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Bicuspid Aortic Valve

The most common congenital valve anomaly, in which the aortic valve has two cusps rather than three.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Bicuspid Aortic Valve?

Bicuspid aortic valve (BAV) is the most common congenital heart anomaly, in which the aortic valve has two cusps instead of three. It is found in about 1–2% of the population and often shows familial clustering.

With age, calcification and fibrosis lead to early-onset aortic stenosis. BAV also increases the risk of aortic regurgitation, infective endocarditis and aortic root dilation or aneurysm.

Diagnosis is made by echocardiography. Aortic diameter is monitored with CT or MR angiography when aortopathy is present. Depending on the severity of valve and aortic involvement, management ranges from medical surveillance to surgical valve replacement or root repair.

Symptoms

Asymptomatic for a long time in most patients
Exertional dyspnea
Chest pain
Syncope in severe stenosis
Palpitations
Aortic murmur
Signs of heart failure

Risk Factors

Family history of BAV
Turner syndrome
Male sex
Hypertension
Dyslipidemia
Smoking
History of valve surgery

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When a new murmur is detected
  • Exertional dyspnea and chest pain
  • Syncopal episodes
  • Family history of BAV and aortic dissection
  • Aortic root dilation on echocardiography

Treatment Methods

01
Regular echocardiographic follow-up
02
Blood pressure control (beta-blocker, ARB)
03
Attention to endocarditis prophylaxis
04
Surgical valve replacement for symptomatic severe stenosis or regurgitation
05
Surgical repair for aortic root dilation
06
TAVR in appropriate candidates

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.