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Davidr

Well-known member
Joined
Nov 11, 2010
Messages
45
Location
Lived in South Africa most of my life, relocated t
Hi all,

In Jan 2000, I had the ultimate "millennium bug" and was admitted to hospital. :rolleyes2:

It was a Staphylococcus Aureus infection on my bicuspid aortic valve (isn't it amazing how we remember complicated medical terms that change our lives!!!). it ended up damaging my BAV to the extent it had to be replaced. This was done in October 2000 with a St Jude's.

It was the first I, or any of my family had heard of a bicuspid aortic valve.

I was simply told that it was not dangerous, and nothing to be concerned about. My card even said that most people with a BAV live their entire lives with the BAV without even knowing it exists.

Now, 10 years later, i find this site (because of something totally different - my warfarin dosage and issues about that), only to read a few things about BAV and CTD.

Correct me if i am wrong, but:

1. BAV and CTD are strongly related to each other, so much so that if you have one, there is a fair chance (40%) that you have the other?
2. BAV is very likely genetic, so if one person in a family has BAV, the others might have BAV or even CTD without BAV?
3. Not all surgeons or cardios are well studied on BAV/CTD, and might even miss CTD in early stages when doing the AVR?
4. CTD is degenerative, in that it becomes more pronounced and potentially more likely flare up as we age.

If this is the case, i need to ask...

1. What should I say to my new Cardio? Should I ask for an MRI/whatever to rule out CTD?
2. Should I tell by siblings to go and get tested too? Especially as I see people talking about the aneurisms inherent in CTD being walking time bombs?
3. I have no kids, but both of my siblings have kids, should they be tested too?

Oh, and i was 26 when i had my surgery, so i suspect that if a doctor wasn't looking for thighs, they may have missed it...

Your input would be appreciated!

David
 
Hi David. Like you, when I had the surgery, my cardios and surgeon believed my aortic valve was damaged by Scarlet or rheumatic fever. About two years ago, while going thru some old medical records (1990), I noticed a cardio suggested I probably had a bicuspid valve. My current cardio has confirmed that. So far, I have no evidence of CTD and my aortic root is only at the high end of the normal range (per Echo) My current cardio confirmed that a bicuspid valve can be genetic and I should have my sons mention my history to their docs. He also said it would be unlikely for my grandchildren to have it unless my sons had it. Their docs have seen no evidence of a bicuspid valve in either of them. My opinion is that I would mention it to my siblings. My sister and mother both died at 69 of heart disease, a few years before I learned my valve was probably bicuspid and not necessarily due to a childhood infection.
 
Hi Dick,

Thanks for the reply.

My specialist physician for my endocarditis confirmed it was a bicuspid aortic, so my card, and my surgeon knew that fact going in...i am just concerned that no-one has ever mentioned to me that BAV and CTD are related, and that I mint need to look for that...
 
David -

My NON-professional opinion concurs with your first 3 statements.
I'm just not sure about #4 but suspect you are on the right track.

You should tell your new Cardio about your history.
I'd suggest a 'wait and see' approach to let him make a recommendation on how best to follow your situation. If you feel the need for an MRI or Chest CT, then you should at least ask about that option.

It would probably be wise for your brothers/sisters to be checked for BAV and Aneurysms, then let them decide what to do about testing for their offsprings.

'AL C'
 
Okay, so I have told my siblings about the connections, and will leave it up to them...

This weeks INR is normal, and I now wait for next week's cardio appointment.

I will discuss the whole thing wither, and see what she has to say. I will also ask her specifically about her knowledge of BAV and CTD!

Thanks again
 
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