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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Degree Of Dilation In Patients With Bicuspid Aortic Valve?

cardiology question: bicuspid aortic valve in children\ my son is 20 mnths old. he was diagosd with Bicuspid aortic valve when he was born due to the heart murmur 2/6 sem. no diastolic murmur. we see the cardiolgist 1/year. last report says left ventricle, mitral valve, and tricuspi valve is normal. we saw him last week and he said nothing changing, when i asked him if the valves are fused toghter he said yes since birth but not all the fused valve causes problem, and he doesnt think that he will face any problem before his 40 s and might not have problems at that time based on his experiecne. when i asked him if the aortic root is dilated he said they are a little bit dilated comparing with someone who doesnt have bicuspid aortic valve. does all patient with BAV have some degree of diation.
Tue, 2 Jan 2018
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Pediatrician, Pulmonology 's  Response
Hi.... I understand your concern. Coming directly to the query which you have pointed out - not all the patients with bicuspid aortic valve will have aortic root dilation. But at the same time, even if there is dilatation, this is not very pathological.

As of now you can be rest assured as your child is not symptomatic and will require one yearly follow up with echocardiogram only.
Your doctor has been absolutely right.


Regards - Dr. Sumanth Amperayani MBBS., DCH., DNB (Paediatrics).,
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What Is The Degree Of Dilation In Patients With Bicuspid Aortic Valve?

Hi.... I understand your concern. Coming directly to the query which you have pointed out - not all the patients with bicuspid aortic valve will have aortic root dilation. But at the same time, even if there is dilatation, this is not very pathological. As of now you can be rest assured as your child is not symptomatic and will require one yearly follow up with echocardiogram only. Your doctor has been absolutely right. Regards - Dr. Sumanth Amperayani MBBS., DCH., DNB (Paediatrics).,