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.
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