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- Dec 5, 2020
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I still have a concern as to whether or not he's more likely to get an aneurysm even though he doesn't have a BAV as there's still debate regarding whether the flow dynamics of the valve help causing aneurysm or if it's more genetically related to the tissue composition.
I don't think it's likely. I lean towards the argument that the aneurism is genetic, because even after the turbulent flow is significantly reduced with valve replacement, many BAV folks go on to develop aortic aneurism. But, the gene or combination of genes that cause BAV tend to come as a package with the gene(s) that cause the aortic tissue to be susceptible to aneurism and, since he avoided the BAV gene, he likely also has avoided the aneurism gene. Still, it would be a good idea to have it checked periodically for him as a precaution.