Doctor insights on:
Trivial Aortic Valve Regurgitation
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?
No you shouldn't.:
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. ...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
AI: Aortic insufficiency likely is always abnormal, serial clinical monitoring in mild AI is all that's needed absent other clinical factors ...Read more
Too broad: If the valve is replaced in a timely fashion then life expectancy is good. If left untreated and is severe, life expectancy is severly limited. The ultimate measure of the pts long term mortality is the left ventricular ejection fraction. The more normal it is the better the mortality rates. ...Read more
Aortic valve: We have no specific steps other than good medical care. If hypertensive it needs treatment, anti atherosclerotic therapy is also appropriate. ...Read more
My echo showed a mild to no more than moderate regurgitation on my aortic valve. What other tests should be done and should I get a 2nd opinion?
What other: Tests or if you need a second opinion depend on what your symptoms are and what the docs are looking for. I can see you have had a previous MI and have stents and it sounds like your heart pumps normally but I don't know your question or current problem. I don't even know your meds. Sorry ...Read more
Usually acquired: Aortic regurgitation is usually an acquired disease. Some forms of congenital vascular disorders are associated with aortic valve problems such as Marfan's Syndrome and this can involve the aortic valve. This is rare. Marfan's is inherited in an autosomal dominant pattern. Even more rarely it can also occur as a spontaneous mutation in someone who has no family history. ...Read more
What are the underlying causes of aortic valve cusp prolapse? Is there always regurgitation with it?
Had ECHO, came back 'normal' noticed it listed 'trace' triscupid, mitral and aortic valve regurgitation. Is trace regurgitation normal?
Yes: The aortic valve (the valve that leads from the left ventricle to the rest of the body), if that valve leaks then the blood that was to go out to the body is coming back into the heart. A new batch of blood is entering in to the lv from the left atrium across the mitral valve, and this needs to go through the aortic valve to the rest of body. The lv has to work twice as hard and fails over time. ...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
Husband, 31, had meningitis in 2015. Now he has aortic regurgitation. No other problems. Do you think the meningitis attacked the aortic valve?
No: Totally unrelated issue. The spaces involved in the infection are widely different. Meningitis generally starts when the germ enters the blood through the nasal passages and travels into the blood supply of the brain & its coverings. The infection is occasionally found in the venous blood but is not known to attack the aortic valve. ...Read more
What are the implications of mildly scleroric trileaflet aortic valve, adequate opening, mild mitral and tricuspid regurgitation in 57 year old female?
Valve: With the sparse info provided can't predict future evolution. Could well be relatively benign. ...Read more
Husband (31) had bacterial meningitis in 2015. Now he has aortic valve regurgitation. No other problems. Maybe the bacteria attacked the aortic valve?
Possibly yes: Some types of bacterial meningitis (for example, pneumococcal) sometimes cause heart valve infection (endocarditis) at the same time. This could lead to aortic regurgitation. Others (e.g. meningococcal) are unlikely to do so. Probably he is under the care of a cardiologist; s/he should be able to answer this. Good luck! ...Read more
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
My heart ultrasounds says findings: Trace tricuspid regurgitation. It also says aortic valve is trileaflet. Is this normal?
I have a bicuspid aortic valve with a mild aortic regurgitation measuring 3.78 cms. Can I jog on a treadmill at an average speed of 7-8 km/hr.?
If you have: No symptoms of aortic insufficiency then yes you may certainly exercise but continue regular followups with your cardiologist. ...Read more
I made an echocardiographic, the conclusion is. Sclerotic aortic valve, ef ls32%, mild mitral regurgitation&dilated l.A. Am I in ddinger. Lam 47 y?
This is concerning:
Of the findings you reported, I am most concerned at this time about your ef of 32%. This needs to be further evaluated as to the cause. Low ejection fractions tend to cause symptoms of heart failure as well as markedly increase your risk of sudden death.
Aortic sclerosis, mild mitral regurgitation and dilated left atrium are findings that need to be monitored; they may progress in the future. ...Read more
Summary of my resent echogram; 1-Low normal left ventricular function. Ejection fraction is est.52% 2-Mild left atrial enlargement. 3-Mild to moderate aortic valve regurgition. 4-Moderate aortic valve stenosis. 5-Mild tricuspid valve regurgitation. 6-Mode
Need cardiologist!: There are a number of concerning findings on your echocardiogram. The left ventricular function (how strong your pump is) is just a little low; I'm not that concerned about that. The valves, especially aortic, are the biggest problem: to have both aortic regurgitation (back flow across the valve) and narrowing (stenosis) is very concerning. Follow up soon with your cardiologist. Good wishes:) ...Read more
Plz xplainEcho says EF 60% Mild mitral valve prolapse. Left Atrium mildly dilated. Mild mitral regurg. Cannot rule out bicuspid aortic valve considerTEE?
Had a cath?: The echo says there might be a structural abnormality of the aortic valve and a leak of the mitral valve with resultant dilation of left atrium. If you had the cardiac cath you list any time recently, more information should be available from that. A TEE is a transesophageal echo which gives us better pictures than a transthoracic echo. You should discuss this echo with your Doc ...Read more
Hi Sir, My Father in law's age is 73. Recent cardiac examination done on May 14, 2015 showed sclerotic aortic valve with trivial AR, grade 1 diastolic?
Bicuspid aortic valv: Yes it is one of the causes of aortic insufficiency ...Read more
Lethal: If you think you have an aortic dissection, you should be in the er since the mortality rate until diagnosis rises by the hour. ...Read more
Aortic valve disease: The two major aortic valve abnormalities are stenosis and insufficiency (regurgitation). Stenosis is like a door that doesn't open sufficiently and insufficiency is like a door that doesn't close sufficiently. When there is too much stenosis blood flow out of the heart is impeded. Too much insufficiency and the heart has to pump lots of extra blood to compensate. They can coexist. ...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
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