Bicuspid Aortic Valve Disease

Reviewed 06/2018
 


BASICS

DESCRIPTION

A bicuspid aortic valve (BAV) is an abnormal formation of the aortic valve that contains two valve leaflets instead of the usual three. This is caused by abnormal formation of the ao...

DIAGNOSIS

HISTORY

The majority of patients are asymptomatic. Some may present with symptoms associated with aortic stenosis. These symptoms may include light-headedness, syncope, chest pain, or exertio...

TREATMENT

GENERAL MEASURES

  • Patients found to have aortic diameters >4.5 cm associated with their BAV should be counseled to refrain from contact and high-intensity sports (5)[C].

  • Patients with BAV ar...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

AHA/ACC recommends that first-degree relatives be screened for BAV and aortopathy with an echocardiogram (3). 

Patient Monitoring

  • Patients are followed with serial ...

REFERENCES

Siu SC, Silversides CK. Bicuspid aortic valve disease. J Am Coll Cardiol.  2010;55(25):2789–2800.  [View Abstract]
Mordi I, Tzemos N. Bicuspid aortic valve disease: a comprehensive re...

SEE ALSO

Aortic Dissection; Aortic Valvular Stenosis 

CODES

ICD10

Q23.1 Congenital insufficiency of aortic valve 

ICD9

746.4 Congenital insufficiency of aortic valve 

SNOMED

72352009 bicuspid aortic valve (disorder) 

CLINICAL PEARLS

  • Patients with BAV do not need dental prophylaxis.

  • First-degree family members should receive screening for BAV via echocardiogram, CT angiography, or MRI.

  • Patients with BAV should not be...

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