Cardiology- what is the mortality for someone that has, aortic (bicuspid) valve stenosis at age 43?

Low: Like all things, bicuspid aortic valve stenosis comes in small/medium/high risk: the echo/doppler will have a high velocity of 4 meters/second when severe and the left ventricle will likely have hypertrophy (be thick). That is not all there is to it, but you cardiologist can easily piece together your variables: in all probabilty, you are sentenced to life for quite a while.

Normal: Bav is very common: 1-2% of all males are born with it. It increases the risk of needing valve surgery in mid-later life (40-60). With the advent of modern valve surgical techniques and technology, there is no reason persons with bav can't live a normal live. The issue is routine surveillance, with periodic echos and cardiac evaluations.

Low.: Bicuspid aortic valve predisposes to early aortic stenosis. When this becomes critical, you need a new valve. Patients with valve replacements usually can live a normal life and life span.

Very low: If you have regular follow up of your aortic valve, good blood pressure and cholesterol control you should have normal lifespan. You may need aortic valve surgery during your lifespan, but usually mortality for this surgery is less than 1%.

Aortic Stenosis: Mortality risk from congenital bicuspid aortic valve stenosis is directly related to the degree of flow restriction characterized by valve area and mean flow gradient. The tighter the valve with a higher pressure gradient, the greater the mortality risk. Once symptoms of heart failure or syncope occur, mortality has sharply risen. An echocardiogram can accurately assess these parameters.