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A bicuspid aortic valve may cause the heart's aortic valve to narrow (aortic stenosis). [6] This narrowing prevents the valve from opening fully, which reduces or blocks blood flow from the heart to the body. In some cases, the aortic valve does not close tightly, causing blood to leak backward into the left ventricle. [10]
More than 50% of patients with aortic valve stenosis have a congenital heart abnormality called a bicuspid aortic valve. The aortic valve is normally three leaflets but when it is bicuspid it is made of two. [6] This increases the risk for aortic stenosis due to increased stress on the leaflets, calcium deposition, turbulent blood flow, and ...
Aortic valve repair or aortic valve reconstruction describes the reconstruction of both form and function of the native and dysfunctioning aortic valve. Most frequently it is applied for the treatment of aortic regurgitation. It can also become necessary for the treatment of an aortic aneurysm, less frequently for congenital aortic stenosis. [53]
Bicuspid aortic valve which had to be operated on for severe regurgitation. Two of the cusps (upper side right and left) are grown together (fused) since birth. The lack of closure is seen in the central part of the valve, it is caused by stretching of the fused cusp. In bicuspid aortic valve anatomy, there is congenital fusion of two cusps.
Aortic regurgitation, on the other hand, has many causes: degeneration of the cusps, endocarditis, bicuspid aortic valve, aortic root dilatation, trauma, connective tissue disorders such as Marfan syndrome or Ehlers-Danlos lead to imperfect closure of the valve during diastole, hence the blood is returning from the aorta towards the left ...
Guidelines and indications are specific to different patient populations. For adults with aortic stenosis, guidelines suggest that balloon aortic valvuloplasty (BAV) is to be used as a temporary procedure to improve blood flow through the aortic valve to alleviate symptoms and stabilize clinically before having more invasive procedures done, including aortic valve replacement (AVR) or ...
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