International Bicuspid Aortic Valve Consortium (BAVCon)
International Bicuspid Aortic Valve Consortium (BAVCon)
Bicuspid aortic valve (BAV) disease is the most frequent congenital cardiac malformation,
 occurring in 0.5-1.2% of the US population. In young adults, it is generally a benign
 abnormality; but in older adults it is associated with thoracic aortic aneurysm or dissection
 in 20-30% of those with BAV. BAV is strongly associated with early development of aortic
 valve calcification or incompetence in >50% of BAV patients, and accounts for ~40% of the
 >30,000 aortic valve replacements (AVR) performed in the US each year. Yet, we know little of
 the etiology, cellular events and modifiers of progression of BAV to calcific aortic valve
 disease and we still do not understand the genetic cause(s) of BAV despite evidence for its
 high heritability.

 The Specific Aims of this study are:

 1. To identify the genetic causes of bicuspid aortic valve disease and its associated
 thoracic aortic disease.

 2. To identify potential pathways to predict the clinical course of BAV disease and for
 treating human BAV disease.

 To achieve these aims, we have created the International Bicuspid Aortic Valve Consortium
 (BAVCon), a consortium of institutions with cohorts of BAV patients and the expertise to
 fulfill the performance of these aims.
The International Bicuspid Aortic Valve Consortium (BAVCon) Registry is the data collection
 arm of the International Bicuspid Aortic Valve Consortium, a 16 institution international
 consortium of investigators with interests in the genetics, molecular biology, imaging,
 surgery and natural history of bicuspid aortic valve disease.

 The BAVCon Registry is a longitudinal cohort study, which is observational by design. The
 cohort will consist of patients with BAV. Consideration will be given to eventual inclusion
 of a disease-free control or comparison group. The study will compare genetic risk factors,
 cross-sectional and longitudinal data on risk factors related to the diagnosis, treatment and
 outcomes among groups of enrolled patients. As part of the natural course of clinical care,
 the patients and their physicians will determine the approach to treatment and the study will
 record the observed related outcomes. The study will not attempt to interfere with the
 outcomes through any type of planned intervention; therefore, there are no anticipated
 adverse events as a result of study participation.

 Study Design

 The Registry is designed to capture information on patients with bicuspid aortic valve
 disease. The BAVCon Registry population will be comprised of patients from sixteen BAVCon
 Clinical Centers. The participating BAVCon Clinical Centers are:

 -  Harvard University / Partners Healthcare, Boston (Dr. Simon Robson, Consortium PI)

 -  GenTAC Consortium (Dr. Kim Eagle, PI)

 -  Hospital Vall d'Hebron, Barcelona, Spain (Dr. Arturo Evangelista, PI)

 -  Monaldi Hospital, Naples, Italy (Dr. Giuseppe Limongelli, PI)

 -  Mayo Clinic, Rochester (Dr. Hector Michelena, PI)

 -  Oxford University, Oxford, England (Dr. Malenka Bissell, PI)

 -  Saarland University Medical Center, Saarland, Germany (Dr. Hans-Joachim Schäfers, PI)

 -  San Donato Hospital IRCCS, Milan, Italy (PI: Dr. Alessandro Frigiola)

 -  Tufts University, Boston (Dr. Gordon Huggins, PI)

 -  Université de Liège, Liege, Belgium (Dr. Patrizio Lancelotti, PI)

 -  Université Laval, Quebec (Dr. Yohan Bossé, PI)

 -  University of Michigan, Ann Arbor (Dr. Anna Booher, PI)

 -  University of Pennsylvania, Philadelphia (Dr. Joseph Bavaria, PI)

 -  University of Salerno, Salerno, Italy (Dr. Eduardo Bossone, PI)

 -  University of Texas Medical School, Houston (Dr. Dianna Milewicz, PI) One center with
 specific expertise, but not enrolling patients, is University of Ottawa (Dr. Mona Nemer,
 PI).

 The data supplied by each participating center are collected from the following sources:

 Patient interview or questionnaire Hospital medical records Surgical records Imaging studies

 Enrollment Information about the Registry will be disseminated to potential study subjects
 using a number of sources. The principal means of enrollment will be from the Cardiology and
 Surgical Clinics of each Hospital. In addition, collaborations with the patient advocacy
 groups such as the Bicuspid Aortic Valve Foundation. These organizations have well
 established resources for providing information to patients such as websites, newsletters,
 and national conferences. A recruitment brochure has been developed to explain the goals and
 basic procedures of the Registry. Finally, the study website, http://www.bavcon.org, will
 inform potential subjects about the Registry. All recruitment materials will be approved by
 the DCC and BCC IRBs, as appropriate, prior to dissemination.

 BCC study staff will identify eligible patients using the eligibility criteria developed and
 approved by the Steering Committee. They will both screen their current patient population as
 well as identify new patients that attend the clinic. Eligible patients will be solicited
 during clinic visits according to protocols approved by the local IRB.

 Initially, a care provider will introduce the Registry to the patient or the parent or
 guardian of the patient, and ask if they are interested in talking further with the research
 coordinator. If the patient (or parent or guardian) agrees, the research coordinator will
 meet with the patient for a more comprehensive explanation of the Registry. If there is
 continued agreement, the research coordinator will proceed with the consent and enrollment
 process. Signed informed consent will be obtained prior to any data or sample collection.
 Patients will receive a hard-copy of the consent form to keep. Patients will be able to ask
 questions at any time. One parent or guardian may provide signed consent for a minor child or
 other person with a physical or mental condition that prevents them from doing so themselves.
 Literacy in the native language of the country (English and Spanish in the USA) will be
 required of the consenting patient or parent/guardian. Child assent will be obtained from
 children at least 8 years of age, or as determined by the local IRB. Across all the sites, we
 anticipate total enrollment of up to 10,000 patients.

 Eligibility Criteria

 Inclusion criteria for entry into the Registry are:

 -  Patients diagnosed with bicuspid aortic valve

 -  All ages ≥8 years

 -  Able to provide fully informed consent

 Local Site Restrictions Some sites will not be collecting tissue from patients, therefore
 information on tissue collection will be absent. Some sites do not routinely perform CT or
 MRI on their patients, so these data will also be absent.
Inclusion Criteria:

 -  Patients diagnosed as having a bicuspid aortic valve

 -  All ages ≥8 years

 -  Able to provide fully informed consent

 Exclusion Criteria:

 -  None