Bicuspid Aortic Valve: Diagnosis and Treatment

A bicuspid aortic valve is a congenital malformation that needs to be monitored and controlled for life, no matter what treatments you use.
Bicuspid Aortic Valve: Diagnosis and Treatment

Last update: 15 December, 2022

The aortic valve usually has three leaflets (flaps). However, some people are born with a bicuspid aortic valve. This causes certain problems, since the valve should transport oxygenated blood from the heart to the aorta.

As some studies have indicated, this condition is known as a congenital cardiac malformation, and, in spite of what you might think, it’s pretty common.

While it doesn’t cause any problems during childhood, most issues start to appear during adulthood. Because of this, an early and proper diagnosis will allow you to receive the most effective treatment.

Bicuspid aortic valve


Girl with chest pain.
This is a congenital problem that affects heart’s ability to transport blood.

The diagnosis of a bicuspid aortic valve can be carried out through different methods. However, is there a symptom that you could experience that would alert you to its presence?

The truth is yes, even as a kid. Because of this, it’s important to pay attention to your child’s complaints about pain or other symptoms that we’ll list below:

  • Excessive tiredness: with even a minimal physical effort they feel exhausted which prevents them from continuing.
  • Chest pain: they feel light chest pain which could be accompanied by difficulty breathing.
  • Heart palpitations: their heartbeats are unusually fast or irregular.
  • Fainting: your child might lose consciousness due to the mentioned tiredness or for no apparent reason. They are also usually pale.

If you notice any of these symptoms, you should bring your child to a pediatrician as soon as possible, so they can do the correct tests.


Echocardiogram to diagnose bicuspid aortic valve.
Listening to your heart sounds with a stethoscope and an echocardiogram are two effective techniques to diagnose this condition.

The diagnosis for a bicuspid aortic valve is carried out by reviewing your family history. If you have a history of this illness in the family, then it’s very possible that you could have inherited the problem. After that, they do a physical examination.

During the checkup they might use a stethoscope to be able to hear the irregular heart palpitations and, also, for signs of a heart murmur. After that, to verify that you have a bicuspid aortic valve, they’ll do an echocardiogram which helps to evaluate how the heart is working.

Treatment for a bicuspid aortic valve

There are different treatments that the doctor can choose from. However, it’s important to mention that they have to do regular check-ups to detect any other problems, like a widening of the aorta.

  • Replacing the valve: the damaged valve is removed and replaced with a mechanical one or one made of biological tissue.
  • Balloon valvuloplasty: this is done to expand the opening of the valve which tends to shrink. Due to that, this treatment normally has to be repeated.
  • Surgery: the enlarged section of the aorta is removed and replaced. They can also try to repair the aortic valve.

There are many studies that continue to look for an effective solution for this congenital malformation that can affect your quality of life.

You might be interested in: Auscultation of Veins and Arteries

Regular checkups for your whole life

Regular checkups.
After diagnosis and repair, the patient should be checked frequently to avoid possible complications.

In spite of this treatment, a person diagnosed with a bicuspid aortic valve will need regular checkups throughout their life. It doesn’t matter if they’ve had surgery or had the valve replacedYou should visit the cardiologist every year to make sure that everything is fine and that there aren’t any new problems.

Additionally, it’s important for all the close relatives of the person with a bicuspid aortic valve to get an echocardiogram to make sure everything is okay. The reason is that this congenital defect can be hereditary. Due to this, relatives should make sure their valves are working properly.

We hope this article has helped you to learn a little more about this problem that you can’t see with the naked eye, but that shows itself through different symptoms. It’s very important to go to the doctor if someone in your family has suffered from this valve defect as this can keep your health and life from being affected.

All cited sources were thoroughly reviewed by our team to ensure their quality, reliability, currency, and validity. The bibliography of this article was considered reliable and of academic or scientific accuracy.

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This text is provided for informational purposes only and does not replace consultation with a professional. If in doubt, consult your specialist.