Bicuspid Aortic Valve

Posted by Tina on June 18, 1999 at 15:20:31
I am a 31 year old female with a Bicuspid Aortic Valve and previous coartation repair as a child.  I, of course, have aortic stenosis at that site.  I was told as a child that I would probably have to have a valve replacement in my thirties.  I have been experiencing some mild chest pain, lightheadedness (with mild exercise) and slight nausea with this.  All of these symptoms are off & on.  I was never told what the symptoms would be if this bicuspid valve and aortic stenosis should become a problem. Could you tell me if I should be concerned or not, and what the symptoms I may experience might be.

Posted by CCF CARDIO MD - CRC on June 18, 1999 at 16:15:30

Dear  Tina,
Your symptoms may or may not be due to your heart and I would suggest having your doctor evaluate you.  Here is some general information about bicuspid aortic valve.
The aortic valve is the valve that separates the left ventricle from the aorta.  It is made of 3 leaflets or flaps that look like an peace symbol when the valve is closed.  A bicuspid aortic valve means that there are 2 leaflets instead of the usual 3.  A unicuspid valve means there is only one leaflet.   Bicuspid aortic valve is the most common congenital anomaly of the heart.  These valves are functional at birth and remain so throughout a normal life span.  There is a increased predisposition to progress to stenosis (narrowing) as an older adult (60-70