Abstract
Bicuspid aortic valves (BAVs) have been recently divided into 3 different types in a repair-oriented classification1: type A or symmetrical valves, type B or asymmetrical valves, and type C or very asymmetrical valves. Very asymmetrical BAVs are nearly tricuspid valves with a very short fusion and a developed nonfunctional commissure. This is the reason why they are usually best treated as a tricuspid valve. However, the repair of a type C valve is a surgical challenge and the debate on which is the most appropriate technique is still open.
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