BAV

[Lily508]

The following is my recent echo report. I do not feel any symtoms. Do I need a surgery now ?

Thanks so much for your help !
Lily

Echocardiography Report

Conclusion:
1. Fair quality images were obtainable for interpretation.
2. Bicuspid aortic valve with moderate restriction in opening of valve.
3. Trace aortic insuffiency seen
4. Normal left ventricular systolic function
5. Mitral and tricuspid valve appeal unremarkable
6. No obvious coarcartion noted on evaluation via suprasternal notch view.
7. Mild concentric left ventricular hypertrophy

Anatomy and function

Left Ventricle: concentric LVH  Ejection Fraction :63%
E: 11m cm/s  A: 66cm/s  DT:215 msec E/E” 13.0
Normal Diastolic Function
Estimated Peak Systolic PA Presssure=41mmHg

Right Ventricle: normal size
Left Atrium: normal
Atrial Septum: normal
Pericardial Effusion : none
Aortic Root: normal
Anatomy: Bicuspid
Regurgitation: trace
Stenosis: moderate

AV Velocity: 4.1m/s
LVOT Velocity: 1.3m/s
Gradient(Peak): 67 mmHg
Gradient(Mean): 36 mmHg
AV Area: 1.0cm2
AV index(VTI1/VTI2): 29

Pulmonic Value
Anatomy: normal
PV Velocity:95
Regurgitation trace

Mitral Valve
Anatomy: normal
Regurgitation: trace

Tricuspid Valve
Anatomy: normal
Regurgitation  traival
Gradient 31 mmhg Peak

Peak Velocity: 2.8


Test Findings This Study Normal Range
LV end diastolic dimension 4.0 cm 3.5-5.7
LV end systolic dimension 2.3 cm 2.0-5.7
Septal wall thickness 1.4 cm <1.2
Posterior wall thickness 1.4 cm <1.2
Aortic root diameter 2.6 cm 2.0-3.7
Left atrial diameter 3.3 cm 1.9-4.0
Right ventricular dimension 2.6 cm
Left Ventricular Ejection Fraction 63%

[Lily508]

Thanks so much for your answering. That lighted me up any way. At least I can have some time before the surgery. thanks.

[stenosis_31]

chances are you don't need surgery yet, in Canada asymptomatic persons with valve area as yours tend to be monitored every year until valve are of .7 and .9 in the US.  Also, they will look at your gradient and you symptoms.  I am not a professional so, this is just repeating what my cardiac surgeon told me.