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What does a bicuspid pulmonary valve indicate?

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Posted on Wed, 21 Dec 2016
Question: I have a bicuspid pulmonary valve and a mildly dilated pulmonary artery. I know this is super rare, is it dangerous? My biggest fear is my artery dissecting.
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Answered by Dr. Meriton Siqeca (14 minutes later)
Brief Answer:
No problems acutely

Detailed Answer:
Hi and welcome to HCM. Thank you for your question. I understand your concern.

Yes, indeed, this is a rare finding. In most of cases, in your age, it is an incidental finding, mostly when someone undergoes a spontaneous echo cardiogram. However, it is known that this is not a problematic finding until is starts to exert changes in the pulmonary circulation, i.e. until the fifth or sixth decade of life. The mildly dilated pulmonic artery is merely a compensatory mechanism to the functional narrowing, provided by the pulmonic valve with two cusps. At this moment, my recommendation is that there is nothing to be worried about. Based on the updated indications, I would recommend you to conduct an echo cardiogram once in two years until the age of 50, and yearly afterwards.

I hope my answer is helpful. I am happy to help, if you have follow-up questions.

Best regards,
Dr. Meriton
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Meriton Siqeca (30 minutes later)
Thank you for your response! Is a dissection something that can occur due to the dialtion?
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Answered by Dr. Meriton Siqeca (59 minutes later)
Brief Answer:
No

Detailed Answer:
Hi again and welcome back

No, it is not a reported complication. It takes for the artery to lose all of its layer, in order that the artery could be in risk for dissection.

I hope this follow-up is helpful.

If you do not have any further questions, kindly close the discussion and rate the answer.

Best regards,
Dr. Meriton
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Dr. Meriton Siqeca

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Practicing since :2009

Answered : 773 Questions

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What does a bicuspid pulmonary valve indicate?

Brief Answer: No problems acutely Detailed Answer: Hi and welcome to HCM. Thank you for your question. I understand your concern. Yes, indeed, this is a rare finding. In most of cases, in your age, it is an incidental finding, mostly when someone undergoes a spontaneous echo cardiogram. However, it is known that this is not a problematic finding until is starts to exert changes in the pulmonary circulation, i.e. until the fifth or sixth decade of life. The mildly dilated pulmonic artery is merely a compensatory mechanism to the functional narrowing, provided by the pulmonic valve with two cusps. At this moment, my recommendation is that there is nothing to be worried about. Based on the updated indications, I would recommend you to conduct an echo cardiogram once in two years until the age of 50, and yearly afterwards. I hope my answer is helpful. I am happy to help, if you have follow-up questions. Best regards, Dr. Meriton