Dear sir Following is summary of my ECHO bicuspid aortic valve Mild dilated aortic root and ascending aorta Good lvef 60 Mild aortic regurgitation Doppler finding: Grade 1 diastolic dysfunction. This report was done when I was feeling irregular heartbeat after watching ghost video. Please suggest will I require surgery in future or can I go for another echo report to verify this.
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Bicuspid aortic valve (BAV) is an inherited form of heart disease in which two of the leaflets of the aortic valve fuse during development in the womb resulting in a two-leaflet valve (bicuspid valve) instead of the normal three-leaflet valve (tricuspid). BAV is the most common cause of heart disease present at birth and affects approximately 1.3% of adults In many cases, a bicuspid aortic valve will cause no problems.[3] People with BAV may become tired more easily than those with normal valvular function and have difficulty maintaining stamina for cardio-intensive activities due to poor heart performance. BAV frequently leads to significant complications in over one-third of affected individuals which often lead to significant morbidity and mortality.[13] 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.
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You need to go for follow up ECHOS every 6 months if good care is taken, surgery can be avoided.
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1) As per this report you seem to have a bicuspid aortic valve which is a birth anomaly in aortic valve found quite commonly. 2) Since as per your current report there is no major stenosis or regurgitation of the valve there is no need to panic right now. 3) But yes if this report has not been performed by a cardiologist at experienced cardiac centre then you should get it confirmed by a good cardiac centre lab, it may also require a Trans Esophageal Echo. 4) If it is confirmed that this is bicuspid aortic valve you should get an Echo repeated annually so that timely intervention can be done in case the valve starts to stenose or leak enough to require intervention.
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