Doctor insights on:
Bicuspid Aortic Valve Life Expectancy
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. ...Read more
A valve is a structure that regulates the direction of flow. The heart is a special kind of pump. It moves blood by squeezing and relaxing. There are 4 chambers and each chamber has a valve. This keeps blood from moving backwards when the heart squeezes. When a chamber squeezes it lets the blood move forward but when the chamber is relaxed it prevents the blood from ...Read more
Bicuspid valve: The aortic valve normally has three cusps, or leaflets. Some people are born with only two cusps of this valve, and this abnormality does increase the chance that the valve will deteriorate and require replacement. Also associated with the bicuspid aortic valve is a tendency for the first segment of the aorta to enlarge into an aneurysm. A cardiologist should monitor these conditions. ...Read more
Aortic valve: Normal aortic valve has three leaflets. Bicuspid aortic valve developmental abnormality that has two leaflets instead of three. Looks like fish mouth. Prone to disease over time does create murmur frequently. Calcium deposits on valve can cause aortic stenosis limited excursion restricts flow. Can be higher risk for infection. ...Read more
If you have a bicuspid aortic valve (normally there are 3 leaflets, but in this case 2 are fused together from birth) the valve often develops either leakiness/ regurgitation or stiffness / stenosis.
The treatment is open heart surgery with valve replacement. This could be either a tissue valve or a mechanical valve.
Check with your doctor for advice. ...Read more
Bicuspid aorta is not indication for surgery.
However, with age, bicuspid aorta may progress to aortic stenosis (when valve opening is severely limited). Surgery for aortic stenosis is performed only when the aortic valve area is severely or critically reduced (and not before). Progression from bicuspid aorta to aortic stenosis may take years or decades (even sometimes never) to take place. ...Read more
Cocaine: More strain on heart and cardiovascular system in general. ...Read more
Exercise: There is no evidence that high intensity exercise is problematic for a person with a bicuspid aortic valve that is functioning normally. ...Read more
Wouldn't: Think this would be a contraindication as this is a congenital abnormality. ...Read more
My 3 month old has been told they may have a unicuspid or bicuspid aortic valve but cardio isn't sure yet. If it is none of them what can it be?
MGT: More details describing symptoms and the quality of the murmur would be helpful in answering your question. If there is any respiratory difficulty, sweating, feeding difficulty and/or poor growth, please see the ED right away. A virtual in box consultation can be booked online and his ECHO uploaded for review. ...Read more
I have bicuspid aortic valve with mild stenosis I'm 39 I've been told I need to have a op how long do u think I will need the valve replament size 4.1?
None: I am not aware of any official abbreviation for bicuspid aortic valve. ...Read more
Many: The standard approach is a full sternotomy. There are 2 minimally invasive approaches; a mini upper sternotomy and a mini right anterior thoracotomy. If you are having an isolated aortic valve procedure, you should find a surgeon with minimally invasive experience. The transcatheter approach is only used for high risk and inoperable patients and it is contraindicated for bicuspid valves. ...Read more
Later in life: Bicuspid aortic valve typically causes problems around 50 years of age even though the problem is present at birth. The rule of thumb is that one third of patients develop aortic stenosis, one third of patients develop aortic regurgitation, and one third of patients remain asymptomatic. ...Read more
HCM: Not sure what you're asking. Hypertrophic obstructive cardiomyopathy in series with a bicuspid aortic valve has a potential for real trouble if the bicuspid becomes stenotic. If the bicuspid valve isn't stenotic, then the physiology is dictated by the ihss primarily. ...Read more
I have a severe bicuspid aortic valve regurgitation I am 22 years of age I have symptoms how will I know if im about to die?
Surgery: The most important factor is that u r symptomatic. Severe ai in this setting requires surgical intervention. Don't wait, waiting can cause left ventricular dysfunction which can be irreversible. Seek an experienced surgeon, some bicuspid valves can be repaired with a good long term result. Minimally invasive approach is also possible. ...Read more
I've been told my bicuspid aortic valve functions well and closes tightly yet they also said I have a small leak, does this contradict each other.?
Lol yes and no: Please clarify with your cardiologist. He/ she will explain you the best. ...Read more
I am 74 old, 73 in. Tall, 4.8cm ascending aortic aneurysm, with bicuspid aortic valve, when should it be repaired?
Valve is problem: Aneurysm is small and secondary to turbulant blood flow across the abnormal valve. Bicuspid valves generally begin to calcify in the 5th and 6th decades of life leading to Aortic Valve stenosis. You should have a cardiologist and get annual echocardiograms and when the gradient across the valve is > 40mmHG and you have symptoms the valve should be replaced. Tx of aneurysm unnecessary at that size. ...Read more
My 5 year son has bicuspid aortic valve and no problems as of now. We parents had a check, don't have this. If we go for next child, can this happen?
Low risk: The genetics of heart formation are spread over several different chromosomes so replication of any given defect are rare. If you or your spouse had any form of congenital heart defect, the cited risk for any of your kids would be ~4 % for any defect. If you both did it would rise to ~10% for any form of defect. If neither have any defect, the issue arose at random but risk is > than those without. ...Read more
Is it possible to tell by echo if a bicuspid aortic valve has been acquired or is congenital and if you have leakage was. It present from the start?
Some information: It is more likely to be congenital since it is the one of the most common congenital forms of cardiac disorders. It is three times more likely to occur in males. The ECHO is useful in the diagnosis. Genetic mutations in the NOTCH1 gene have been associated with the congenital form of bicuspid aortic valve. ...Read more
The aortic valve is one of 4 valves in the heart, each of which separates 2 cardiac chambers. It opens when blood is actively ejected from the left ventricle into the aorta artery, to be carried to the rest of the body. It then closes firmly to prevent blood from flowing backwards, while it passively continues to flow forward to body's vital organs. When next heartbeat ...Read more
Normal aortic valve has three leaflets. Bicuspid aortic valve developmental abnormality that has two leaflets instead of three. Looks like fish mouth. Prone to disease over time does create murmur frequently. Calcium deposits on valve can cause aortic stenosis limited excursion restricts flow. Can be ...Read more
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