Aa
A
A
Close
Avatar universal
should my aortic root be operated on at time of AVR.
Hi,I'm a 57 yr old male with a bicuspid aortic valve that now needs replacing because of both stenosis and incompetance.My surgery is scheduled for 26/2/09.My aortic root and ascending aorta is mildly dilated at 4cm.There is no other family history of BAV or aorta problems.I have read a lot about the condition BAV and the association with aneurism and dissection.I am not keen to run the risk of further aortic problems when there may be an opportunity now to fix it at the time of my AVR.My surgeon doesn't believe it needs operating at 4cm only observing.I am otherwise fit apart from a non st elevation ACS 3 months ago from which I've recovered well.I'd appreciate another opinion.
Cancel
2 Answers
Page 1 of 1
367994 tn?1304957193
Usually the assessment is whether or not the surgeon is able to save the AV when there is a dilated aorta greater than 5.0 cm and when there should be surgery for bicuspid valve syndrome.  The pattern for aorta root size is estimated to be 0.05 from 6 months to a year.  A 4.0 aorta root is considered an aneurysm, generally.

Does the surgeon comment if the aorta valve is replaced that will prevent the root from increasing in size?  
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Comment
Post Comment
Avatar universal
Thanks for the comments.I will have an informed discussion with my surgeon in the next few weeks.I've read all I can regarding bicuspid aortic valve disease and its associated problems.It seems there are many different opinions regarding aortic surgery at the time of AVR in this condition.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Comment
Post Comment
Your Answer
Avatar universal
Answer
Do you know how to answer? Tap here to leave your answer...
Answer
Answer
Post Answer
A
A
Top Heart Disease Answerers
159619 tn?1318997813
Blank
Salt Lake City, UT
11548417 tn?1440481484
Blank
Netherlands
144586 tn?1284669764
Blank
Avatar universal
Blank
Avatar universal
Blank
Ireland
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Heart Disease Community Resources