Aortic valve repair of congenital bicuspid aortic valve associated with aneurysm of the ascending aorta

Two unusual cases of congenital bicuspid aortic valve associated with aneur ysm of the ascending aorta are reported. One patient with a 7-cm ascending aortic dilatation and aortic regurgitation (AR) (II/IV), and another with a 6-cm ascending aorta and AR (III/IV), presented for treatment. Replacement of the ascending aorta and aortic valve repair were performed in both case s. Aortic valve repair included resection of the raphe, leaflet plication a nd subcommissural annuloplasty. Both patients had satisfactory results in t he early postoperative period. Despite the promising outcomes after surgery in these patients, long-term changes in valve function and durability rema in unknown. Additional close observation and monitoring are required before the procedure can be recommended as the standard of care.