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Doctor insights on: Medicine For Bicuspid Aortic Valve

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How serious is a bicuspid aortic valve?

How serious is a bicuspid aortic valve?

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

Dr. Warren Foster
1 Doctor shared a insight

Valve (Definition)

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


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How dangerous is bicuspid aortic valve disease?

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. ...Read more

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Can people with bicuspid aortic valve live long?

Can people with bicuspid aortic valve live long?

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. ...Read more

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

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

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

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Where do they cut when replacing a bicuspid aortic valve?

Where do they cut when replacing a bicuspid aortic valve?

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

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

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

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

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How fast do things get bad in children with a bicuspid aortic valve?

How fast do things get bad in children with a bicuspid aortic valve?

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

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Hello, I was diagnosed with bicuspid aortic valve - should I be worried?

Hello, I was diagnosed with bicuspid aortic valve - should I be worried?

Need f/u: There is a strong likelihood that you will need to have your aortic valve replaced with/without aortic root reconstruction sometime during your life. But it's not 100%. You will need annual follow up with a cardiologist. ...Read more

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Is exercise bad for a bicuspid aortic valve patient?

Is exercise bad for a bicuspid aortic valve patient?

Can be: At times, because a bicuspid aortic valve is associated with either aortic insufficiency, aortic stenosis, chest pain and shortness of breath. This patient should avoid strenuous exercise. Usually will lead to aortic valve replacement by the age of 45-60. ...Read more

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What is surgery like for bicuspid aortic valve disease?

Valve Replacement: 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

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Can you tell me about surgery for bicuspid aortic valve disease?

No surgery: 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

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What would happen if a person with a mild bicuspid aortic valve did cocaine?

What would happen if a person with a mild bicuspid aortic valve did cocaine?

Cocaine: More strain on heart and cardiovascular system in general. ...Read more

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My 3-year-old brother has a bicuspid aortic valve. Is this something serious?

Maybe: The bicuspid aortic valve means it has 2 leaflets instead of three. Tis may not ever cause a problem. It can be hereditary. A cardiologist usually follows up on the condition. Aortic regurgitation can occur. Surgery is only sometimes necessary. ...Read more

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Is it true that high intensity exercise bad for a bicuspid aortic valve patient?

Is it true that high intensity exercise bad for a bicuspid aortic valve patient?

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

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Can you tell me why I am restricted from donating plasma because of a bicuspid aortic valve?

Can you tell me why I am restricted from donating plasma because of a bicuspid aortic valve?

Wouldn't: Think this would be a contraindication as this is a congenital abnormality. ...Read more

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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?

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

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Ihss and bicuspid aortic valve?

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

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I have been diagnosed with a bicuspid aortic valve. What are the best treatments?

I have been diagnosed with a bicuspid aortic valve. What are the best treatments?

None if not stenotic: No treatments necessary if you have no problems
.Usually gets calcified later, in life in sixty"s need echo monitoring to asses and watch. Yje pic shows a tricuspid aortic valve.
Bi cuspid valve has only 2 cusps and had tendency ti become stenotic. ...Read more

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Is there a reason why I am restricted from donating plasma because of a bicuspid aortic valve?

Never heard of: This restriction unless your BP is low due to resultant aortic valve stenosis. ...Read more

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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?

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

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Is it possible for a bicuspid aortic valve to cause seizures?

Is it possible for a bicuspid aortic valve to cause seizures?

No!!: A bav puts a person at higher risk for needing heart valve surgery in middle age and older. But heart valve disease does not cause seizures. Seizures are a neurological disorder. ...Read more

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Bicuspid aortic valve, dilated aortic root, what to do?

Be established: Become established with a cardiologist - I follow many people with your condition.
When the time is right - usually at an older age, the valve can be replaced with or without the aortic root, depending on their condition at the time. ...Read more

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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

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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?

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

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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

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29yo male I have a bicuspid aortic valve with minor to mild concentric aortic regurgitation how concerned should I be for problem in the near future?

Minor: Need to be on a surveillance program coordinated with cardiologist to follow aortic insufficiency and aortic enlargement. Need to avoid hypertension and be careful about activities that cause rapid rise in blood pressure like heavy weightlifting or strenuous abrupt effort. Maintain good weight and activity ...Read more

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My son has being diagnosed with bicuspid aortic valve and mild stenosis. I've been told I have MVP have I given him that disease? Are they connected.

My son has being diagnosed with bicuspid aortic valve and mild stenosis. I've been told I have MVP have I given him that disease? Are they connected.

There is a genetic: Component to valvular heart disease but it is associated with variable penetrance. There is no specific connection between BAV and MVP. Whether you "gave" this to him or not is seemingly irrelevant. You also gave him life! For that I am sure you are both thankful! ...Read more

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With a bicuspid aortic valve is it normal to feel your heart have a spasam then feel like it stops for a couple seconds then start beating like normal?

With a bicuspid aortic valve is it normal to feel your heart have a spasam then feel like it stops for a couple seconds then start beating like normal?

BAVD is the most: Common congenital heart defect affecting adults. Aortic valve have 2leaflets instead of 3. With time the valve will become nonfunctional due to calcium deposits. Symptoms of chest pain, dizziness or fainting, shortness of breath, palpitations depending on type of damage (stenosis vs regurgitation). You may be having premature ventricular contractions. I will recommend cardiology eval asap. ...Read more

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My 4 year old has bicuspid aortic valve. I think he also has adhd. What are his options as far as medications go?

My 4 year old has bicuspid aortic valve. I think he also has adhd. What are his options as far as medications go?

Many: Uncomplicated bicuspid aortic valve--that is, without obstruction or leakiness--should not affect your child's medication options. Most cardiologists recommend a screening ECG after starting an adhd medication. Please see your child's cardiologist to discuss your specific options. ...Read more

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I have a bicuspid aortic valve with no complications or other cardiovascular issues. Could an aortic dissection occur spontaneously?

Unlikely...: But you are at risk for development of aortic stenosis as you age and should periodically see your doctor and be screened for systolic heart murmur. Echocardiogram should be ordered if murmur develops. Don't be alarmed now but simply see your doctor for regular exams. ...Read more

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I have bicuspid aortic valve with 46mm dilated root. My cardiologist said he wants to see me every 2yrs. I'm anxious that this is a long time! Is it?

I have bicuspid aortic valve with 46mm dilated root. My cardiologist said he wants to see me every 2yrs. I'm anxious that this is a long time! Is it?

You might ask for: Another opinion, as in your age, with these features, risks of dissection, or catastrophic aortic insufficiency could be sudden. Ask what indications would be for replacement, and how that might be done with your anatomic condition. Is open procedure only choice? ...Read more

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Bicuspid aortic valve & aortic stenosis. Baby sometimes gets a blue tongue, is there a way to treat this?

Bicuspid aortic valve & aortic stenosis. Baby sometimes gets a blue tongue, is there a way to treat this?

Yes: Bicuspid valve is a relatively common condition and most tolerate until adulthood and valve replacement.
Some are treated in children with valve dilation, open repair or rarely with replacement since so small.
If cyanosis is happening, need evaluation for endocardiac shunting (pfo, asd, vsd) etc. ...Read more

Dr. Tiffanie Noonan
3 Doctors shared insights

Aortic Valve (Definition)

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


Dr. Roberto Rodriguez
72 Doctors shared insights

Bicuspid Aortic Valve (Definition)

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