Bicuspid aortic stenosis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Bicuspid aortic stenosis is often undiagnosed until later in life when the person develops symptomatic aortic stenosis. Aortic stenosis occurs in this condition usually in patients in their 40s or 50s, an average of 10 years earlier than can occur in people with congenitally normal aortic valves. 30% of cases are diagnosed in adolescence.
Symptoms
Symptoms may not develop until adolescence (in later adulthood with acquired aortic stenosis) and include:[1]
- Dyspnea on exertion
- Exertional dizziness or syncope
- Exertional angina
- Palpitations
- Fatigue
- Orthopnoea
- Pedal edema in case of right heart failure
- Fever may be present in presence of Endocarditis
- Aortic aneurysms or aortic dissections as aortic root enlargement from cystic medial changes occur commonly in these patients which may present as tearing chest pain radiating to upper back.
References
- ↑ Bonow RO, Carabello BA, Chatterjee K, de Leon AC, Faxon DP, Freed MD; et al. (2008). "2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". Circulation. 118 (15): e523–661. doi:10.1161/CIRCULATIONAHA.108.190748. PMID 18820172.