Q And A: What’s a bicuspid aortic valve?

DEAR MAYO CLINIC: I assign in thoughts myself to be in appropriate health. I work out quite quite a bit of situations per week, however lately I started experiencing episodes of shortness of breath after going up and down the steps in my home. After running on the treadmill about a weeks prior to now, I purchased dizzy and fainted. I went to my doctor who suggested me that I surely like a bicuspid aortic valve. Are you able to portion more about what right here is and if it can likely well moreover be mounted? Additionally, I surely like early life. Are they at chance for this condition?

ANSWER: It can probably likely well moreover be a shock to gather a prognosis that you would possibly perchance likely well likely moreover like a heart condition. The correct news is that you would possibly perchance likely well likely moreover merely composed be ready to are residing a wholesome and energetic standard of living with the excellent-looking care.

As a reminder, the heart has four major valves. The two valves on the left aspect of the heart are the aortic valve and the mitral valve, and the two valves on the excellent-looking aspect are the pulmonary valve and the tricuspid valve. The aortic valve is the significant “door” out of the heart. Blood flows by means of the aortic valve to exit the heart, and offers oxygen and nutrients to the leisure of the body.

The fashioned aortic valve has three leaflets, also identified as cusps. Some folks would possibly perchance likely well moreover be born with one, two or even four cusps of their aortic valve. The commonest of these abnormalities is an aortic valve with two cusps—thus, a bicuspid aortic valve.

A bicuspid aortic valve is a fashioned cardiovascular condition, affecting about 1% of the general inhabitants. Bicuspid aortic valves are more fashioned in males, however even like an impact on ladies folk. A bicuspid aortic valve is a congenital condition, which implies that of us are born with two rather then the fashioned three cusps on their aortic valve. Though bicuspid aortic valves can happen sporadically with none inheritance sample, the condition also can flee in households. Many individuals can are residing with a bicuspid aortic valve for his or her total lifestyles, however there are these that would possibly perchance moreover have to like their valve surgically replaced or repaired.

When folks are born with a bicuspid aortic valve, the bicuspid valve veritably functions neatly for the length of childhood and early maturity. When folks reach heart age, bicuspid aortic valves can initiate to degenerate. Degeneration is fashioned for aortic valves as folks age, however happens at a youthful age in bicuspid aortic valves when when in contrast with fashioned aortic valves.

Degeneration happens in two kinds: narrowing, also identified as stenosis; or leaking, also identified as regurgitation. Of us develop no longer feel any symptoms of bicuspid aortic valves unless the narrowing or leaking turns into severe sufficient to like an impact on heart characteristic. At that time, folks with bicuspid aortic valves would possibly perchance likely well moreover merely stumble on shortness of breath, divulge exercising, lightheadedness or chest disaster. This sounds savor what came about on your field.

If heart characteristic turns into significantly impaired, folks can comprise heart failure—the symptoms of which consist of fluid retention, weight map, swelling in the legs, sizable respiration divulge and, potentially, even syncope, which implies passing out.

Health care suppliers continuously diagnose bicuspid aortic valves with an ultrasound of the heart known as an echocardiogram. CT scan and MRI also can detect bicuspid aortic valves. Bicuspid aortic valves continuously create attribute sounds when health care suppliers pay consideration to hearts.

Besides early valve degeneration, folks with bicuspid aortic valves lift a chance for expansion, or aneurysm enhance, of the ascending aorta, which is the significant blood vessel that carries blood out of the heart. Of us with bicuspid aortic valves now and again can like narrowing, or coarctation, of the aorta. Echocardiogram, CT scan and MRI can detect aneurysms and coarctations of the aorta. Your health care supplier would possibly perchance likely well moreover merely have to video display you with scans at quite quite a bit of intervals.

Bicuspid aortic valves are more inclined to an infection than fashioned aortic valves. An infection of a heart valve is called infective endocarditis. It will like devastating penalties. Infective endocarditis can happen from micro organism which would possibly perchance likely well be a fashioned fragment of the human mouth. Of us with bicuspid aortic valves besides to dental abscesses or other mouth infections lift a greater chance of infective endocarditis. It’s critically significant that of us with bicuspid aortic valves endure usual dental cleanings and withhold very excellent oral hygiene.

Of us with bicuspid aortic valves have to like examinations from their health care supplier and assessments to video display the valve and aorta continuously. Echocardiograms are the most typical assessments to video display folks with bicuspid aortic valves, however CT scans and MRIs also can succor that motive. The frequency of monitoring relies on the stage of valve stenosis or regurgitation, ascending aorta expansion, and a individual’s family history. Tests would possibly perchance likely well be mandatory as continuously as every six months to as now and again as every 5 years. Because bicuspid aortic valves can flee in households, all first-stage relatives (i.e. early life, siblings and of us) of individuals with bicuspid aortic valves have to like an echocardiogram to take a look at for a bicuspid aortic valve and an ascending aortic aneurysm.

There are no drugs to address a bicuspid aortic valve. The most easy remedy is surgical scheme to restore or change the aortic valve if the stenosis or regurgitation turns into atrocious sufficient, or if the ascending aorta turns into too substantial.

No longer all sufferers with bicuspid aortic valves will want heart surgical scheme. Stories indicate that as much as 75% of individuals with bicuspid aortic valves will require intervention throughout their lives. If folks with bicuspid aortic valves like usual monitoring and instructed remedy, their lifespans are akin to the general inhabitants.

Of us identified with a bicuspid aortic valve would possibly perchance likely well moreover merely composed realize that they’d likely well require usual monitoring and would possibly perchance likely well merely at final require valve substitute or restore. They are going to moreover merely composed otherwise are residing an brisk, wholesome and fashioned standard of living.

?Dr. Michael Cullen, Cardiovascular Remedy, Mayo Clinic, Rochester, Minnesota

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