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Doctor insights on: Trivial Aortic Valve Regurgitation

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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?

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.: 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. ...Read more

Dr. Debra Rosenblatt
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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Aortic valve regurgitation diagnosed. What is prognosis?

Aortic valve regurgitation diagnosed. What is prognosis?

Depends on severity: Mild aortic valve insufficiency can be asymptomatic and watched for years. Severe aortic regurgitation may be a life threatening emergency. Careful follow up and heeding the recommendation of your physician are important. ...Read more

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ECHO showed 'trace' aortic valve regurgitation. Normal ECHO. Of any concern?

ECHO showed 'trace' aortic valve regurgitation. Normal ECHO. Of any concern?

AI: Aortic insufficiency likely is always abnormal, serial clinical monitoring in mild AI is all that's needed absent other clinical factors ...Read more

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How can one estimate the life expectancy for someone with aortic valve regurgitation?

How can one estimate the life expectancy for someone with aortic valve regurgitation?

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

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What is the typical life expectancy for someone who has an aortic valve regurgitation?

What is the typical life expectancy for someone who has an aortic valve regurgitation?

AI: Aortic regurgitation is well compensated for years, usually. Once congestive heart failure occurs due to aortic regurgitation, survival is usually less than 5 years. ...Read more

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What is the life expectancy for someone who has an aortic valve regurgitation if not replaced?

What is the life expectancy for someone who has an aortic valve regurgitation if not replaced?

Variable: Many patients live a full life with aortic insufficincy. However if the disease produces CHF or left heart dysfunction replcement is necessary. Pts with valve issues are at increased ridk for endocarditis. Hence antibiotics for dental work and other invasive procedures. ...Read more

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Is there an effective way to mitigate mild aortic valve sclerotic and aortic valve regurgitation?

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

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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

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Is having aortic valve regurgitation a dominant or recessive trait?

Is having aortic valve regurgitation a dominant or recessive trait?

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

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Is it true that aortic valve regurgitation is a dominant or recessive trait?

Is it true that aortic valve regurgitation is a dominant or recessive trait?

AI: I am not aware of ai being genetically linked and can't find anything on line to point to say bicuspid valve inheritance as dominant or recessive. ...Read more

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What are the underlying causes of aortic valve cusp prolapse? Is there always regurgitation with it?

What are the underlying causes of aortic valve cusp prolapse? Is there always regurgitation with it?

Aortic valve: Prolapse is much less common than mitral valve prolapse...Cause would be congenital malformation ; regurgitation would be expected. ...Read more

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Does heart depend on the condition of aortic valve in regurgitation?

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

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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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Husband, 31, had meningitis in 2015. Now he has aortic regurgitation. No other problems. Do you think the meningitis attacked the aortic valve?

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

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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

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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?

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 heart ultrasounds says findings: Trace tricuspid regurgitation. It also says aortic valve is trileaflet. Is this normal?

My heart ultrasounds says findings: Trace tricuspid regurgitation. It also says aortic valve is trileaflet. Is this normal?

Echocardiogram: Trileaflet is normal for the aortic valve. Trace regurgitation of the tricuspid valve is not significant. It appears that your echocardiogram is within normal limits. ...Read more

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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?

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

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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

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

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Plz xplainEcho says EF 60% Mild mitral valve prolapse. Left Atrium mildly dilated. Mild mitral regurg. Cannot rule out bicuspid aortic valve considerTEE?

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

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Can a trivial leak in the aortic valve get worse?

Usually not: "Trivial" leaks are often seen on echocardiography and are of little clinical significance. ...Read more

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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?

Changes: May be consistent with age. If hypertension, smoker or hyperchloesterolemic those should be managed. Otherwise have him see his Cardiologist or Internist ...Read more

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I have recently been diagnosed with mild aortic and bicuspid valve regurgitation. I'm still waiting for more testing. Can I go back to exercising?

Valvar regurgitation: In general mild valvar regurgitation would not preclude exercise training. You should ask the question of the physicians who know you and diagnosed the valve problem (s) to get their input. ...Read more

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Leaky heart valve regurgitation or aortic dissection, what to do?

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

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Aortic heart valve disease or regurgitation what's the difference?

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

Dr. M. Hytham Beck
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


Aorta (Definition)

The aorta is the largest artery in the body, leaving directly from the left ventricle of the heart to supply blood to the entire body. It is made of elastic tissue layers called "intima" and is subject to damage by high blood pressure, smoking, cholesterol, ...Read more