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Bicuspid aortic valve - Symptom

Alternative Names

Bicommissural aortic valve

Symptoms:

Most of the time, bicuspid aortic valve is not diagnosed in infants or children because it causes no symptoms. However, the abnormal valve can leak or become narrow.

Symptoms of such complications may include:

  • Baby or child tires easily
  • Chest pain
  • Difficulty breathing
  • Rapid and irregular heartbeat (palpitations)
  • Loss of consciousness (fainting)
  • Pale skin

If a baby has other congenital heart problems, they may cause symptoms that will lead to the discovery of a bicuspid aortic valve.

Signs and tests:

Signs of a bicuspid aortic valve may include:

  • Enlarged heart
  • Heart murmur
  • Weak pulse in the wrists and ankles

Tests that may show a bicuspid aortic valve include:

  • Magnetic resonance imaging (MRI) of the heart
  • Ultrasound of the heart (echocardiogram)

If the health care provider suspects complications or additional heart defects, other tests may include:

  • Chest x-rays
  • Magnetic resonance imaging (MRI)
  • Test of the electrical activity in the heart (electrocardiogram)
  • X-ray of the heart's blood vessels using a special dye (angiography)
  • Reviewed last on: 7/26/2011
  • A.D.A.M. Editorial Team: David Zieve, MD, MHA, and David R. Eltz. Previously reviewed by Kurt R. Schumacher, MD, Pediatric Cardiology, University of Michigan Congenital Heart Center, Ann Arbor, MI. Review provided by VeriMed Healthcare Network (4/30/2010).

References

Otto CM, Bonow RO. Valvular Heart Disease. In: Braunwald E, Zipes DP, Libby P, Bonow R. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, PA: Saunders Elsevier; 2007:chap 62.

Park MK. Park: Pediatric Cardiology for Practitioners. 5th ed. Philadelphia, PA: Mosby Elsevier; 2008.

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