I have not had any issues since my surgery. March 10, 2016 at 1:50 pm. Best Valentine's Day Restaurant Specials 2023. Frequency of congenitally bicuspid aortic valves in patients 80 years of age undergoing aortic valve replacement for aortic stenosis (with or without aortic regurgitation) and implications for transcatheter aortic valve implantation.Am J Cardiol. My Dr. gave me the all clear to go back to my exercise routines. Hi Larry I dont know what to do .. I was just curious if there any way to know if my valve is affecting my times at all? Do you have a congenital heart defect? The BAV is monitored annually, the doctor told me that Im currently in the grey zone but stable since I started the monitoring. Perhaps that will provide so e reassurance. I have only played a few games of football in the last 5 years due to a knee injury but I have continued running for fun and do 5k in a reasonable 25 minutes. Enlarged lv 37/58 mm rf 65 fs 36 I cant imagine life without activity, but Im not fool to risk my life, not any more anyway :). I recently also did a 24hr EKG (holter) which was fine. James Cameron checks in from Pandora with a status report. The idea of somehow restricting the HR may be attractive as a means of curtailing strenuous activity. Good to hear that youre making a good recovery from your second operation. 2. Hector V. Ive never heard about a mechanical aortic valve becoming loose because of high HR. My question is: is it okay for me to participate in weight lifting with BAV? The surgery was a full success, and the valve is closing really well now. The aortic root is moderately dilated (max 46mm sinus to opposite commissure but you can measure 48off axis). Any advice would be greatly appreciated. I realise that I will eventually need the valve replaced again and just hope that things go as well next time. From afar, its hard to know what might be responsible for your symptoms. These leaflets open and close to regulate blood flow from the heart into the aorta, and prevent blood from flowing back into the heart. There has been a slight increase in the measurements over the last several years, but I am still below the threshold which would require surgical intervention. A bicuspid aortic valve: Most people are born with an aortic valve that has three leaflets (a tricuspid aortic valve). I have wife and two small boys, I wanna live to see my grandchildren. Doctors at the Frankel Cardiovascular Center's Comprehensive Aortic Program have . Jeff/Doc, There are 2 broad categories of heart valve substitutes that can be used to replace the human aortic valve: mechanical valves or bioprosthetic (tissue) valves. Sbp. That is except for the last two months hes had several illnesses ( influenza, bronchitis, URI). Although bicuspid aortic valve is typically asymp tomatic at fi rst, it is commonly associ-ated with progressive valvulopathy and tho-racic aortic disease. There are a multitude of patient-specific circumstances that must be considered when deciding if and when operation is needed. Hi Dr. Creswell. Im aware that those days are past, but to abandon every activity seems like a prison sentence What is safe side threshold? Ive got my results from my recent echo and a lot of normals on there but main things were regurgitation and stenosis were mild with the aorta measuring about 33mm. Please help me . If untreated, it can lead to blocked blood flow. It was her death that prompted me to get checked out. Bicuspid aortic valves can accumulate calcium deposits more easily than tricuspid aortic valves. Congenital heart issues affect approximately 40,000 people born each year in the U.S. and are one of the most common types of birth defects. My Dr is almost certain that these symptoms are caused by issues that are not cardiac related, and that with at the stage my BAVD is at, it would not produce symptoms. About a year ago a pulmonologist discovered a grade 2/6 heart murmur during a workup for a sleep study. Baldwin Publishing, Inc. strongly suggests that you use this information in consultation with your doctor or other health professional. Glad Ive found this website! Thanks in advance. The doctor looked at the results and told me to limit physical activity (running), because it can lead to heart failure in future. You might keep in mind that trans-catheter aortic valve replacement (TAVR) can be used to re-replace the aortic valve. Me, i`m nearly 43, male and have BAV. I now take diltiazem daily. Schwarzenegger was born with a condition known as bicuspid aortic valve, in which the heart's main artery, the aorta, has only two cusps instead of three. Its a lot harder in the UK to see your cardiologist so you cant get the answers quickly. I had a scan done recently and they picked up a what they called a mild dilation of the aortic root at 47mm, ascending aorta 34mm, no other issues. The best source of recommendations about safety of various forms of exercise will come from your doctor(s) who are familiar with all the particulars of your circumstance. Or usually lead a normal life? This is the way I can help. 100 Black-Owned . This is such an interesting blog, I wish I had known of it sooner. Typically, the aortic valve has three cusps (tricuspid aortic valve), but some people are born with an aortic valve that has two cusps (bicuspid aortic valve). If reoperation is needed in your case, this would be something to discuss. So my question: does there appear to be any performance advantage of tissue valves over mechanical or does the fact that Im on the anticoagulant anyway make the mechanical valve sort of a no brainer choice? His favorite sports are football and baseball. 2023 Cond Nast. I am a cycling Masters racer (Cat 2) for last 25 years . In patients needing valve replacement because of stenosis or regurgitation, the aorta should be repaired or replaced if the aortic diameter exceeds 4.5 cm. Either way I often think my cardiologist looks at me as if Im nuts and that my current 175 miles a week training should be thought of as beyond expectations post open heart surgery. I was wondering if you could give your opinion on my scenario. This was caused by an aneurysm in the ascending aorta (root) that measured over 6 centimeters). Bicuspid aortic valve refers to a spectrum of deformed aortic valves with two functional leaflets or cusps which are often unequal in size. Search Hospitals, Join 375,000+ Patientsat Our Facebook Page Click here, HeartValveSurgery.com 2785 Pacific Coast Hwy, #517 Torrance, CA 90505 Phone: (888) 725-4311, 2023 HeartValveSurgery.com. Im a 29yo CrossFit addicted man who just found out I have BAV while applying for the defence force here in Australia. Very helpful. Aortic replacement. I agree that its somewhat surprising that more detailed information isnt available. O'Donell took the aspirin recommended for people who think they are suffering a heart attack just in case, but didnt call 911. I would like to thank you very much for providing me with your thoughts. Heart failure, where the heart weakens from working too hard to pump blood. Thank you very much for your answer. Details of my condition: My cardiologist has told me that, based on how my heart sounds, he doesnt think hell ever have to operate on me. http://games.crossfit.com/athlete/39565 He was forced to stop playing football at 11. Im 52 years old and had surgery 2.5 years ago to repair an ascending aortic aneurysm (5.8 cm) and aortic tissue valve replacement. these conditions occur mostly during my exercises at the gym and Im left very lightheaded and shortness of breathe. I think we should have a choice??? Many of us are not familiar with the many types and facets of the martial arts. The American College of Cardiology (ACC) in conjunction with the American Heart Association (AHA) has issued guidelines for the evaluation, monitoring, and treatment of individuals with BAV: In my opinion, these are useful guidelines for athletes and non-athletes, alike. Sory but I dont speak very vell english. I would very much appreciate your opinion weather he can continue his regular football training or should stop it. There, they detected I had a bicuspid aortic valve." This meant the valve which controls the flow of blood from the heart's left-ventricle chamber to the main artery had only two flaps instead . (bicuspid aortic valve), singer Bret Michaels (atrial septal defect), and even 'Survivor' contestant Whitney Duncan (ASD). We have contacted the Cleveland Clinic to learn more and will report back soon. BAV is present at birth (congenital). I dont train a lot, like 2k bike, 500k run and 100k swim yearly and few competitions sprints and one half IM in a year (32 years old). Last echo measurements LDid 6.3cm z-score 2.4, LVIDs 4.1 cm z-score 2.0, LVPWd 1.2cm z-score 1.9, asc aorta Diam 4.0 cm z-score 5.8. mod-severe regurgitation I have been given no restriction to date in any physical exercise as my valve is in decent condition. The current guidelines suggest that sports activities do not need to be restricted for patients with BAV who have no valve regurgitation/stenosis and who have no enlargement of the nearby aorta. There was only a 0.2 cm increase in the previous 7 years (so from age 21 to 28). I am 18 years old . I am a 36 yo male who was first diagnosed with BAV at the age of 17. If so, youre far from alone. My surgeon says that the aneurism and bav go together. The only question I have is in regards to having my children screened. Jones' goal with the AHA is to help women "actively put themselves on the track to heart health." This gives a chance for the sternum, which was split during the operation, to heal completely. Im in Philly today but Im from Central NY. Aortic stenosis has been reported to occur in as many as 72 percent of adults with a congenital bicuspid aortic valve, with peak incidence occurring in the 5th and 6th decades of life. Medical therapy may be useful to slow or halt the progression of aortic valve disease and aortic enlargement by reducing the blood pressure and the blood pressure across the aortic valve. Although the vast majority in each group (97%) underwent TAVI via the transfemoral approach, bicuspid patients were less likely to receive conscious sedation (57% vs 62%) and more likely to be treated with the largest 29-mm valve size . If he is a candidate for valve replacement are these sports he could ever return to In the best case scenario? Stress echo revealed hypercontractile with normal response in all LV segments, no LV cavitary dialiation. Both are important in deciding if and when operation is needed. He left it pretty vague. I cant lift over 40lbs and I cant continue my work as a tradesman as it requires lifting over the 40lb mark. I asked my surgeon and also the echocardiographist about my sports performance after full recovery, about 6 months after the surgery. If I ever need surgery to replace my root , I understand that there is an element of complexity for such surgery, but after surgery, is life expectancy for individuals assumed to be shortened at all ? The doctors tell me I will be able to run again at a level near to what Im accustomed to (50-60 miles per week) but are reluctant at this point to specifically tell me the limitations and restrictions Im to endure. When we go back to re-replace a patients prosthetic valve, for some reason, it usually has to be chiseled out from the heart. It is believed that Schwarzenegger had a bicuspid aortic valve which led to a Ross Procedure operation performed in 1997. But like a lot of women, I thought that heart disease was an old white guys disease," the former talk show, 56, host tells PEOPLE. Starnes implanted a healthy human tissue valve and said at the time, This will not limit Arnold Schwarzenegger in any way when he recovers.. A bicuspid aortic valve is a congenital condition, meaning that people are born with two rather than the normal three cusps on their aortic valve. A 2nd opinion might help by bringing another set of eyes and ears to your problem. This makes the aortic valve a tricuspid valve. To save nice heart the best would be doing nothing (! He is football player and he has training 5 times per week (for about 1,5 hours each). "I had been doing some work around the house working with a heavy ladder, he told PEOPLE of his activity in the days leading up to his heart attack. Also twice a week I try to do 40-minute workouts like planks, pushups and so on (with my bodyweight). Maybe thats not surprising, given that Im a heart surgeon and that many individuals with BAV need operation at some point. It will also be necessary to keep a close eye on the size of the aorta over time, using echocardiography and CT. It can also lead to aortic stenosis , and is more . Historically, a heart murmur was the most common reason affected individuals were identified. As I mentioned in previous comment my recovery is going great. There were some procedural differences between the bicuspid and tricuspid groups. Also I seemed to get quite sweaty the following hours after a hard training session. Ordinarily, athlete patients with mild degrees of valve regurgitation can continue to participate in their sports. I have had three annual Echocardigrams, the first two showed mild stenosis, mild LV thickening. One young man's complications from a bicuspid aortic valve were life-threatening, but perseverance and expert care helped him make it through. Sheer brutality and trauma caused Myasthenia Gravis. We just dont know. Bicuspid valve stenosis treatment involves surgery to replace the valve. For athletes with mechanical heart valves, the most important consideration is usually about potential bodily injury while taking blood thinning medications. The procedure has the potential to bring the aorta to 4.3/4.4 and avoid further enlargement. Perhaps other readers will comment. I applaud your efforts to search out information to help you decide on a course of action. Is a CT or MRI absolutely necessary for measuring the aortic diameter? My aortic root is 4.06 cms. Down side: durabilitythe borrowed valve doesnt last forever; it will deteriorate and need re-replacement at some point. They seem very busy and its taken almost a year to get to this stage.
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