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Overview

Bicuspid Aortic Valve: Treatment, Cost and Side Effects

What is the Bicuspid Aortic Valve?

Bicuspid aortic valve is a condition present right from the birth wherein the valve between the lower left ventricle and the aorta has only two cusps whereas a normal heart has three. Presence of cusps prevents proper flow of blood from the ventricle to the aorta because of narrowed down valves called aortic valve stenosis. The normal functioning of a valve would mean that once the blood has flown through it, it closes until the next unit of blood is ready to flow through it. But in case of a bicuspid aortic valve the cusps do not close properly thereby allowing some blood to leak back into the left ventricle. This condition is known as aortic valve regurgitation. The complications due to a bicuspid aortic valve are apparent when the affected individual is an adult or even sometimes in old age. Very few individuals show symptoms and require treatment during their childhood. An individual with BAV may show symptoms of easy fatigue, very less stamina and poor performance in cardio-intensive activities. In many cases the condition may not even show any signs or symptoms. Doctors may diagnose the condition by hearing your heart beats. If murmurs are audible, then the individual is suspected of having BAV. Thereafter an echocardiogram will prove whether the condition is truly due to BAV or not. On obtaining a positive result treatments would be required to either fix the problems. Treatments mainly include surgical methods like aortic valve replacement, balloon valvuloplasty, aortic valve repair, aortic root and ascending aorta surgery. Medication is not required for this condition and surgical treatment is opted only when progressive complications are observed.

How is the Bicuspid Aortic Valve treatment done?

Surgical treatment for bicuspid aortic valve is done only when progressive complications are ensued like valve stenosis, valve insufficiency, possible bacterial endocarditis or progressive aortic root dilation. Antibiotic prophylaxis is recommended only when endocarditis occurs on the bicuspid valves. Treatment will be required when the person with congenital heart disease is diagnosed with valve problems like aortic valve stenosis, enlarged aorta or aortic valve regurgitation. Thereafter, depending upon the condition of the patient the following surgical treatments may be done to improve the condition. Aortic valve replacement is the procedure wherein the damaged valve is replaced either with a valve made of human, pig or cow’s heart tissue or with a mechanical one. Sometimes even the patient’s own pulmonary valve tissue is used to replace the bicuspid aortic valve. Another treatment method is balloon valvuloplasty wherein a catheter with a balloon on its tip is inserted into an artery in the groin area. The catheter is pushed to the aortic valve and then the balloon is inflated. This opens up the valve if it got narrowed down due to aortic stenosis. Aortic root and ascending aorta surgery is done to remove the enlarged section of the aorta near the heart. After the removal a synthetic tube or graft is fixed on its place and if required the valve is also repaired.

Who is eligible for the treatment? (When is the treatment done?)

An individual with a congenital heart disease, if experiences signs like fatigue or difficulty in cardio-oriented activities, then he/she will be recommended to consult doctor for diagnosis. Only if after diagnosis heart murmur is heard an echocardiogram will be prescribed. If after the test progressive complications are observed, only then the person will be eligible for the treatment. Generally, adults or sometimes older adults are eligible for the treatment.

Who is not eligible for the treatment?

Individuals with congenital heart disease other than BAV are not eligible for treatment. Also, if no symptoms are observed even if the condition is present, the person will not be eligible for treatment.

Are there any side effects?

Side effects of surgical treatment with biological valve can be eventual degeneration of the valve which may again need to be replaced. Individuals with mechanical valve will be required to regularly take blood-thinning medications so that blood clots are prevented. Balloon valvuloplasty may be beneficial in children and infants but in adults, the valves may again narrow down. Also, in some people the chance of aortic regurgitation increases after the treatment.

What are the post-treatment guidelines?

After the surgical treatment is done, the patient will be required to follow-up appointments with the doctor or the surgeon in order to monitor changes. Some lifestyle changes must be done like quitting smoking, reduce alcohol consumption etc. Doctors recommend not to stand at one place for more than 15 minutes at a stretch, not to lift heavy weights and not to push or pull heavy objects. Regular walking must be done; smaller meals must be taken at regular intervals and if the appetite is not proper, it must be reported to your doctor.

How long does it take to recover?

It takes about 6 to 8 weeks to recover completely from the surgical treatment for bicuspid aortic valve.

What is the price of the treatment in India?

Price of BAV treatment may range from Rs. 70,000 to Rs. 8.5 lakh.

Are the results of the treatment permanent?

In some surgical treatments where mechanical valves are placed, may need to be prescribed with blood thinning medication and if it is done with biological tissue replacement, that valve may need to be rep;aced again aftyer a few years.

What are the alternatives to the treatment?

If a person has this congenital heart disease, he/she can also consider home remedies for treating heart conditions like garlic that reduces chest pain, vitamin C which acts as antioxidant to maintain a healthy heart, broccoli, sweet potato, spinach, fresh fruits and vegetables and grape juice are all beneficial for a healthy heart. There are herbal options also available for heart diseases in the market which you can opt for. Apart from medications, regular exercise and yoga can always help in having a healthy heart.

Safety: Medium Effectiveness: Low Timeliness: Medium Relative risk: Medium Side Effects: Medium Time for Recovery: Medium Price Range:

Rs. 70,000 to Rs. 8,50,000

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Popular Questions & Answers

I have bicuspid aortic valve mild AR mildAs with mild lv diastolic dysfunction. I am taking embeta xr 75 mg in a day for arrythemia. Please give me suggestions.

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What kind of arrhythmia you have. Please send it ECG so as to understand type of arrhythmia and possible remedy for same. Bicuspid aortic valve has it own complications you might be aware of, for which you require regular follow up at least once a...
1 person found this helpful

Hi My son is 5 months old, We had echo test and he have Bicuspid Aortic Valve with normal biventricular function. Is there any chances or possibilities that it will resolve automatically?

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Cardiologist, Delhi
Bicupsid aortic valves means, that your son was born with two leaflets in the aortic valve instead of the normal 3 leaflets. It cannot resolve, it is just that he will have these 2 leaflets instead of 3. Biscuspid aortic valve is prone to damages ...
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My son is 1 month old. He has bicuspid aortic valve, Mild AS with normal biventricular function. Actually what is the reason for the cause of this? My mom said If one fail to take prescribed medicines during pregnancy. Is that the reason? For BAV.

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No this is not the reason. It is a very common congenital disease that is found in children. So don't blame yourself for it.
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congenital Bicuspid Aortic Valve Mild AS Normal Biventricular function This is the impression of my son's echo test report He is 1 Month old. Pls explain what is this? Is this a serious issue or completely curable?

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Dear lybrate user, - In this congenital disorder the aortic valve has two cusps instead of the normal four from birth - the progress in life depends on if some problem develops due to the valve & the child becomes symptomatic, there may not be any...
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Table of Content

What is the Bicuspid Aortic Valve?
How is the Bicuspid Aortic Valve treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
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Non-Surgical Aortic Valve Replacement
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How Can Homeopathy Treat Heart Diseases?
There are valves in the each of the four chambers of the heart. These valves make sure that blood flows in one direction only. The blood flows from the atria into the ventricles through the mitral and the tricuspid valves. The pulmonic and the aor...
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Echocardiography
Echocardiography is a test that uses sound waves to produce live images of your heart. The image is an echocardiogram. This test allows your doctor to monitor how your heart and its valves are functioning.
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Coronary Artery Disease
Your heart is the most important and vital organ of all and regulates the flow of heart to all parts of the body. Thus, the valves and the arteries which take the blood to your heart are also an important component in ensuring that the circulation...
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Heart-Related Problems
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