Bicuspid Aortic Valve: Care Instructions

Overview

The heart has four chambers and four valves. The valves open and close to keep blood flowing through the heart. One of these valves is the aortic valve. This valve opens to let oxygen-rich blood flow from the heart into the blood vessel called the aorta. This valve usually has three flaps, or leaflets. But sometimes people are born with an aortic valve that has two flaps. This is called a bicuspid aortic valve.

A bicuspid aortic valve makes certain heart problems, like aortic valve stenosis and aortic valve regurgitation, more likely. It can also make problems with the aorta more likely.

In aortic valve stenosis, the valve has narrowed. Your heart has to work harder to pump blood throughout your body. Symptoms may include chest pain, dizziness, fainting, or shortness of breath.

In aortic valve regurgitation, the valve does not close properly. Some of the blood leaks back (regurgitates) through the valve into the heart. Your heart has to work harder to pump blood throughout your body. Symptoms may include chest pain, weakness and tiredness, shortness of breath, or an uneven heartbeat.

Although you have a bicuspid heart valve, your heart can work normally. But you have a higher chance that you might get stenosis or regurgitation as you get older. You'll see your doctor regularly to check your heart and aorta. Have a heart-healthy lifestyle to keep your heart and body as healthy as possible.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

• Do not smoke. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good.

• Eat heart-healthy foods. These foods include vegetables, fruits, nuts, beans, lean meat, fish, and whole grains. Limit things that aren't so good for your heart, like sodium, alcohol, and sugar.

• Get regular exercise. Try for 30 minutes on most days of the week. Ask your doctor what level of exercise is safe for you. If activity is not likely to cause health problems, you probably don't have limits on the type or level of activity that you can do.

• Stay at a healthy weight. Lose weight if you need to.

• Manage other health problems such as diabetes, high blood pressure, or high cholesterol. If you think you may have a problem with alcohol or drug use, talk to your doctor.

• Get vaccinated against COVID-19, the flu, and pneumonia.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

After you call 911, the operator may tell you to chew 1 adult-strength or 2 to 4 low-dose aspirin. Wait for an ambulance. Do not try to drive yourself.

Call your doctor now or seek immediate medical care if:

Watch closely for changes in your health, and be sure to contact your doctor if you want help to make healthy lifestyle changes.

Current as of: June 24, 2023

Content Version: 14.0

Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.