This short editorial is motivated by the results presented and discussed in an excellent article carried out at INCOR. The authors emphasize a lack of Brazilian population, strengthening the relevance question since the bicuspid aortic valve (BAV) affects 0.5 to 2% of people and is associated with valve and aortic changes. The bicuspid aortic valve (BAV) is defective embryogenesis of the aortic valve that is not fully understood, even several theories about its origin. These theories include: ^,

Arterial stiffness is an essential predictor of aortopathy and myocardial remodeling in 41 patients with a bicuspid aortic valve, and it might be increased in childhood. For this reason, there has been growing interest in the follow-up of patients with ABV since childhood. A recent article was published in the Brazilian Archives of Cardiology, a very well-written article by Pelin Kosger et al. To assess arterial stiffness and left ventricular myocardial function in forty-four children with a well-functioning bicuspid aortic valve. The investigation revealed that According to the oscillometric pulse wave analysis, the children with a well-functioning bicuspid aorta valve had similar arterial stiffness to that of their healthy peers. The ascending aorta diameter was established as an independent predictor of left ventricular myocardial function. Arterial stiffness may not be a severe risk factor in pediatric patients without marked ascending aorta dilation.

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