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 - Northwestern Memorial Hospital - Chicago

Surgical Treatments for Bicuspid Aortic Valve

At Northwestern Memorial, we tailor treatment of bicuspid aortic valve (BAV) to each person’s unique needs.

S. Chris Malaisrie, MD  , surgical co-director of the Bicuspid Aortic Valve Program, is part of our expert team of cardiologists, cardiac surgeons, nurses, cardiac rehabilitation specialists, psychologists and social workers, all of whom collaborate to help diagnose and manage BAV. During your care, a dedicated nurse coordinator will follow your case and help coordinate the team.

This multidisciplinary approach helps us monitor your progress and diagnose potentially life-threatening complications early, resulting in more successful treatment. When medical managementis not effective or appropriate, we offer surgical options for treatment of BAV.

Surgery for Bicuspid Aortic Valve

Treatment of BAV with symptoms is primarily surgical, and individualized for each person. Because many with BAV will require cardiac surgery during their lifetime, we recommend early referral to a cardiac surgeon with experience in aortic valve surgery.

Surgical interventions for patients with complications related to BAV include:

  • Aortic valve repair or replacement for patients with severe aortic stenosis or aortic insufficiency/regurgitation, in those patients having symptoms, and/or those with evidence of abnormal left ventricular function
  • Minimally-invasive aortic valve replacement: Aortic valve replacement through a smaller “keyhole” incision
  • Modified Bentall procedure: Replacement of the entire aortic root including the aortic valve and abnormal aortic wall
  • David procedure: Valve-sparing aortic root replacement (aortic root replacement where one's own aortic valve is spared but the abnormal aortic wall is replaced
  • Ross procedure:  a diseased aortic valve is replaced with a person's own pulmonary valve
  • Repair of the aorta:  the diseased portion of aorta is removed and replaced with a synthetic (man-made) graft

Follow-up Serial Testing and Long-Term Care

Even after surgical replacement of the BAV, you may still be at risk for future complications with your thoracic aorta. We encourage people to undergo serial (repeated routinely) follow-up tests throughout their life. These tests include echocardiograms (ECHO) and other imaging tests, such as computed tomography (CT scan) and four-dimensional (4-D) resonance imaging (MRI).  By monitoring your progress, we can assess changes and detect complications that may require additional surgery.

Find out more about Northwestern's Bicuspid Aortic Valve program and download your free guide.

Contact Us Today

For more information regarding BAV or our Bicuspid Aortic Valve Program, please call the Bluhm Cardiovascular Institute at 866-662-8467 or request a first-time appointment online.

Clinical Trials

For more information regarding clinical trials related to BAV, please visit the Clinical Trials Unit of Northwestern, send an e-mail or call 312-926-4000.

Last UpdateDecember 18, 2013