Bicuspid aortic stenosis medical therapy

Medical Therapy
There is no specific medical treatment for patients with bicuspid aortic valves. However, the patients should be followed-up regularly to evaluate the progress and early recognition of complications such as valve insufficiency, stenosis, progressive aortic root dilation, aneurysm, dissection and prevention of possible endocarditis.

Since high lipid levels may accelerate the calcification of a congenital bicuspid aortic valve, a heart-healthy diet is recommended for all patients.

For medical therapy of aortic stenosis, click here.

Physical Activity
Patients with normally functioning bicuspid aortic valve have no restrictions for any kind of activities after ruling out other pathologic conditions of aorta. However, patients who develop bicuspid aortic stenosis or insufficiency, should avoid strenuous competitive sports. ==ACC/AHA guidelines for Management of Bicuspid Aortic Valve With Dilated Ascending Aorta == {{cquote|

Class IIa
It is reasonable to give beta-adrenergic blocking agents to patients with bicuspid valves and dilated aortic roots (diameter > 4.0 cm*) who are not candidates for surgical correction and who do not have moderate to severe AR. (Level of Evidence: C)}}

*Consider lower threshold values for patients of small stature of either gender.