themalteser
Well-known member
Ok, got a question... so you know surgery threshold for aorta with people having BAV is around 4.5 to 5cm. Now the ascending aorta consists of, Aortic annulus, sinus of valsalva, sinotubular junction and then the ascending part of it. 4.5 being for the ascending aorta/sinotubular junction usually, and 5 for the sinus of valsalva.
So if everything is within normal limits, apart from the sinus of valsalva (4.5cm) and sinotubular junction (4.0cm) the specialist, top surgeon and professor here in UK and USA, told me, that I do not need to worry, sinus of valsalva is a bulge anyways (normal around 3.7cm), bigger then the actual aorta, he said yes, it is a little bit enlarged, but this is extremley common, he said probably I was born with a slightly enlarged aorta anyways. He said that we just need to monitor it because it's a protocol to do so when we find a slight abnormality, and this is with everything in life. Also he said that my ascending aorta (3.3cm) is within the upper normal limit, and it's probably again, born with it.
I have no stenosis and only trivial regurgitation, valve working well, and left ventricular function is preserved. I've asked him, when do you think I will need surgery.
His reply was, it will be after several years or never, alot of people got this condition, and lead a complete normal life. Bicuspid valves and enlarged aorta are common, and alot of people never progress, but often, they do require surgery at some point in the future, usually, late middle age or later.
What are your thoughts ? - furthermore, mine if functional not true bicuspid, so it's a tricuspid with fused leaflets or whatever it is - basically connective tissue disorder is not determined in my type of valve.
So if everything is within normal limits, apart from the sinus of valsalva (4.5cm) and sinotubular junction (4.0cm) the specialist, top surgeon and professor here in UK and USA, told me, that I do not need to worry, sinus of valsalva is a bulge anyways (normal around 3.7cm), bigger then the actual aorta, he said yes, it is a little bit enlarged, but this is extremley common, he said probably I was born with a slightly enlarged aorta anyways. He said that we just need to monitor it because it's a protocol to do so when we find a slight abnormality, and this is with everything in life. Also he said that my ascending aorta (3.3cm) is within the upper normal limit, and it's probably again, born with it.
I have no stenosis and only trivial regurgitation, valve working well, and left ventricular function is preserved. I've asked him, when do you think I will need surgery.
His reply was, it will be after several years or never, alot of people got this condition, and lead a complete normal life. Bicuspid valves and enlarged aorta are common, and alot of people never progress, but often, they do require surgery at some point in the future, usually, late middle age or later.
What are your thoughts ? - furthermore, mine if functional not true bicuspid, so it's a tricuspid with fused leaflets or whatever it is - basically connective tissue disorder is not determined in my type of valve.
