Abstract

1. Abstract

We report a case of advanced aortic regurgitation with bicuspid aortic valve (BAV) with very small raphe called as a ‘forme fruste’ BAV. In this case, surgical strategy should be discussed about the feasibility of repair technique and aortic procedure for aortopathy. We selected BAV repair with the tricuspidization by repositioning of the immature commissure and central plications of the three leaflets. Pathological examination of the aorta showed findings of aortopathy. For potential repairability and proper intervention of aortic complications, preoperative diagnosis of ‘forme fruste’ BAV is important.