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A 31-year-old member asked:

How serious is a bicuspid aortic valve?

2 doctor answers4 doctors weighed in
Dr. Terrence Cohen
Cardiology 47 years experience
May worsen with age: This is a not uncommon congenital variant which is typically aysmptomatic for many years. With aging, leakage from the valve not closing properly may become a problem. Also, the valve can be a site on which infections may settle.
Dr. Robert Binford
Thoracic Surgery 39 years experience
Needs to be followed: The normal aortic valve has 3 leaflets but the bicuspid valve only has 2. It is the most common valve congenital malformation. About 1-2%. The natural course is for the valve to get stiffer over time and not open wide enough. This is called stenosis. Most pts need aortic valve replacement by their 50-60's. Until that time though it should not have a significant impact. Need antibiotics for dental.

Similar questions

A 34-year-old member asked:

I have a bicuspid aortic valve, what do I do next?

3 doctor answers7 doctors weighed in
Dr. Cynthia Point
Specializes in Internal Medicine
See a cardiologist: The valve is normally 3 parts, so yours with only 2 parts will "age" faster. You should have an echocardiogram perhaps annually, to follow the size of the opening. If it begins to narrow too much, surgery is indicated to replace it.
Dr. Diana Metzger
undefined 31 years experience
Annual echos may not be needed until signs of progression start to accellerate
Apr 7, 2013
A 35-year-old member asked:

Where do they cut when replacing a bicuspid aortic valve?

2 doctor answers7 doctors weighed in
Dr. Sergio Cossu
Cardiology 34 years experience
Several: The standard surgical approach is via a mi sternotomy approach. Currently there are centers performing the surgery via a minimal thoracotomy incision as well. The latest approach is a transcatheter aortic valve replacement (tavr). Which is done withou an incision and performed though a catheter via the groin. Check with your surgeon as to which approach is best for you.
CA
A 28-year-old male asked:

What is the definition or description of: bicuspid aortic valve?

2 doctor answers2 doctors weighed in
Dr. Michael Curren
15 years experience
Abnormal heart valve: A bicuspid aortic valve is a condition that is present from birth. The aortic valve doesn't form normally, resulting in a narrowing of the valve. This narrowing causes the heart to work harder to pump blood, which can cause heart problems in the long term. People with bicuspid aortic valves usually require valve replacement surgery at some point in their lives. Bicuspid valves run in families.
A 33-year-old member asked:

How dangerous is bicuspid aortic valve disease?

1 doctor answer2 doctors weighed in
Dr. Calvin Weisberger
52 years experience
Bicuspid: Bicuspid aortic valve disease can go lifelong without causing a problem but in some people does progress to aortic stenosis, insufficiency or both. It does require follow up.
A 41-year-old member asked:

Can people with bicuspid aortic valve live long?

2 doctor answers5 doctors weighed in
Dr. Mark Rasak
Cardiology 34 years experience
Yes: Pts with congenital bicuspid aortic valves are monitored with 2-d echos and with regular follow up in office . With a younger pt over time the valve typically progresses and needs replacing. Timming is critical. All siblings should also be screened.
Last updated Apr 9, 2021

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