“…It is well established that the aorta and aortic valve are developmentally related. Neural crest ( Waldo et al, 1998 ; Jiang et al, 2000 ), endothelial ( Eisenberg and Markwald, 1995 ; Kisanuki et al, 2001 ), epicardial cell lineages ( Gittenberger-de Groot et al, 2012 ) and second heart field (SHF) ( Zaffran and Kelly, 2012 )-derived cells contribute to both the ascending aorta, the aortic valve ( Eley et al, 2018 ; Mifflin et al, 2018 ) and the various components of the aortic root (valvular leaflets, annulus, sinuses of Valsalva) ( de la Cruz et al, 1977 ; Kirby et al, 1983 ; Waldo et al, 2001 ). Mouse models of BAVs show cushion formation to be an essential process during valve formation, and defects in the contributing cell lineages are known to result in BAVs ( Biben et al, 2000 ; Lee et al, 2000 ; Macatee, 2003 ; Laforest and Nemer, 2011 ; Makki and Capecchi, 2012 ; Thomas et al, 2012 ; Mommersteeg et al, 2015 ).…”