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Ascending Aortic Aneurysm & Bicuspid Aortic Heart Valve
Aortic Aneurysms | Last Active: 4 days ago | Replies (45)Comment receiving replies
I had a bicuspid aortic valve with severe stenosis. Exit velocity near 5 m/sec and gradient measured at surgery was 85 mm-Hg.
My aorta was at 4.9 cm just at the beginning of the arch.
My choices were
1. Open heart surgery,
2. TAVR- minimally invasive valve replacement, or
3. Severely diminished life expectancy.
After much hand-wringing, I had a tavr... and did not repair the aorta ... as opposed to open heart surgery to repair both at once.
My aortic diameter went down to 4.8 cm after one year, and to 4.6 cm after two years.
For my age, height, etc. 4.5 cm is considered normal. I do have mild leakage around the valve. It doesn't seem to be degrading though.
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@leonh I have just been diagnosed similarly, severe (borderline) bicuspid value stenosis and an ascending aorta measuring 4.6 c.m. Mayo is recommending SAVR to replace both. I am going to meet the doctor on Jan 7 for more testing and a conversation. I'm curious how your conversation with the surgeon went? Did they recommend both, or just provide information and let you decide? Or did you have to advocate for your approach?