Pediatric Heart Expert Forum
BAV, Dilatation of The ascending Aorta, Regurgitation/Stenosis
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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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BAV, Dilatation of The ascending Aorta, Regurgitation/Stenosis
My son is 10 years old and was born with a BAV with regurgitation and Stenosis, and in the last few years he was told he has mild dilatation of the ascening Aorta  He has been doing really well with no significant progression in the last year.  We were wondering if he would be OK to go on roller coasters?  It always says if you have any heart or blood pressure issues to not go on those rides.  IS that a concern with his particular medical condition?  He only has the restriction of no isometric exercises or contact sports.
Thanks for your time
Shelly
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773637 tn?1327450515
Dear Shel,

A roller coaster, while fun, may not be the best thing in which he participates.  Roller coasters cause an isometric response of straining, which acutely increases the blood pressure.  We don't know if brief episodes like this can worsen the aortic insufficiency and/or the aortic dilation.  However, we do know that it is isometric, and is certainly avoidable.  We know that the valve and the tissue in the aorta are abnormal, and are susceptible to abnormal responses to higher blood pressures.  This isn't the typical cardiac concern to which the signs at these parks are referring, but it's still probably applicable.  
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