Your aortic valve is located at the junction of the left ventricle of your heart and your aorta, the largest blood vessel in your body. When your left ventricle contracts, your aortic valve opens, and blood is forced from your heart into your aorta and out to the rest of your body. When your left ventricle relaxes, your aortic valve closes, preventing blood from flowing backwards into your heart.
Most people have a tricuspid aortic valve composed of three leaflets, also called cusps or flaps, which allow it to open and close. Yet about 2% of the population have a bicuspid aortic valve, made up of only two leaflets. A bicuspid aortic valve may have difficulties fully opening and closing. A condition known as aortic stenosis can develop if the valve opening becomes narrowed.
A bicuspid aortic valve may not cause any symptoms early on. Occasionally, hearing a murmur during a doctor’s exam or discovering an infant or child is having difficulties feeding or gaining weight may prompt an early diagnosis.
More frequently, symptoms tend to appear years down the line or even into adulthood. Calcium deposits can build up on the abnormal leaflets of your aortic valve over time, making them stiffer and harder to open. Your heart has to work harder to pump blood through the narrow opening to get out to the rest of your body, and symptoms of aortic stenosis may appear. These include:
A bicuspid aortic valve is a congenital heart condition, meaning it’s something you’re born with. Research suggests bicuspid aortic valve disease may be related to a connective tissue disorder that can cause other problems with the circulatory system.
To prevent complications, all patients with bicuspid aortic valves should be regularly monitored. Mild symptoms of aortic stenosis may be treated with lifestyle modifications and medications. If aortic stenosis becomes severe, your doctor may recommend surgery to treat the diseased valve and avoid further strain on your heart. These procedures include:
What are the potential complications of bicuspid aortic stenosis?
If your bicuspid aortic valve is unable to tightly close, blood can leak back into the left ventricle. This is called aortic valve regurgitation and can put further strain on your heart. Having a bicuspid aortic valve is also associated with having an enlarged aorta or developing an aortic aneurysm. If an aneurysm tears or bursts, it can be life-threatening.
The bottom line? Bicuspid aortic stenosis is a serious condition, but it can be managed. Stay on top of your health by working closely with your doctor to monitor for changes along the way. It’s a life-long commitment, but it’s worth it.