**6. Therapeutic strategies for bicuspid aortic valve syndrome**

#### **6.1 Aortic dilatation/aneurysm**

The 2022 ACC/AHA guidelines for the diagnosis and management of aortic disease delineate the threshold for aortic repair in BAV patients without any other comorbidity or valvular dysfunction to be ≥50 mm [44, 46]. BAV patients who require cardiac surgery for any other pathology should undergo aortic repair if the diameter is ≥45 mm [44].
