Heart Home > Progression and Treatment of a Bicuspid Aortic Valve


The progression of a bicuspid aortic valve varies widely. Severe aortic stenosis may be present at birth due to incomplete opening of the valve leaflets. Aortic stenosis can also develop during childhood, during adulthood (peaking around the fourth decade of life), or it may never develop at all. Aortic valve regurgitation is less common during early childhood but can also develop over time.

Treating a Bicuspid Aortic Valve

Because of the wide variability in progression, the healthcare provider will usually recommend regular checkups and certain tests (electrocardiograms, echocardiograms, and stress tests) to monitor any progression of a bicuspid aortic valve. No other treatment is necessary for a bicuspid aortic valve unless symptoms occur.
If you have a bicuspid aortic valve, it is a good idea to ask your healthcare provider whether you need to limit your physical activity. Depending on your individual situation, limiting your activity levels may or may not be necessary. Also, preventive antibiotics should be used for any surgeries, including dental procedures.
Written by/reviewed by:
Last reviewed by: Arthur Schoenstadt, MD
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