillippe</creator><creator>Chandrasekaran, Krishnaswamy</creator><creator>Lancellotti, Patrizio</creator><creator>Borger, Michael A</creator><creator>Forrest, John K</creator><creator>Webb, John</creator><creator>Milewicz, Dianna M</creator><creator>Makkaar, Raj</creator><creator>Leon, Martin B</creator><creator>Sanders, Stephen P</creator><creator>Markl, Michael</creator><creator>Ferrari, Victor A</creator><creator>Roberts, William C</creator><creator>Song, Jae-Kwan</creator><creator>Blanke, Philipp</creator><creator>White, Charles S</creator><creator>Siu, Samuel</creator><creator>Svensson, Lars G</creator><creator>Braverman, Alan C</creator><creator>Bavaria, Joseph</creator><creator>Sundt, Thoralf M</creator><creator>El Khoury, Gebrine</creator><creator>De Paulis, Ruggero</creator><creator>Enriquez-Sarano, Maurice</creator><creator>Bax, Jeroen J</creator><creator>Otto, Catherine M</creator><creator>Schäfers, Hans-Joachim</creator><general>Radiological Society of North America Inc</general><general>Radiological Society of North America</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>Q33</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9832-5732</orcidid><orcidid>https://orcid.org/0000-0002-3062-6827</orcidid><orcidid>https://orcid.org/0000-0002-2341-5247</orcidid><orcidid>https://orcid.org/0000-0001-9179-910X</orcidid><orcidid>https://orcid.org/0000-0002-9789-7648</orcidid><orcidid>https://orcid.org/0000-0002-6283-9157</orcidid><orcidid>https://orcid.org/0000-0001-6122-8533</orcidid><orcidid>https://orcid.org/0000-0003-1859-310X</orcidid><orcidid>https://orcid.org/0000-0002-3379-8317</orcidid><orcidid>https://orcid.org/0000-0003-2552-7362</orcidid><orcidid>https://orcid.org/0000-0002-1282-2859</orcidid><orcidid>https://orcid.org/0000-0001-8696-3243</orcidid><orcidid>https://orcid.org/0000-0003-3239-6460</orcidid><orcidid>https://orcid.org/0000-0002-4636-3339</orcidid><orcidid>https://orcid.org/0000-0003-4079-3482</orcidid><orcidid>https://orcid.org/0000-0002-3603-2202</orcidid><orcidid>https://orcid.org/0000-0002-3607-279X</orcidid><orcidid>https://orcid.org/0000-0002-7686-1128</orcidid><orcidid>https://orcid.org/0000-0002-4332-3139</orcidid><orcidid>https://orcid.org/0000-0002-1744-5271</orcidid><orcidid>https://orcid.org/0000-0002-8542-4982</orcidid><orcidid>https://orcid.org/0000-0003-2682-9469</orcidid><orcidid>https://orcid.org/0000-0003-0658-9381</orcidid></search><sort><creationdate>20210801</creationdate><title>International Consensus Statement on Nomenclature and Classification of the Congenital Bicuspid Aortic Valve and Its Aortopathy, for Clinical, Surgical, Interventional and Research Purposes</title><author>Michelena, Hector I ; Corte, Alessandro Della ; Evangelista, Arturo ; Maleszewski, Joseph J ; Edwards, William D ; Roman, Mary J ; Devereux, Richard B ; Fernández, Borja ; Asch, Federico M ; Barker, Alex J ; Sierra-Galan, Lilia M ; De Kerchove, Laurent ; Fernandes, Susan M ; Fedak, Paul W M ; Girdauskas, Evaldas ; Delgado, Victoria ; Abbara, Suhny ; Lansac, Emmanuel ; Prakash, Siddharth K ; Bissell, Malenka M ; Popescu, Bogdan A ; Hope, Michael D ; Sitges, Marta ; Thourani, Vinod H ; Pibarot, Phillippe ; Chandrasekaran, Krishnaswamy ; Lancellotti, Patrizio ; Borger, Michael A ; Forrest, John K ; Webb, John ; Milewicz, Dianna M ; Makkaar, Raj ; Leon, Martin B ; Sanders, Stephen P ; Markl, Michael ; Ferrari, Victor A ; Roberts, William C ; Song, Jae-Kwan ; Blanke, Philipp ; White, Charles S ; Siu, Samuel ; Svensson, Lars G ; Braverman, Alan C ; Bavaria, Joseph ; Sundt, Thoralf M ; El Khoury, Gebrine ; De Paulis, Ruggero ; Enriquez-Sarano, Maurice ; Bax, Jeroen J ; Otto, Catherine M ; Schäfers, Hans-Joachim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-c7cd0ec0164be4c6cab17b1269c4242d3e2963bb817407684dde7128c14cf5533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aortopathy</topic><topic>Bicuspid Aortic Valve</topic><topic>Cardiovascular &amp; respiratory systems</topic><topic>Classification</topic><topic>Human health sciences</topic><topic>Nomenclature</topic><topic>Radiology, Nuclear Medicine and Imaging</topic><topic>Sciences de la santé humaine</topic><topic>Special Report</topic><topic>Systèmes cardiovasculaire &amp; respiratoire</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Michelena, Hector I</creatorcontrib><creatorcontrib>Corte, Alessandro Della</creatorcontrib><creatorcontrib>Evangelista, Arturo</creatorcontrib><creatorcontrib>Maleszewski, Joseph J</creatorcontrib><creatorcontrib>Edwards, William D</creatorcontrib><creatorcontrib>Roman, Mary J</creatorcontrib><creatorcontrib>Devereux, Richard B</creatorcontrib><creatorcontrib>Fernández, Borja</creatorcontrib><creatorcontrib>Asch, Federico M</creatorcontrib><creatorcontrib>Barker, Alex J</creatorcontrib><creatorcontrib>Sierra-Galan, Lilia M</creatorcontrib><creatorcontrib>De Kerchove, Laurent</creatorcontrib><creatorcontrib>Fernandes, Susan M</creatorcontrib><creatorcontrib>Fedak, Paul W M</creatorcontrib><creatorcontrib>Girdauskas, Evaldas</creatorcontrib><creatorcontrib>Delgado, Victoria</creatorcontrib><creatorcontrib>Abbara, Suhny</creatorcontrib><creatorcontrib>Lansac, Emmanuel</creatorcontrib><creatorcontrib>Prakash, Siddharth K</creatorcontrib><creatorcontrib>Bissell, Malenka M</creatorcontrib><creatorcontrib>Popescu, Bogdan A</creatorcontrib><creatorcontrib>Hope, Michael D</creatorcontrib><creatorcontrib>Sitges, Marta</creatorcontrib><creatorcontrib>Thourani, Vinod H</creatorcontrib><creatorcontrib>Pibarot, Phillippe</creatorcontrib><creatorcontrib>Chandrasekaran, Krishnaswamy</creatorcontrib><creatorcontrib>Lancellotti, Patrizio</creatorcontrib><creatorcontrib>Borger, Michael A</creatorcontrib><creatorcontrib>Forrest, John K</creatorcontrib><creatorcontrib>Webb, John</creatorcontrib><creatorcontrib>Milewicz, Dianna M</creatorcontrib><creatorcontrib>Makkaar, Raj</creatorcontrib><creatorcontrib>Leon, Martin B</creatorcontrib><creatorcontrib>Sanders, Stephen P</creatorcontrib><creatorcontrib>Markl, Michael</creatorcontrib><creatorcontrib>Ferrari, Victor A</creatorcontrib><creatorcontrib>Roberts, William C</creatorcontrib><creatorcontrib>Song, Jae-Kwan</creatorcontrib><creatorcontrib>Blanke, Philipp</creatorcontrib><creatorcontrib>White, Charles S</creatorcontrib><creatorcontrib>Siu, Samuel</creatorcontrib><creatorcontrib>Svensson, Lars G</creatorcontrib><creatorcontrib>Braverman, Alan C</creatorcontrib><creatorcontrib>Bavaria, Joseph</creatorcontrib><creatorcontrib>Sundt, Thoralf M</creatorcontrib><creatorcontrib>El Khoury, Gebrine</creatorcontrib><creatorcontrib>De Paulis, Ruggero</creatorcontrib><creatorcontrib>Enriquez-Sarano, Maurice</creatorcontrib><creatorcontrib>Bax, Jeroen J</creatorcontrib><creatorcontrib>Otto, Catherine M</creatorcontrib><creatorcontrib>Schäfers, Hans-Joachim</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Université de Liège - Open Repository and Bibliography (ORBI)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Radiology. Cardiothoracic imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Michelena, Hector I</au><au>Corte, Alessandro Della</au><au>Evangelista, Arturo</au><au>Maleszewski, Joseph J</au><au>Edwards, William D</au><au>Roman, Mary J</au><au>Devereux, Richard B</au><au>Fernández, Borja</au><au>Asch, Federico M</au><au>Barker, Alex J</au><au>Sierra-Galan, Lilia M</au><au>De Kerchove, Laurent</au><au>Fernandes, Susan M</au><au>Fedak, Paul W M</au><au>Girdauskas, Evaldas</au><au>Delgado, Victoria</au><au>Abbara, Suhny</au><au>Lansac, Emmanuel</au><au>Prakash, Siddharth K</au><au>Bissell, Malenka M</au><au>Popescu, Bogdan A</au><au>Hope, Michael D</au><au>Sitges, Marta</au><au>Thourani, Vinod H</au><au>Pibarot, Phillippe</au><au>Chandrasekaran, Krishnaswamy</au><au>Lancellotti, Patrizio</au><au>Borger, Michael A</au><au>Forrest, John K</au><au>Webb, John</au><au>Milewicz, Dianna M</au><au>Makkaar, Raj</au><au>Leon, Martin B</au><au>Sanders, Stephen P</au><au>Markl, Michael</au><au>Ferrari, Victor A</au><au>Roberts, William C</au><au>Song, Jae-Kwan</au><au>Blanke, Philipp</au><au>White, Charles S</au><au>Siu, Samuel</au><au>Svensson, Lars G</au><au>Braverman, Alan C</au><au>Bavaria, Joseph</au><au>Sundt, Thoralf M</au><au>El Khoury, Gebrine</au><au>De Paulis, Ruggero</au><au>Enriquez-Sarano, Maurice</au><au>Bax, Jeroen J</au><au>Otto, Catherine M</au><au>Schäfers, Hans-Joachim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>International Consensus Statement on Nomenclature and Classification of the Congenital Bicuspid Aortic Valve and Its Aortopathy, for Clinical, Surgical, Interventional and Research Purposes</atitle><jtitle>Radiology. Cardiothoracic imaging</jtitle><addtitle>Radiol Cardiothorac Imaging</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>3</volume><issue>4</issue><spage>e200496</spage><epage>e200496</epage><pages>e200496-e200496</pages><issn>2638-6135</issn><eissn>2638-6135</eissn><abstract>This International Consensus Classification and Nomenclature for the congenital bicuspid aortic valve condition recognizes 3 types of bicuspid valves: 1. The fused type (right-left cusp fusion, right-non-coronary cusp fusion and left-non-coronary cusp fusion phenotypes); 2. The 2-sinus type (latero-lateral and antero-posterior phenotypes); and 3. The partial-fusion (forme fruste) type. The presence of raphe and the symmetry of the fused type phenotypes are critical aspects to describe. The International Consensus also recognizes 3 types of bicuspid valve-associated aortopathy: 1. The ascending phenotype; 2. The root phenotype; and 3. Extended phenotypes. ©  2021 Jointly between the RSNA, the European Association for Cardio-Thoracic Surgery, The Society of Thoracic Surgeons, and the American Association for Thoracic Surgery. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. All rights reserved. Bicuspid Aortic Valve, Aortopathy, Nomenclature, Classification.</abstract><cop>United States</cop><pub>Radiological Society of North America Inc</pub><pmid>34505060</pmid><doi>10.1148/ryct.2021200496</doi><orcidid>https://orcid.org/0000-0001-9832-5732</orcidid><orcidid>https://orcid.org/0000-0002-3062-6827</orcidid><orcidid>https://orcid.org/0000-0002-2341-5247</orcidid><orcidid>https://orcid.org/0000-0001-9179-910X</orcidid><orcidid>https://orcid.org/0000-0002-9789-7648</orcidid><orcidid>https://orcid.org/0000-0002-6283-9157</orcidid><orcidid>https://orcid.org/0000-0001-6122-8533</orcidid><orcidid>https://orcid.org/0000-0003-1859-310X</orcidid><orcidid>https://orcid.org/0000-0002-3379-8317</orcidid><orcidid>https://orcid.org/0000-0003-2552-7362</orcidid><orcidid>https://orcid.org/0000-0002-1282-2859</orcidid><orcidid>https://orcid.org/0000-0001-8696-3243</orcidid><orcidid>https://orcid.org/0000-0003-3239-6460</orcidid><orcidid>https://orcid.org/0000-0002-4636-3339</orcidid><orcidid>https://orcid.org/0000-0003-4079-3482</orcidid><orcidid>https://orcid.org/0000-0002-3603-2202</orcidid><orcidid>https://orcid.org/0000-0002-3607-279X</orcidid><orcidid>https://orcid.org/0000-0002-7686-1128</orcidid><orcidid>https://orcid.org/0000-0002-4332-3139</orcidid><orcidid>https://orcid.org/0000-0002-1744-5271</orcidid><orcidid>https://orcid.org/0000-0002-8542-4982</orcidid><orcidid>https://orcid.org/0000-0003-2682-9469</orcidid><orcidid>https://orcid.org/0000-0003-0658-9381</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aortopathy
Bicuspid Aortic Valve
Cardiovascular & respiratory systems
Classification
Human health sciences
Nomenclature
Radiology, Nuclear Medicine and Imaging
Sciences de la santé humaine
Special Report
Systèmes cardiovasculaire & respiratoire
title International Consensus Statement on Nomenclature and Classification of the Congenital Bicuspid Aortic Valve and Its Aortopathy, for Clinical, Surgical, Interventional and Research Purposes
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