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It’s Topic Tuesday!



🫀 Topic Tuesday: Bicuspid Aortic Valve (BAV)

Heart Valve Awareness Month


At Aortic Hope, we talk often about awareness — because awareness truly saves lives.



Did you know that 1–2% of the population is born with a bicuspid aortic valve (BAV)?¹

Instead of three leaflets, the aortic valve has two. It’s the most common congenital heart defect — and many people don’t discover it until adulthood.


For some in our community, it was found because of a murmur.

For others, it was discovered after imaging for something completely unrelated.

And for some, it was identified only after a serious aortic event.


💡 Why BAV Awareness Matters


BAV is not just about the valve itself. Over time, it may lead to:


• Aortic stenosis (narrowing)

• Aortic regurgitation (leakage)

• Enlargement of the ascending aorta

• Thoracic aortic aneurysm or dissection²


Research shows that BAV is associated with changes in the aortic wall, which is why monitoring the aorta is just as important as monitoring the valve.³


👨‍👩‍👧‍👦 It Can Run in Families


BAV often has a genetic component. Current guidelines recommend screening first-degree relatives with echocardiography.⁴


If you have BAV, your parents, siblings, and children should consider talking to their physician about screening.


⚠️ Symptoms May Include:


• Shortness of breath

• Chest discomfort

• Fatigue

• Dizziness or fainting

• A heart murmur


Some individuals feel completely fine for years. That’s why regular follow-up and imaging are so important.


❤️ There Is Hope


With proper surveillance, medical management, and when necessary, surgical or transcatheter intervention, long-term outcomes are very good.⁵


At Aortic Hope, we believe:

Knowledge empowers.

Community strengthens.

Early detection protects.


This Heart Valve Awareness Month:

✔ Know your valve

✔ Know your numbers

✔ Know your family history

✔ Encourage screening

✔ Share this post


Because someone you love may not know they have BAV yet.




📚 References


  1. Ward C. Clinical significance of the bicuspid aortic valve. Heart. 2000;83(1):81–85.

  2. Michelena HI, et al. Natural history of asymptomatic patients with bicuspid aortic valve. JAMA. 2008;300(11):1317–1325.

  3. Verma S, Siu SC. Aortic dilatation in patients with bicuspid aortic valve. N Engl J Med. 2014;370:1920–1929.

  4. Otto CM, et al. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease. Circulation. 2021;143:e72–e227.

  5. ACC/AHA 2020 Guideline Executive Summary. J Am Coll Cardiol. 2021;77(4):450–500.


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