Doctor, what would you have done if you were in my place?
Bicuspid aortic valve (BAV) disease and the aortopathy associated with are a complex condition, of which, the genetics and pathophysiology are still not entirely delineated. The clinical management of this group of patients has been a challenge for physicians in all disciplines. Borger and colleagues (1) are to be congratulated for their great efforts and success in condensing the best available knowledge and current evidence in the executive summary of the American Association for Thoracic Surgery guidelines on BAV-related aortopathy (2). The guidelines as well as the executive summary covers the major aspects of BAV aortopathy.