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Heart Podcast

Management of bicuspid aortic disease in the TAVI era

Nov 5, 2024
Join Professor Marjan Jahangiri, a leading cardiac surgeon at St George's Hospital, as he unpacks the complexities of managing bicuspid aortic valve disease. He explores the role of Transcatheter Aortic Valve Implantation (TAVI) in treatment, discussing its risks and personalized care approaches. Delve into the genetic factors, clinical features, and post-operative monitoring necessary for optimal outcomes. Jahangiri also shares insights on future advancements and the importance of research in enhancing patient care.
15:48

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Quick takeaways

  • Bicuspid aortic valve disease requires careful monitoring and tailored surgical intervention due to its unique risks and complications.
  • The role of TAVI for bicuspid aortic valves remains uncertain, with current guidelines favoring traditional surgery for most patients.

Deep dives

Understanding Bicuspid Aortic Valve Disease

Bicuspid aortic valve disease, a common congenital heart abnormality, affects up to 2% of the population and is associated with significant health risks. Patients typically develop aortic stenosis or regurgitation much earlier than those with tricuspid aortic valves, often presenting symptoms in their 50s, but some can present as early as their 20s. The disease can lead to serious complications, including aortic aneurysms, primarily affecting the aortic root and ascending aorta. Asymptomatic patients and those with mild valve issues may require careful monitoring, particularly if they also have an enlarged aorta.

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