A member asked:

Bicuspid aortic valve , aortic root dilated at 4.6cm, no stenosis, trivial regurg, cardiologist not worried at all, i'm really anxious, should i be?

12 doctors weighed in across 4 answers
Dr. Nassir Azimi answered

Specializes in Interventional Cardiology

No: Keep monitoring the aorta and the valve. Make sure you are on appropriate medication such as ace inhibitors.

Answered 11/6/2013

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Aortic balve: Needs to be closely monitored not yet requiring intervention based on your description.

Answered 10/3/2016

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No you shouldn't.: Dear themalteser, bicuspid aortic valve is very common, affecting 1 to 2% of the general population. In fact, it is the most common congenital heart defect. Most people who have a bucspid aortic valve have a well functioning valve - like you do. The only recommendation is to continue to have follow up visits with your cardiologist and maintain a healthy lifestyle.

Answered 12/18/2014

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Needs to be followed: Nearly 100% of bicuspid valves will need to be replaced eventually. Currently it seems the valve is ok with no stenosis or regurgitation. The aortic root dilation is more significant. The surgical threshold for this starts at 5cm with most having surgery by 5.5cm. If you have not had a ct scan yet you should. If this is your first it should be repeated in 6 months.

Answered 9/28/2016

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