Overview
About 1 to 2 in 100 people are born with a bicuspid aortic valve.
It can narrow or leak over time, and the aorta can widen, so regular echos matter.
Symptoms
Common signs:
- Bicuspid aortic valve
- Told I have a heart murmur
Less common
- Shortness of breath later
Look up a symptom: Getting winded easily with activity or stairs · Told I have a heart murmur
When to get medical care
Causes
Born with it.
Does it spread or run in families?
- It isn't contagious. You can't catch it from someone else.
- It can run in families. Tell your doctor if a parent, brother, or sister has it.
Who is more likely to get it
- Family history
Possible complications
Diagnosis
An echocardiogram.
Tests
Tests, if needed:
- Echo:
Treatment
Keep follow-ups.
Self-care
- Control blood pressure
- Keep blood pressure controlled
- Tell doctors before dental work if advised
Valve repair or replacement later if needed.
Prevention
To lower your risk or prevent problems:
- Control blood pressure
Which doctor treats this
- Start with your primary care provider (family doctor or internist).
- They may send you to a cardiologist (heart doctor).
Living with it
Support groups and helplines
- American Heart Association: Plain-language heart information and a support network for patients.
Children, pregnancy, and older adults
- Families: Close relatives may need an echo.
Pregnancy and breastfeeding
- If you're pregnant or planning to be, tell your prenatal provider about this condition.
- Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
- Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
- Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.
Outlook
Many live normal lives.
Many people live normal lives.
Getting ready for your visit
Bring a list of your symptoms and medicines.
Questions to ask
- How often do I need an echo?
Research studies
Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.
Search ClinicalTrials.gov for studies on Bicuspid aortic valve
Sources
Last updated 2026-11-12.