Congenital bicuspid aortic valve disease with an aneurysm of the ascending aorta in adults: vertical reduction aortoplasty with distal external synthetic wrapping.

In three adult patients with diseased congenital bicuspid aortic valves and aneurysms of the ascending aorta, we performed aortic valve replacements, and combined a proximal and middle vertical reduction aortoplasty with a distal external synthetic wrapping. During a mean follow-up of 23.3 months there is no evidence of compression of the innominate artery by the distal external synthetic wrap, and no redilatation of the ascending aorta.