Dwudzielna zastawka aorty
Objawy

Dwudzielna zastawka aorty (BAV) to wrodzona wada serca, charakteryzująca się obecnością dwóch płatków zastawki aortalnej zamiast trzech, występująca u 1-2% populacji. Wada ta często pozostaje bezobjawowa przez wiele lat, a symptomy pojawiają się zwykle w wieku dorosłym, najczęściej między 30. a 40. rokiem życia. U niemowląt z ciężkim zwężeniem zastawki mogą wystąpić objawy takie jak trudności z karmieniem, słaby przyrost masy ciała, duszność i ból w klatce piersiowej. U dorosłych dominują zmęczenie, duszność wysiłkowa, ból w klatce piersiowej, omdlenia oraz objawy niewydolności serca. Proces degeneracji zastawki rozpoczyna się już w drugiej dekadzie życia, a zwapnienia pojawiają się zwykle od czwartej dekady, z przyrostem gradientu ciśnienia przez zastawkę o około 18 mm Hg na dekadę. Progresja stenozy aortalnej jest szybsza niż w przypadku zastawki trójpłatkowej i zależy od anatomii zastawki.

Objawy dwudzielnej zastawki aorty

Dwudzielna zastawka aorty (ang. Bicuspid Aortic Valve, BAV) to wrodzona wada serca, w której zastawka aortalna posiada dwa płatki zamiast trzech prawidłowych. Jest to jedna z najczęstszych wrodzonych wad serca, występująca u około 1-2% populacji ogólnej lub u 4,6 na 1000 żywych urodzeń.12 Chociaż wada jest obecna od urodzenia, większość pacjentów nie doświadcza objawów przez wiele lat, a pierwsze symptomy mogą pojawić się dopiero w wieku dorosłym.34

Objawy u niemowląt i dzieci

Większość dzieci z dwudzielną zastawką aorty nie wykazuje żadnych objawów, a wada może funkcjonować prawidłowo przez wiele lat.56 Jednak w przypadku znacznego zwężenia zastawki, u niemowląt mogą wystąpić ciężkie objawy, takie jak:

  • Trudności z karmieniem
  • Słaby przyrost masy ciała
  • Szybki oddech lub duszność
  • Zwiększona męczliwość
  • Ból w klatce piersiowej
  • Bladość skóry

57

U starszych dzieci z długotrwałym, znaczącym zwężeniem zastawki aorty lub niedomykalnością mogą wystąpić objawy podczas wysiłku, takie jak zmęczenie, a nawet omdlenia.68 W większości przypadków jednak dwudzielna zastawka aorty pozostaje niezdiagnozowana u dzieci, ponieważ nie powoduje objawów, a problem zostaje wykryty dopiero w wieku dorosłym.5

Objawy u dorosłych

Z czasem dwudzielna zastawka aorty może ulec degeneracji, co prowadzi do zwężenia (stenoza aortalna) lub niedomykalności (regurgitacja aortalna). Te zmiany zazwyczaj pojawiają się w średnim wieku, często wcześniej niż u osób z prawidłową, trójpłatkową zastawką.910 Osoby z BAV mogą rozwinąć objawy już w wieku 30-40 lat.9

Najczęstsze objawy dwudzielnej zastawki aorty u dorosłych to:

  • Zmęczenie – jest to najczęściej zgłaszany objaw11
  • Duszność – początkowo podczas wysiłku, później może występować nawet w spoczynku1213
  • Ból lub dyskomfort w klatce piersiowej, szczególnie podczas wysiłku fizycznego414
  • Zawroty głowy lub omdlenia, zwłaszcza podczas aktywności fizycznej15
  • Kołatanie serca lub nieregularne bicie serca16
  • Zmniejszona tolerancja wysiłku – trudności z wykonywaniem ćwiczeń, które wcześniej nie sprawiały problemów1718
  • Obrzęki kostek i stóp19

Wiele osób początkowo przypisuje te objawy procesowi starzenia się, jednak nie powinny być one ignorowane i wymagają konsultacji lekarskiej.20 Objawy zwykle pojawiają się, gdy wada zastawki staje się poważna i mogą wskazywać na postępującą dysfunkcję zastawki.21

Progresja dwudzielnej zastawki aorty

Naturalny przebieg choroby

Dwudzielna zastawka aorty jest zazwyczaj chorobą postępującą.15 Przebieg choroby może być różny u poszczególnych pacjentów, ale u większości zastawka funkcjonuje prawidłowo przez lata, zanim pojawią się problemy.3 Z badań wynika, że proces degeneracji zastawki rozpoczyna się już w drugiej dekadzie życia, a zwapnienia zastawki pojawiają się zazwyczaj od czwartej dekady.22

Gradient ciśnienia przez zastawkę aortalną wzrasta o około 18 mm Hg na dekadę, wraz z postępem zwłóknienia zastawki.22 Szybkość progresji stenazy aortalnej u pacjentów z dwudzielną zastawką aorty jest większa niż u osób z prawidłową zastawką trójpłatkową i zależy w pewnym stopniu od położenia i ekscentryczności płatków.22

Komplikacje związane z dwudzielną zastawką aorty

Około 1/3 pacjentów z dwudzielną zastawką aorty rozwinie komplikacje związane z tą wadą.1123 Do najczęstszych powikłań należą:

  • Stenoza aortalna – zwężenie zastawki aorty, które ogranicza przepływ krwi z serca do aorty, zmuszając serce do cięższej pracy9
  • Niedomykalność aortalna (regurgitacja) – niecałkowite zamykanie się zastawki, powodujące cofanie się krwi do lewej komory serca24
  • Poszerzenie aorty (aortopatia) – mogące prowadzić do tętniaka aorty3
  • Rozwarstwienie aorty – niebezpieczne dla życia rozdarcie ściany aorty25
  • Infekcyjne zapalenie wsierdzia – pacjenci z BAV są bardziej podatni na to powikłanie26
  • Koarktacja aorty – zwężenie aorty w jakimś miejscu na jej długości27

Progresja do niewydolności serca

Bez odpowiedniego leczenia, dwudzielna zastawka aorty może prowadzić do niewydolności serca.11 Serce musi pracować ciężej, aby przepompować krew przez zwężoną lub niedomykającą się zastawkę, co z czasem prowadzi do osłabienia mięśnia sercowego.28 Objawy niewydolności serca obejmują:

  • Nasilającą się duszność
  • Skrajne zmęczenie
  • Obrzęki kostek, stóp i brzucha
  • Ból w klatce piersiowej
  • Kaszel, czasami z krwią

1529

W zaawansowanych stadiach dochodzi do przerostu mięśnia sercowego i jego sztywnienia, co dalej pogarsza funkcję serca.15 U pacjentów z objawową stenozą aortalną, którzy nie przejdą wymiany zastawki, średnia oczekiwana długość życia wynosi od 2 do 5 lat, w zależności od dominujących objawów.30 Najdramatyczniejszy wzrost śmiertelności następuje po pojawieniu się objawów.30

Czynniki wpływające na progresję choroby

Istnieje kilka czynników, które mogą wpływać na tempo progresji choroby u pacjentów z dwudzielną zastawką aorty:

  • Wiek – z wiekiem zwiększa się ryzyko degeneracji zastawki22
  • Anatomia zastawki – pozycja i ekscentryczność płatków wpływa na szybkość progresji22
  • Czynniki genetyczne – BAV jest wysoce dziedziczna, około 9% krewnych pierwszego stopnia osoby z BAV również ma tę wadę25
  • Współistniejące wady serca – mogą przyspieszać progresję dysfunkcji zastawki31

Monitorowanie i obserwacja progresji choroby

Ze względu na postępujący charakter dwudzielnej zastawki aorty, regularne monitorowanie jest kluczowe dla pacjentów z tą wadą.332 Osoby z BAV powinny pozostawać pod stałą opieką specjalisty chorób zastawkowych serca, który może monitorować zmiany w sercu, zastawkach i aorcie w czasie.25

Zalecenia dotyczące monitorowania obejmują:

  • Regularne badania echokardiograficzne do oceny funkcji zastawki i ewentualnego poszerzenia aorty23
  • Badania obrazowe MRI do oceny aorty23
  • Kontrole co 6-12 miesięcy w przypadku umiarkowanej lub ciężkiej wady bez objawów33
  • Częstsze kontrole w przypadku wystąpienia objawów lub pogorszenia funkcji zastawki26

Pacjenci powinni być świadomi objawów, które mogą wskazywać na progresję choroby i wymagają natychmiastowej konsultacji lekarskiej:

  • Nasilająca się duszność
  • Ostry ból w klatce piersiowej lub plecach
  • Omdlenia lub utrata przytomności
  • Szybkie lub nieregularne bicie serca
  • Nagłe osłabienie lub zmęczenie

1634

Ścisłe monitorowanie pozwala na wczesne wykrycie postępujących zmian i zaplanowanie odpowiedniego leczenia, zanim dojdzie do rozwoju niewydolności serca lub innych zagrażających życiu powikłań.2635

Rokowanie i przewidywany przebieg

Rokowanie dla pacjentów z dwudzielną zastawką aorty zależy od obecności i nasilenia powikłań.5 Wiele osób z BAV prowadzi normalne, aktywne życie, szczególnie gdy wada jest wcześnie zdiagnozowana i odpowiednio leczona.36

Badania pokazują, że:

  • Tylko około 1 na 50 dzieci rozwinie znaczące powikłania do okresu dojrzewania37
  • Około 25-40% dorosłych będzie ostatecznie wymagało jakiejś formy interwencji medycznej lub chirurgicznej z powodu BAV do wieku 45-50 lat37
  • Oczekiwana długość życia u dorosłych pacjentów z chorobą BAV jest zazwyczaj podobna do populacji ogólnej przy odpowiednim nadzorze medycznym i opiece3723
  • Pacjenci z ciężką stenozą aortalną, którzy nie zostaną poddani leczeniu, mają znacznie skrócony czas przeżycia – około 2-3 lata po diagnozie38

Pacjenci powinni być świadomi, że choroba dwudzielnej zastawki aorty może postępować bezobjawowo przez wiele lat, a pierwsze objawy mogą być subtelne.39 Ważne jest śledzenie objawów i dokumentowanie wszelkich zmian w tolerancji wysiłku czy samopoczuciu, które mogą wskazywać na progresję choroby.39

Odpowiednie leczenie, które może obejmować wymianę zastawki aortalnej i/lub naprawę aorty, znacząco poprawia rokowanie.40 Postępy w technikach chirurgicznych i kardiologii interwencyjnej dają pacjentom z BAV coraz lepsze perspektywy.41

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Bicuspid Aortic Valve Syndrome | Signs & Symptoms | Marfan Foundation
    https://marfan.org/conditions/bicuspid-aortic-valve/
    Bicuspid aortic valve is one of the most common congenital heart defects, appearing in 4.6 of every 1,000 live births. […] A bicuspid valve with only two flaps may not be able to completely stop blood from leaking back into the heart. In addition, the valve may become stiff (aortic stenosis), making the heart pump harder and the aorta may also become enlarged. People with bicuspid aortic valve may have abnormal coronary arteries (blood vessels that branch off from the aorta near the heart), an aortic aneurysm, an abnormal thoracic aorta (the portion of the aorta that passes through the upper chest), and unstable high blood pressure. […] Bicuspid aortic valve can be diagnosed through medical testing, most often with an echocardiogram. Often it is not diagnosed in children because the bicuspid aortic valve can work properly for many years before any symptoms occur. It is possible that bicuspid aortic valve can be diagnosed in children with more severe cases.
  • #2 Bicuspid Aortic Valve Causes, Symptoms, Treatments
    https://www.upmc.com/services/heart-vascular/conditions/bicuspid-aortic-valve
    Bicuspid aortic valve disease is a heart condition you’re born with. It occurs in 1-2% of people. […] A bicuspid aortic valve has two flaps, called leaflets, instead of the normal three. This can lead to problems with blood flow from the heart to the aorta, the body’s main artery. […] A bicuspid aortic valve only has two flaps. Over time, these flaps, or leaflets wear out more quickly than normal leaflets. This can result in either aortic stenosis (a condition in which the valve becomes thickened and calcified and does not open normally), or aortic insufficiency (a condition in which the aortic valve does not fully close, allowing blood to leak backward). […] In some cases, people with a bicuspid aortic valve aren’t aware they have it. A doctor may find the problem when they listen to the heartbeat and hear a murmur, or an abnormal sound caused by problems with blood flow.
  • #3 Bicuspid Aortic Valve (BAV) | Frankel Cardiovascular Center | Michigan Medicine
    https://www.umcvc.org/conditions-treatments/bicuspid-aortic-valve-bav
    Bicuspid aortic valve (BAV) is a genetic condition that causes the aortic valve to have two leaflets instead of three. Its the most common type of congenital heart disease (heart defect thats present at birth) and often goes unnoticed until later in life. […] Though present from birth, most people with BAV are unaware of the condition and do not have any symptoms. […] A BAV may leak due to regurgitation or become narrow due to stenosis. Then symptoms such as chest pain and shortness of breath may occur. Regurgitation and stenosis require the heart to work harder to pump blood and can cause heart failure. […] Patients with BAV may also have an enlarged aorta. This can lead to aortic aneurysms or aortic dissections that can be life-threatening if they rupture. […] Treatment depends on your symptoms and progress of the disease. Your doctor may recommend monitoring and medications to reduce blood pressure or treat other heart conditions. […] Close follow-up care is important to protect your heart and prevent a life-threatening condition.
  • #4 Bicuspid aortic valve | Altru Health System
    https://www.altru.org/health-library/conditions/bicuspid-aortic-valve
    Bicuspid aortic valve is a heart condition present at birth. […] If the bicuspid valve causes severe aortic stenosis or severe aortic regurgitation, symptoms may include: Chest pain. Shortness of breath. Difficulty exercising. Fainting or near fainting. […] Most people with bicuspid aortic valve don’t have symptoms of heart valve disease until they’re adults. But some infants may have severe symptoms.
  • #5 Bicuspid aortic valve : MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/007325.htm
    A bicuspid aortic valve (BAV) is an aortic valve that only has two leaflets, instead of three. […] Most of the time, BAV is not diagnosed in infants or children because it causes no symptoms. However, the abnormal valve can leak or become narrow over time. Symptoms of such complications may include: Baby or child tires easily, Chest pain, Difficulty breathing, Rapid and irregular heartbeat (palpitations), Loss of consciousness (fainting), Pale skin (pallor). […] How well the person does depends on the presence and severity of complications of BAV. Most babies with this condition have no symptoms, and the problem is not diagnosed until they are adults. Some people never find out that they have this problem.
  • #6 Bicuspid Aortic Valve – Pediatric Cardiology Associates of Houston
    https://www.kidsheartshouston.com/answers/21831-bicuspid-aortic-valve
    The significance of a bicuspid aortic valve is based on its functional status. Bicuspid valves have a tendency to develop either narrowing (aortic stenosis) or leakiness (aortic regurgitation). […] A bicuspid aortic valve in and of itself does not cause any symptoms. Symptoms are based on the functional status of the valve, in other words, the degree of aortic valve stenosis or regurgitation. The majority of patients with aortic valve stenosis or regurgitation rarely have any noticeable symptoms during infancy or childhood. Infants with severe aortic valve stenosis may develop rapid breathing, sweating, or signs of impaired blood flow to the body. Occasionally older children with long standing, significant aortic valve stenosis or regurgitation may develop symptoms with exercise such as fatigue or even fainting (syncope).
  • #7 Aortic Stenosis in Children | Valley Children’s Healthcare
    https://www.valleychildrens.org/services/heart/conditions-we-treat/aortic-stenosis
    The symptoms of aortic stenosis vary depending on how old your child is. They also vary by how severe the blockage is. For example, a child with mild aortic stenosis may have few symptoms. Or they may not have any symptoms. Symptoms may not show up until adulthood. Or a baby may have trouble feeding and may not gain weight. With severe (critical) aortic stenosis, a baby is very ill. […] Severe aortic stenosis may cause: Fatigue or tiredness, Bluish discoloration around the lips or skin indicating low oxygen levels (cyanosis), Trouble feeding, Not enough weight gain, Dizziness or lightheadedness, especially with physical activity, Fainting (syncope), Shortness of breath or rapid breathing, Irregular heartbeats or feeling the heart beat (palpitations), Chest pain or pressure. […] Common symptoms are tiredness, trouble feeding and not enough weight gain, dizziness, shortness of breath, chest pain or discomfort, and a fast heartbeat. […] Aortic stenosis may be mild, moderate, or severe. It depends on how much of the blood is blocked. The condition may get worse over time.
  • #8 Bicuspid Aortic Valve – Pediatric Heart Specialists
    https://pediatricheartspecialists.com/heart-education/15-congenital-heart-defects/168-bicuspid-aortic-valve
    A bicuspid aortic valve in and of itself does not cause any symptoms. Symptoms are based on the functional status of the valve, in other words, the degree of aortic valve stenosis or regurgitation. […] The majority of patients with aortic valve stenosis or regurgitation rarely have any noticeable symptoms during infancy or childhood. Infants with severe aortic valve stenosis may develop a rapid respiratory rate or signs of impaired blood flow to the body. Occasionally older children with long standing, significant aortic valve stenosis or regurgitation may develop symptoms with exercise such as fatigue or even fainting. […] Most patients with bicuspid aortic valves gradually develop some degree of aortic stenosis or regurgitation over time. Usually this is a slow process that may even take decades to develop.
  • #9 Bicuspid Aortic Valve Causes, Symptoms, Treatments
    https://www.upmc.com/services/heart-vascular/conditions/bicuspid-aortic-valve
    In adulthood, bicuspid aortic valves can lead to aortic stenosis, aortic insufficiency, or a combination of both: […] Both aortic insufficiency and aortic stenosis cause the heart to work harder to push blood to the rest of the body. Both aortic stenosis and aortic insufficiency can strain and weaken the heart, leading to symptoms such as shortness of breath, chest pain, lightheadedness, and leg swelling. […] Bicuspid valves are known to deteriorate and develop disease sooner than normal, tri-leaflet aortic valves. People with a bicuspid valve may develop symptoms of aortic valve disease in their middle-age, as early as in their 30s and 40s. […] In most cases of bicuspid aortic valve disease, the valve works normally until middle age. Most people do not develop symptoms until the valve is significantly diseased, and some people never develop symptoms. When the bicuspid valve develops aortic insufficiency or aortic stenosis it can cause symptoms such as:
  • #10 Bicuspid aortic valve: Basics and beyond | Cleveland Clinic Journal of Medicine
    https://www.ccjm.org/content/85/10/779
    Bicuspid aortic valve may initially be asymptomatic, but it is associated with progressive valvular and aortic abnormalities that can lead to chronic heart failure and sudden death. Regular monitoring is required with an eye toward surgery when indicated. […] Although bicuspid aortic valve is typically asymptomatic at first, it is commonly associated with progressive valvulopathy and thoracic aortic disease. It can lead to chronic heart failure and increase the risk of acute aortic syndromes and sudden cardiac death. […] Aortic stenosis associated with a bicuspid aortic valve tends to affect younger patients and progress more rapidly than when associated with a tricuspid valve. […] The thoracic aorta is at increased risk of aneurysmal disease, coarctation, and dissection in patients with a bicuspid aortic valve.
  • #11 Bicuspid Aortic Valve
    https://my.clevelandclinic.org/health/diseases/16780-bicuspid-aortic-valve-disease
    A bicuspid aortic valve can cause serious complications like heart failure. […] You might not feel any symptoms until the disease has progressed a lot or you have a medical emergency. […] You may not have any bicuspid aortic valve symptoms. […] Bicuspid aortic valve symptoms in adults include: Fatigue (most common), Chest pain or discomfort, Dizziness or fainting, Heart palpitations, Shortness of breath, especially with activity. […] About 1 in 3 people with a bicuspid aortic valve develop complications. […] Without treatment, bicuspid aortic valve disease can lead to serious complications. […] Aortic valve stenosis forces your heart to work harder to push blood through your valve. […] Over time, this leads to heart failure. […] Bicuspid aortic valve disease can cause aortic stenosis and regurgitation. Over time, these problems can lead to permanent heart damage.
  • #12 ACHA Q&A: Bicuspid Aortic Valve (BAV) – ACHA
    https://www.achaheart.org/your-heart/educational-qas/types-of-heart-defects/bicuspid-aortic-valve-bav/
    Other signs and symptoms include: Heart murmur, Fainting, Shortness of breath, Chest pain or tightness with exercise, Endocarditis, Dizziness with exercise. […] Patients may first notice symptoms during exercise. Later on, they may become short of breath with little or no activity. Some people have trouble sleeping when flat or even wake up short of breath.
  • #13 Minimally Invasive Bicuspid Aortic Valve | Heart Surgery Information
    https://heartsurgeryinfo.com/bicuspid-aortic-valve-best-minimally-invasive-valve-surgery-options/
    The bicuspid aortic valve (BAV) is the most common congenital heart defect in humans. Keep in mind that this deformity may function adequately for years without causing any obvious symptoms. […] More commonly, patients will have a history of a heart murmur, and symptoms develop in their 40s and 50s as the valve ages and either narrows or start leaking. We occasionally see younger patients in their 20s with severe aortic valve insufficiency (backward leak). […] Here are the symptoms of a stenotic (narrow) valve: chest pain, shortness of breath, dizziness, fainting, leg swelling, feeling very tired even with minimal physical exercise. […] If the bicuspid valve does not close completely, blood can flow backward into the heart. This is known as regurgitation or aortic valve insufficiency. The heart is forced to work twice as much as a normal heart to compensate for the leaky valve. Over time, the heart becomes enlarged and loses muscle power.
  • #14 Bicuspid Aortic Valve: Symptoms & Treatment | Mass General Brigham
    https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/bicuspid-aortic-valve
    Bicuspid aortic valve may work well for years before it causes symptoms, so it’s uncommon to see bicuspid aortic valve symptoms in children. […] Instead, bicuspid aortic valve symptoms usually appear in middle age, once the condition has progressed, as the valve is predisposed to early failure. When you develop symptoms, you may experience: Chest pain or tightness, especially during physical exertion, Shortness of breath, Dizziness or lightheadedness, Irregular heartbeat or heart palpitations, Fatigue, Swelling in the feet and ankles. […] The symptoms of BAV heart disease are common to many conditions, especially heart conditions, so consult your doctor to determine the cause of your symptoms.
  • #15 Aortic valve stenosis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/aortic-stenosis/symptoms-causes/syc-20353139
    Aortic valve stenosis ranges from mild to severe. Symptoms generally happen when the valve is very narrowed. Some people with aortic valve stenosis may not have symptoms for many years. […] Symptoms of aortic valve stenosis may include: Chest pain or tightness with activity. Feeling faint or dizzy or fainting with activity. Shortness of breath, especially with activity. Fatigue, especially during times of increased activity. Rapid, fluttering heartbeat. […] Aortic valve stenosis may lead to heart failure. Heart failure symptoms include extreme tiredness, shortness of breath, and swollen ankles and feet. […] Aortic stenosis is in general a progressive disease. Progressive calcification of the valve results in progressive narrowing and a pressure overload phenomenon in the heart. This can cause thickening of the heart muscle and stiffening.
  • #16 Bicuspid aortic valve (BAV): Symptoms in children and adults
    https://www.medicalnewstoday.com/articles/bicuspid-aortic-valve-symptoms
    Bicuspid aortic valve (BAV) is a common congenital heart condition. It can cause a number of symptoms, such as chest pain, shortness of breath, heart palpitations, and more. […] In children, symptoms of BAV may not be immediately evident. If any do occur, it is crucial for caregivers to consult a pediatrician. Signs and symptoms of BAV in children include: heart murmurs, chest pain or discomfort, fatigue, shortness of breath. […] As people with BAV age, they may develop more noticeable symptoms. These can include: heart palpitations, dizziness or fainting, shortness of breath, chest pain or discomfort. […] It is essential for people with BAV to seek medical attention if they experience any of the following symptoms: severe chest pain or pressure, shortness of breath, fainting or loss of consciousness, rapid or irregular heartbeat, sudden weakness or fatigue.
  • #17 Reddit – The heart of the internet
    https://www.reddit.com/r/valvereplacement/comments/1h0hh4x/bicuspid_aortic_valve_and_running/
    Hey there. 38f diagnosed with BAV at 30. I thought my entire life I had asthma, but turned out is was the BAV causing shortness of breath during certain activities. […] But Im starting to wonder if Im making it worse my having my heart work so hard?
  • #18 Minimally Invasive Bicuspid Aortic Valve | Heart Surgery Information
    https://heartsurgeryinfo.com/bicuspid-aortic-valve-best-minimally-invasive-valve-surgery-options/
    The main symptoms of aortic valve regurgitation or insufficiency are: shortness of breath during exertion, like walking upstairs; patients are always tired, with low energy levels; patients notice change in their physical exercise, they can no longer keep up with peers, such as bike rides and long walks. […] As the disease progresses, these symptoms can occur even at rest. When a physician listens to the person’s heart, characteristic murmurs can be heard.
  • #19 Bicuspid Aortic Valve Symptoms | Northwestern Medicine
    https://www.nm.org/conditions-and-care-areas/heart-and-vascular/conditions-and-treatments/bicuspid-aortic-valve/symptoms
    Bicuspid aortic valve (BAV) disease does not usually cause symptoms. However, many people will develop complications from their BAV and may need surgery in their lifetimeeither to repair or replace the aortic valve, the thoracic aorta or both. An early indicator of BAV is a heart murmur, which is an abnormal sound caused by the turbulent flow of blood over a diseased heart valve. […] Symptoms of BAV, caused by an aortic valve that leaks or does not open completely, include: Trouble breathing, Chest pain or pressure, Fatigue, Heart racing, Light-headedness, Fainting. […] Less than five percent of people with BAV will develop complications from the disease. However, complications associated with BAV can be serious and life-threatening, which is why diagnosis and ongoing care by a cardiologist is important.
  • #20
    https://www.beaumont.org/conditions/aortic-stenosis
    When aortic stenosis becomes severe and symptoms develop, it is life-threatening. Common symptoms may include: breathlessness with activity, chest discomfort, fainting, weakness or dizziness with activity, inability to perform activities that were once easy. […] Some patients who develop these warning symptoms may mistakenly believe they are due to old age. While most people become less active with aging, these symptoms should never be considered normal and should be investigated by a qualified physician.
  • #21 Clinical manifestations and diagnosis of aortic stenosis in adults – UpToDate
    https://www.uptodate.com/contents/clinical-manifestations-and-diagnosis-of-aortic-stenosis-in-adults
    Symptoms — The most common presenting symptoms in patients with severe AS are: […] Dyspnea on exertion or decreased exercise tolerance […] Exertional dizziness (presyncope) or syncope.
  • #22 Rapidity of progression of aortic stenosis in patients with congenital bicuspid aortic valves – PubMed
    https://pubmed.ncbi.nlm.nih.gov/8427176/
    The rapidity of progression of aortic stenosis in patients with congenital bicuspid aortic valves, and its relation to aging and valve anatomy are not well known. […] Aortic valve sclerosis began from the second decade, the sclerotic index progressing with age (r = 0.72; p 0.0001). Aortic valve calcium was noted from the fourth decade. Aortic valve pressure gradient increased approximately 18 mm Hg each decade, concomitant with progression of valve sclerosis (r = 0.78; p 0.0001). […] In patients with congenital bicuspid aortic valves, the progression of aortic stenosis is rapid, and the rapidity depends to some extent on the position and eccentricity of the cusps.
  • #23 Bicuspid aortic valve – Wikipedia
    https://en.wikipedia.org/wiki/Bicuspid_aortic_valve
    Most patients with bicuspid aortic valve whose valve becomes dysfunctional will need careful follow-up and potentially valve replacement at some point in life. Regular EchoCG and MRI may be performed. If the valve is normally functioning or minimally dysfunctional, average lifespan is similar to that of those without the anomaly. […] BAV leads to significant complications in over one-third of affected individuals. Notable complications of BAV include narrowing of the aortic valve opening, backward blood flow at the aortic valve, dilation of the ascending aorta, and infection of the heart valve.
  • #24
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ug5699
    A bicuspid aortic valve makes certain heart problems, like aortic valve stenosis and aortic valve regurgitation, more likely. […] In aortic valve stenosis, the valve has narrowed. Your heart has to work harder to pump blood throughout your body. Symptoms may include chest pain, dizziness, fainting, or shortness of breath. […] In aortic valve regurgitation, the valve does not close properly. Some of the blood leaks back (regurgitates) through the valve into the heart. Your heart has to work harder to pump blood throughout your body. Symptoms may include chest pain, weakness and tiredness, shortness of breath, or an uneven heartbeat. […] Although you have a bicuspid heart valve, your heart can work normally. But you have a higher chance that you might get stenosis or regurgitation as you get older. You’ll see your doctor regularly to check your heart and aorta. […] Call your doctor or nurse advice line now or seek immediate medical care if: You develop new symptoms such as shortness of breath, chest pain, or chest pressure, especially when you’re active.
  • #25 Bicuspid Aortic Valve Syndrome | Signs & Symptoms | Marfan Foundation
    https://marfan.org/conditions/bicuspid-aortic-valve/
    Complications of bicuspid aortic valve include aortic aneurysm (bulge) and dissection (tear), which can be life-threatening, making it important for the condition to be diagnosed early and accurately. People who have been diagnosed with bicuspid aortic valve should be under the ongoing care of a heart valve disease specialist who can monitor changes in the heart, valves, and aorta over time. These changes may require surgery to replace the bicuspid valve and aortic aneurysm. […] Bicuspid aortic valve is highly heritable, and may be entirely determined by genetics. In large family studies, approximately 9 percent of first degree relatives of the person with a bicuspid aortic valve are found to also have a bicuspid aortic valve. This suggests an autosomal dominant inheritance (only need to get the altered gene from one parent) with a variable expression (range of features). However, the gene(s) that may cause this condition is currently unknown.
  • #26 Bicuspid aortic valve: Basics and beyond | Cleveland Clinic Journal of Medicine
    https://www.ccjm.org/content/85/10/779
    Patients with bicuspid aortic valve are highly prone to infective endocarditis for reasons that remain poorly understood. […] Because complications may be life-threatening, early detection of progressive disease by regular screening is critical. […] After isolated aortic valve repair or replacement, patients should continue with surveillance at least annually to monitor for progressive aortopathy, as they remain at increased risk of dissection or rupture after isolated valve surgery, especially if they had aortic insufficiency preoperatively.
  • #27 Bicuspid Aortic Valve Symptoms | Northwestern Medicine
    https://www.nm.org/conditions-and-care-areas/heart-and-vascular/conditions-and-treatments/bicuspid-aortic-valve/symptoms
    Complications of BAV may include: Aortic regurgitation/insufficiency: The aortic valve does not close completely, causing the valve to leak, Aortic stenosis: The aortic valve does not open wide enough, causing restricted blood flow, Infective endocarditis: Infection of the lining of the heart chambers and the heart valves, Aortic aneurysm: Ballooning of the wall of the aorta, Aortic dissection: Bleeding into and along the wall of the aorta, Coarctation of the aorta: Narrowing of the aorta at some point along its length.
  • #28 Bicuspid Aortic Valve – Symptoms, Diagnosis, Treatment & Surgery
    https://www.heart-valve-surgery.com/bicuspid-aortic-valve-symptoms.php
    Ultimately, your heart is required to „work overtime” to push blood through the smaller, diseased bicuspid aortic valve. Initially, the cardiac muscle can adjust to the stress caused by this valve disorder. Over time, however, this ongoing strain can lead to permanent complications including: An enlarged heart, Abnormal heart rhythms like atrial fibrillation, Congestive heart failure.
  • #29 Bicuspid Aortic Valve
    http://livinghealthy.hawaiipacifichealth.org/Search/134,599
    Some babies with very narrow aortic valves might have symptoms early on. Most of these valves work well for many years, though. There might not be any symptoms. Or symptoms may not appear until adulthood. Many times, people may not even realize they have a bicuspid aortic valve until they have it diagnosed as adults. Most commonly, people start to have symptoms some time in middle age. […] Over time, the valve can become harder to open. Or it can become leakier. Symptoms can gradually develop. They may include: Shortness of breath with exercise, Chest pain, Lightheadedness or fainting, Unable to exercise or loss of stamina, Tiredness (fatigue). […] An untreated bicuspid aortic valve can eventually lead to symptoms of heart failure. These include shortness of breath, fatigue, chest pain, fainting, and swelling.
  • #30 Aortic Stenosis Topic Review
    https://www.healio.com/cardiology/learn-the-heart/cardiology-review/topic-reviews/aortic-stenosis/symptoms
    The most common cause of aortic stenosis in a person under age 70 years is a congenital bicuspid aortic valve. Approximately 2% of the population is born with a bicuspid aortic valve, and about half of these individuals develop at least mild aortic stenosis by the age of 50 years. […] The classic symptoms of aortic stenosis occur with exertion: dyspnea, syncope and angina. Valvular aortic stenosis takes many years to develop and is initially asymptomatic (latent period). Dyspnea is the initial symptom in about 50% of the cases; syncope and angina account for 35% and 15% of initial symptoms, respectively. […] The clinical significance of symptoms with aortic stenosis must not be underemphasized; a dramatic increase in mortality accompanies the onset of symptoms. In one large series, in the absence of aortic valve replacement, patients who presented with dyspnea had a mean life expectancy of 2 years, those with syncope about 3 years and those with angina lived an average of 5 years.
  • #31 ACHA Q&A: Bicuspid Aortic Valve (BAV) – ACHA
    https://www.achaheart.org/your-heart/educational-qas/types-of-heart-defects/bicuspid-aortic-valve-bav/
    BAV often occurs alone. In some people, it is associated with other more complex heart defects. These include coarctation of the aorta (CoA), ventricular septal defect (VSD), subaortic stenosis, Shones syndrome, and hypoplastic left heart syndrome. […] First, the BAV may not close completely and thus become leaky (regurgitation). The BAV may not open completely, and thus become narrow (stenosis). […] These problems can occur either earlier or later in life. When symptoms occur between birth and 30 years of age, the aortic valve is likely inherently abnormal. If they show up between 50 and 60 years of age, the valve probably has become calcific. While calcific aortic valve disease is common in older adults, a person with BAV can develop it earlier. These issues can make the left ventricle (the primary pumping chamber) become larger and/or get thicker because it has to do more work.
  • #32 Heart Valve Disease: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17639-what-you-need-to-know-heart-valve-disease
    Many people with heart valve disease dont have symptoms. But when the condition worsens over time, your heart beats harder to make up for the reduced blood flow. […] Heart valve disease symptoms may include: Fatigue (This may be your first symptom.) Increasing shortness of breath, especially with physical activity Palpitations (skipped beats or a flip-flop feeling in your chest) Edema (swelling of your ankles, feet or abdomen) Weakness or dizziness Quick weight gain Chest pain, especially when you exert yourself. […] If you have heart valve disease, youll have it for your whole life. But your experience of heart valve disease depends on the valve affected and the severity of the problem. […] Some people may have valve disease and never experience any symptoms. Others may have many symptoms and need a valve repair or replacement. Even if your healthcare provider repairs or replaces your valve, youll still need to take medicine and possibly have another replacement in 10 or 15 years. […] Its important to follow up regularly with a healthcare provider to monitor the progression of your valve disease over time.
  • #33 Heart valve disease – BHF
    https://www.bhf.org.uk/informationsupport/conditions/heart-valve-disease
    The most common congenital valve problem is bicuspid aortic valve. This is when your aortic valve has only two flaps of skin (called leaflets) that help control blood flow, instead of the usual three. […] Some people with heart valve disease have no symptoms. Other people may have one or more symptoms. […] Common symptoms of heart valve disease are: feeling breathless, chest pain, feeling weak or dizzy, discomfort in your chest, swollen ankles and feet, being more tired than usual, a fluttering or pounding feeling in your chest or neck (known as palpitations). […] Symptoms can be mild, moderate or severe. […] If your valve disease is moderate or severe with no symptoms, you should have a check-up and echocardiogram every 6 to 12 months. […] If you start having new or worsening symptoms, make an appointment with your doctor. This could mean your valve disease is getting worse.
  • #34 Bicuspid Aortic Valve (BAV) | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/bicuspid-aortic-valve
    Symptoms that can be caused by having a bicuspid aortic valve include: […] Although bicuspid aortic valves are present at birth, it may not be diagnosed until adulthood because the abnormal valve can function for many years without symptoms. […] If symptoms increase, the valve function worsens or the first part of the aorta (aortic root) grows larger, surgery may be necessary to repair the problem. […] Early identification and treatment of long-term complications are essential in keeping you healthy. This can be achieved by: […] Be aware of cardiac symptoms: Seek medical attention for chest or back pain, racing or skipping heart beats, shortness of breath, or persistent unexplained fevers.
  • #35 Bicuspid Aortic Valve | Heart and Vascular
    https://health.ucdavis.edu/conditions/bicuspid-aortic-valve
    Symptoms of BAV can be mild or severe. […] You may have some of the common symptoms of BAV, including: Chest pain, A fast, fluttering heart rhythm, A murmur or abnormal heart sound, Difficulty breathing or feeling short of breath, Feeling light-headed, dizzy or fainting, Trouble walking, even for short distances, Swelling in your feet or ankles, Trouble sleeping, especially when lying flat, Less than normal energy in performing your normal activities. […] You should call 911 immediately if you experience symptoms like: Chest pain or pressure, Sharp, sudden pain in your chest or upper back, Shortness of breath, Trouble breathing or swallowing. […] Regular evaluations help catch when BAV is causing risky or even life-threatening complications, such as: Aortic aneurysms, Endocarditis (infection of hearts inner lining), Enlarged aorta, Heart failure, Weakening of your artery walls.
  • #36 Bicuspid Aortic Valve Causes, Symptoms, Treatments
    https://www.upmc.com/services/heart-vascular/conditions/bicuspid-aortic-valve
    Chest pain. […] Dizziness or fainting. […] Fatigue. […] Shortness of breath when you exercise, even mildly. […] If you have a family history of bicuspid aortic valve, you should talk to your doctor. You should also talk to your doctor if you begin experiencing bicuspid aortic valve symptoms. […] Many people with bicuspid aortic valves lead normal, active lives. When diagnosed early, routine check-ups and early treatment can prevent serious complications.
  • #37 Bicuspid Aortic Valve | Lurie Children’s
    https://www.luriechildrens.org/en/specialties-conditions/bicuspid-aortic-valve/
    A person with BAV may have a normally functioning heart and may not experience any symptoms. However, many people develop complications from having a BAV, and some may need surgery to repair the aortic valve, the aorta or both. […] Most children do not experience symptoms from their BAV. However, when they do, it is usually a result of significant problems with the valve. Symptoms may include: Chest pain, Shortness of breath, Fainting, Racing heart beat. […] Only 1 in 50 children will develop significant complications by adolescence; whereas 25-40 percent of adults will eventually need some form of medical or surgical intervention for BAV by age 45-50. However, life expectancy in adult patients with BAV disease is typically similar to the general population with appropriate medical surveillance and care.
  • #38 Bicuspid Aortic Valve: Diagnosis, Treatment, and Outlook
    https://www.healthline.com/health/heart-disease/bicuspid-aortic-valve
    If the valve can open and close properly initially, there may be no symptoms for a long time. Sometimes, symptoms don’t develop until adulthood. But if a baby is born with a very narrow aortic valve, serious symptoms may appear soon after birth. […] These symptoms can include: chest pain, lightheadedness, inability to exercise, shortness of breath with exertion, fatigue. […] A bicuspid aortic valve causes the heart to have to pump harder to make sure enough blood reaches the entire body. This can cause complications. […] A 2019 review of studies suggests that most people with a bicuspid aortic valve will develop a related complication. […] Some people with a bicuspid valve never experience symptoms or develop problems that lead to heart failure or other complications. Aortic stenosis is the most serious threat in people with a bicuspid aortic valve. […] A 2020 study suggests that the life expectancy of someone with severe aortic stenosis is only about 2 or 3 years after diagnosis if the condition is left untreated.
  • #39 Recognizing the Symptoms of Worsening Heart Valve Disease | American Heart Association
    https://www.heart.org/en/health-topics/heart-valve-problems-and-disease/heart-valve-disease-risks-signs-and-symptoms/recognizing-the-symptoms-of-worsening-heart-valve-disease
    Montica was born with a bicuspid aortic valve, which means the valve may not fully open because it has two flaps instead of three. […] Monica knows she has a bicuspid valve and wonders if that’s why she’s losing her stride despite her efforts to stay fit. […] It’s important to track your symptoms and remind yourself to review them every six months or at least annually. Because most valvular heart problems progress slowly, with good notes you’ll probably be able to see evidence of your condition if it begins to worsen.
  • #40 Bicuspid Aortic Valve – Children’s Health Issues – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/children-s-health-issues/birth-defects-of-the-heart/bicuspid-aortic-valve
    A bicuspid aortic valve may function normally and not cause problems in infants, older children, and adolescents, but it may cause problems in adulthood. The specific symptoms depend on the complications that develop. People with infective endocarditis may develop fever. If aortic stenosis or aortic regurgitation develops, the person may tire easily, and have shortness of breath, fainting, awareness of heartbeats (palpitations), and chest pain. […] The aortic valve may need to be repaired or replaced if aortic regurgitation or stenosis occurs. Aortic stenosis can also sometimes be treated with balloon dilation during a cardiac catheterization procedure. Progressive enlargement of the aorta in some people may require surgery to replace a portion of the aorta.
  • #41 Bicuspid Aortic Valve | VCU Healthic_closeGroup
    https://www.vcuhealth.org/news/bicuspid-aortic-valve/
    Learn more about bicuspid aortic valve, the most common congenital heart defect. A bicuspid aortic valve can eventually narrow, stiffen or even leak. Most people with bicuspid aortic valve have no signs or symptoms of valve dysfunction until later in life. However, severe symptoms can occur in infants or children if there is significant abnormal valve function such as valve stenosis (narrowing/stiffening) or regurgitation (leakage). The symptoms of a bicuspid aortic valve include chest pain, shortness of breath, dizziness, passing out, and difficulty exercising. […] Functioning of your aortic valve will need to be monitored for progression of valve stenosis (tightness) and/or valve leakage. Your heart chamber size, wall thickness, and pumping function will also need to be monitored, as well as any progressive enlargement of your aorta, which frequently occurs in people with BAV. […] A bicuspid aortic valve typically functions well throughout childhood and early adulthood, and most people born with a bicuspid aortic valve can live a healthy normal life with a normal life expectancy with proper treatment and follow up.