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Bicommissural aortic valve
The infant may need surgery to repair a leaky or narrowed valve, if complications are severe.
A narrowed valve can also be opened through cardiac catheterization. A fine tube (catheter) is directed to the heart and into the narrow opening of the aortic valve. A balloon attached to the end of the tube is inflated, to make the opening of the valve larger.
Critically ill babies with a severely narrowed valve may need medications. These medications improve the baby's condition so that either surgery or a balloon procedure is possible.
Medications may include:
See also: Pediatric heart surgery
How well the baby does depends on whether complications of bicuspid aortic valve are present, and how severe they are.
The presence of other physical problems at birth also can affect how well a baby does.
Most babies with this condition have no symptoms, and the problem is not diagnosed until they are adults. Some people never find out that they have this problem.
Complications of bicuspid aortic valve include:
Call your health care provider if your baby:
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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