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Bicuspid Aortic Valve Disease

Mansi Katkar, MD and Joseph Francis Urbanik, Doctor of Osteopathic Medicine (DO) Reviewed 06/2022
 


BASICS

DESCRIPTION

  • The normal aortic valve is comprised of three cusps, surrounded by the annulus. Bicuspid aortic valve (BAV) disease is a congenital heart condition caused by abnormal fusion of two o...

DIAGNOSIS

HISTORY

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

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 a...

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

1
Siu  SC, Silversides  CK. Bicuspid aortic valve disease. J Am Coll Cardiol.  2010; 55(25): 2789– 2800.  [View Abstract] ...

SEE ALSO

Aortic Dissection; Aortic Valvular Stenosis 

CODES

ICD10

Q23.1 Congenital insufficiency of aortic valve 

SNOMED

72352009 bicuspid aortic valve (disorder) 

CLINICAL PEARLS

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

  • Patients with BAV should not be restricted from exercise unless they have known ...

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