ALCapshaw2
Well-known member
MrP said:Matt,
I also was born with a 'leaky' bicuspid aortic valve, and lucky for me, I was 49 before replacement was necessary. However, I was very surprised to learn that I had an aneurysm on my ascending aorta that also needed to be resected. Many with 'leaky' bicuspid aortic valves also have dilated or aneurysmal ascending aortas or later develop aortic aneurysms even after valve replacement. I'm sure you've read about this, but in case you haven't already found a great source of information on this subject, please see the link below to learn more.
www.bicuspidfoundation.com
Also, be sure to ask for a CT scan well ahead of your surgery to determine the current size of your ascending aorta. If above 4cm, replacement of your ascending aorta at the same time as AVR is highly recommended to avoid a second surgery later in life. If this is the case, you may want to find an aortic specialist for your surgeon.
With respect to your ticking question, the tick is annoying for awhile but soon becomes a source of comfort, knowing the heart is functioning.
All my best,
MrP
Mr. P raises a good point, that BAV is often accompanied by Connective Tissue Disorder effects which can lead to future (or present) anneurisms in the Aorta.
The usual tests for this involve a full chest CT or MRI since Echo's and even TEE's do not provide images of the full aorta.
IF you have a connective tissue disorder you would be best served by an Aortic Specialist who could address the Aorta Issues (repair / replace) at the same time as your valve surgery. (See the threads by "Harleygirl" involving her quest for an Aortic Specialist. There was another good one from a couple in California where the husband need extensive Aorta Repair which he received from the 3rd surgeon they interviewed at Stanford University).
One common theme I see on VR.com is the need to find a surgeon with considerable Experience with the Procedure YOU will need, especially for more complex cases (which includes Connective Tissue Disorders and Anneurisms).
I don't know who the Aortic Specialists might be in Alabama. I am impressed with Dr. McGiffin at UAB but never discussed those issues with him.
'AL Capshaw'