His doctor said his heart look very healthy and no other issues. You didnt mention your age, but obviously youd hope that whatever operation is performed.lasts a lifetime. It usually consists of three flaps of tissue what are called valve cusps. May 11, 2010 -- Barbara Walters said on Monday that her upcoming heart surgery, a procedure known as an aortic valve replacement, will hopefully correct a problem of which . The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of Cond Nast. His doctor recommended he see a pediatric cardiologist within 1-2 weeks but when I called they cant get him in until April 14th. I have completed two marathons. Context Bicuspid aortic valve is the most common congenital cardiac anomaly in the adult population. My cardiologist gave me green light for everything except strenuous exercise (used to train for ironman and similar challenges). Thats always the concern with new techniques with limited follow-up data. 2. However, my surgeon told me that he could fit a tissue valve and so would not need to be on warfarin. His only complaint or change is shortness of breath with stairs. Thanks for sharing your experience, Randy. Good to hear that youre making a good recovery from your second operation. I have been doing as much research as possible on what are the advantages/disadvantages of each replacement. 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 . He was forced to stop playing football at 11. I am a competitive cyclist, neither the Cardio or my Doctor said I should not be racing bikes anymore, does that sound reasonable to you, my doc did say to monitor the aortic root size yearly. People can live normal lives with Congenital Heart Defects. He was just diagnosed with functional BAV due to partial stuck together of two leaflets (out of three, as far as I understand, they are equal). (Or do I just need to train even harder??). While the defective valve may be easy to see, the defect also causes changes in the tissues of the aorta and the heart. If the conflicting opinions both come from cardiologists, you should ask them to confer with each other and arrive at some sort of consensus. Advances in treatment have allowed many babies with known congenital heart disease to survive well into adulthoodand many people who have congenital heart disease go on to live long, productive lives. Thank you very much for your answer. http://games.crossfit.com/athlete/39565 Apologies for my slow reply. I am considered elite in my age division. Bicuspid aortic valve: A bicuspid aortic valve only has two leaflets, increasing the risk of circulatory problems and heart conditions. Aortic stenosis and bicuspid aortic valve (BAV) We are trying to work out a way for her to continue to play. Barb. From your standpoint (and your sons), it will be important to have that dialog to sort out whats safe. I am 26 yera old , I have aortic aneurisem. We generally limit weight-lifting (or other sports/exercise that have a high static component) for athlete patients with BAV and mild enlargement of the aorta. Thank you so much for all of this insightful information. This also assumes that there are no other cardiac issues or medical problems to consider. BAVD is a malformation of the aortic valve present at birth that leaves you with two flaps instead of three, tripping up blood flow to the aorta. And he never had any symptoms and played competitive soccer since he was 6. Those with symptoms are usually identified (BECAUSE of those symptoms) in the first year or two of life. Although bicuspid . I cant do that justice here. I was to the understanding that the aneurysms caused in bav patients was due to the problematic bav valve causing uneven blood flow to cause uneven pressure on the aorta. His last MRI showed a dilation of 4.4cm at his aorta root but his BAV is fine with very little leakage. Valve replacement with either a tissue (bioprosthetic) valve or a mechanical valve is, by far, more common. "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. what recommend me? If labeling my fitness level I wouldnt use the term athlete, but I used to work out pretty vigorously 5 days a week until about 8 months ago (weights, medium endurance cardio, no longer distance running than 5 miles, interspersed with HIIT). This was during a 12 week intense training block where my resting heart rate got as low as 42 bpm. 24 HOUR GYM What is your opinion about dissection in low/controlled messures? Thanks, Me, i`m nearly 43, male and have BAV. Bicuspid aortic valve is associated with abnormalities in the coronary artery anatomy in about 2% of patients, including anomalous origins of the coronary arteries and upwardly displaced coronary ostia. I dont believe there is any evidence that would help us know if some forms are safer than others. Up until this time shes played volleyball, basketball and has even run track in elementary. I had a Bentall with mechanical valve done in Feb 2017. What does heavy weights mean? That is except for the last two months hes had several illnesses ( influenza, bronchitis, URI). Something they suspect is also from birth but never previously picked up. For healthy individuals who have BAV with no other heart or aortic problems, follow-up imaging with echocardiogram and/or CT could probably be undertaken annually, or perhaps less often once stability is ensured. He posed next to statues of Thomas Jefferson, Jesse Owens (whose family moved to Cleveland when he was nine, and who later attended The Ohio State University), and Abraham Lincoln. My father has struggled with heart disease since he was 50, and I lost him [in 2008].. I love running. Patients need operation if there is severe stenosis or regurgitation of the aortic valve.or if the nearby aorta becomes moderately enlarged. For example, are there data that shows what happens to aortic diameters once sports have been stopped? The timing is my choice.. Diagnosed at 5 with BAV, checked yearly, and okayed to play soccer. I am a 55 years old male and have BAV. Many thanks. Maybe you can help me with some questions. Baldwin Publishing, Inc. strongly suggests that you use this information in consultation with your doctor or other health professional. I wouldnt hesitate to register your concern with your sons doctor about waiting a few weeks. There is not much scientific evidence about what to expect. Yes, as the patient grows, so will the aorta.and eventually you get to the traditional >40 mm cutoff where activity restrictions are advised. Before 2 years my aorta was 37mm . I know what theyre saying and after that I know that I have mixed feelings because I feel depressed about not being active like I used to be, but then I feel selfish as I am not being grateful. That post is a starting point for todays discussion. We just saw them in January. Thank you for taking the time to respond to my post. Glad to hear that youve found a surgeon and settled on a plan. Does the (unreplaced) aorta enlarge over time? I would very much appreciate your opinion weather he can continue his regular football training or should stop it. It is very informative. I found a cardiologist with whom Im quite happy with. On Ocotber 23, 2020, we learned that Arnold Schwarzenegger had a third heart valve procedure, a re-replacement of his aortic valve replacement. We see his pediatric cardiologist every 6 months. Some good points there, Craig. While I do not work out regularly, my job as a construction worker is somewhat strenuous. And its always valuable to frame up discussion in terms of how much risk is acceptable. I was training for 11th marathon at the time (over the past 13 years). I am now 60. Website designed by Gatorworks. Health eCooking is a registered trademark of Baldwin Publishing, Inc. Cook eKitchen is a designated trademark of Baldwin Publishing, Inc. Any duplication or distribution of the information contained herein without the express approval of Baldwin Publishing, Inc. is strictly prohibited. Because BAV may be an inherited condition, Athletes with BAV, no significant valve stenosis or regurgitation, and an aortic diameterless than 4.0 cm can participate fully in their sport(s), Athletes with BAV and enlargement of the aorta to between 4.0 and 4.5 cm can participate safely in only low and moderate intensity sports (this would. Athletes should have detailed discussion with their doctors about any prudent limitations to exercise after operation and settle on a mutually agreeable plan. In late March, Schwarzenegger was heavily involved in a chess tournament with his donkey Lulu. Negative Stress Echocardiography Tetyana. Males are affected 3:1 compared to females. Aortic dissection, a tear in the wall of the aorta. There are four valves of the heart, which are divided into two categories: Atrioventricular valves: The tricuspid valve and mitral (bicuspid) valve. In short, is it too early for me to start talking to a surgeon to identify available options? I am now in no mans land of not needing immediate surgery (per the pressure number in left ventricle) and not being able to run more than 30 min. No aneurysm. BAV is the most common cause of heart disease present at birth and affects approximately 1.3% of adults. Rest pulse (70 bpm|50 bpm) They said that everything is working fine except that I have a slightly enlarged aorta and the very beginnings of an aortic aneurism which most likely occurred PRIOR to surgery as a result of the pressure over the years and my old BAV. For many patients, I recommend no heavy lifting (>10 pounds) for the first month after conventional heart surgery. Reply. I dont know why this formed as I have had the problem valve replaced many years ago. The HAART 200 is an innovative device that helps in the repair of BAV, allowing patients to avoid aortic valve replacement. Males are about twice as . Would this constitute as too much in your opinion ? Eventually I will need valve replacement. I will keep you posted. I was hoping that if the ultrasound numbers dont change much, the endurance will not decrease significantly. 2. Ive yet to feel like Im back to my previous racing fitness that I once had. Background: Transcatheter aortic valve implantation (TAVI) has achieved satisfactory outcomes in the selected patients with bicuspid aortic valve (BAV), predominately type 1 BAV (~90%). Thanks for the very insightful post, and for taking the time to reply to everyone here. She learned she needed an aortic valve replacement in 2009 and underwent open heart surgery, receiving a mechanical valve to replace her damaged aortic valve. My average weekly training plan includes 50k of running (5 days) with 80% done on pulse below 154-152 and only 20% done at pulse about 175-179 bpm. O'Donnell suffered a heart attack in 2012, and wrote about her experience on her blog. I am a 60 yo female who has been active my whole life. It was her death that prompted me to get checked out. Most patients can resume all of these activities by 2-3 months after operation. The echo in Jan asc aorta Diam 4.2 cm z-score 6.4. The reason I ask is my Cardiologist said it looked fine in the echo imaging, but (and correct me if Im wrong please) I got the impression from what you said in this article that a CT or MRI is necessary for aortic diameter measurement. Im 32 years old and back in 09 I discovered I have a BAV. From the outside, these people look healthy, and some are, while others are not. Thank you for nice article. Pop Medicine > Celebrity Diagnosis . Here are stories of some celebrities with this condition: Not everyone who has a congenital heart defect knows about it, so its important to be vigilant about the health of your heart. If untreated, it can lead to blocked blood flow. This has been true as long as I can remember in all sports I seem to have to put a lot more in to get the same out as others. Bicuspid valve stenosis treatment involves surgery to replace the valve. Arnold Schwarzenegger Helped Greta Thunberg Get a Tesla, Where to Watch the Biggest 2023 Awards Contenders. Latifah has taken on her mom's caregiving duties, along with relatives and a nurse, whenever she is on the east coast. Also I lift weights . We just dont know. I can tell my story. We were to see them in 3 months. Ive done the Philly a Marathon a coup,e times and know that its a terrific event. Thank you for the follow-up! my age is 20 right now My family is pressuring me to quit strenuous cycling but I am thinking that switching to longer rides at lower heart rates would not accelerate valve wear or otherwise be bad for me. The numbness/tingling has me constantly worriedand the slight chest pains have me always thinking is that my BV or Aorta causing issues?. Do you opration? So you know, this is not uncommon for heart valve surgery patients. Im really wondering at what point should I look into flying back to Thailand or Hong Kong to get re-checked. On Aug 30, 2017 I passed out at the gym and subsequently airlifted due a large abscess and valve dehisence and underwent another operation and now have a homograft. We also sign a school waiver every year. They are located between the ventricles and their corresponding artery, and . What activities can I do? Im not familiar with employment eligibility issues with BAV, even in this country. I would think that, ordinarily, a homograft would heal up along a similar timeline to other types of valve/aortic root replacement. My 28, got a BAV with mild stenosis and a aortic root measuring 40mm. Oh, plenty. With aortic root 39mm. For athletes who return to sport after AVR and aortic replacement, its important to settle on whats safe with your doctor(s) ahead of time.
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