Pediatric Heart Expert Forum
9yr old daughter with bicuspid aortic valve/ sinus arythmia
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Questions in this forum are answered by pediatric cardiologists, cardiothoracic surgeons and anesthesiologists from The Children's Hospital of Philadelphia. This forum is for questions and support about pediatric heart problems, symptoms and topics such as heart murmurs, palpitations, fainting, chest pain, congenital heart defects (including management and intervention), fetal cardiology, adult congenital cardiology, arrhythmias and pre-participation athletic screening.

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9yr old daughter with bicuspid aortic valve/ sinus arythmia

My daughter had a repair of a VSD at 11 wks. She's  followed up with her pediatric cardiologist yearly, then every two years and as of last year he wants to see her in 5 years. She is diagnosed with a bicuspid aortic valve and sinus arythmia. She has no restrictions as far as activity is concerned. However, she has started playing soccer recently and appears to tire tremendously. My husband seems to think it is normal cause she is really hustling out there... I am worried cause it seems to take her awhile to cool down. Is there anything I should be looking out for? Should I be concerned?        
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Sinus arrhythmia is a normal variation in heart rate associated with breathing during childhood.  It is not abnormal and causes no symptoms.  If your child has had a VSD repair and things look good to your cardiologist (no significant residual VSD, good heart function, no abnormally leaky valves) then there is no cardiac reason for your child to tire sooner than others.  Bicuspid aortic valves can be quite well functioning.  If there is significant blockage (stenosis) or leakage (insufficiency) then those could impact on exercise performance.  However, if your daughter's check ups with the cardiologist are down to every 5 years, then it sounds like these are not a concern.  You should review your concerns with your cardiologist just to be sure.
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Jeffrey R Boris, M.D.Blank
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