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Bicuspid Aortic Valve Follow-up

Long-term surveillance of the bicuspid aortic valve, the most common congenital heart anomaly.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

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 Follow-up?

Bicuspid aortic valve (BAV) is the most common congenital cardiac anomaly, seen in 1-2% of the population. Instead of the normal trileaflet structure, it consists of two leaflets.

It is associated with aortic stenosis, aortic regurgitation, and aortic root/ascending aortic dilation (aortopathy). Coexistence with Turner syndrome and aortic coarctation is common.

Symptoms

Most often asymptomatic (incidental murmur)
Exertional dyspnea (as stenosis progresses)
Chest pain
Syncope (in severe aortic stenosis)
Findings of aortic dissection (rare but serious)

Risk Factors

Family history of BAV or aortopathy
Ascending aortic diameter >45 mm
Coexistent aortic coarctation
Turner syndrome
Rapid aortic diameter growth (>3 mm/year)

When to See a Doctor?

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

  • Regular echocardiography follow-up at BAV diagnosis
  • When aortic diameter exceeds 45 mm
  • New-onset symptoms (dyspnea, syncope)
  • Pregnancy planning (aortic diameter assessment)

Treatment Methods

01
Annual to biennial echocardiography (valve and aortic surveillance)
02
CT or MR angiography (when aortic diameter >40 mm)
03
Surgery: aortic diameter ≥55 mm (or ≥50 mm if risk factors are present)
04
Valve surgery (when stenosis or regurgitation progresses)
05
Endocarditis prophylaxis (in cases when required)
06
Screening echocardiography of first-degree relatives

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.