Bicuspid aortic valve + aortopathy screening
Recommended: Transthoracic Echocardiogram + CTA / MRA Aorta is the preferred imaging study for bicuspid aortic valve + aortopathy screening. Most common congenital heart anomaly (~1-2% population).
Recommended study
Transthoracic Echocardiogram + CTA / MRA Aorta
Most common congenital heart anomaly (~1-2% population). Aortopathy in 50%, with aneurysm and dissection risk.
If the default doesn't apply
Family screening
US
Echo for first-degree relatives
No contrast
Watch-outs
Aortic dilation surveillance
Ascending aorta dilation up to 40-45 mm; intervention threshold 50-55 mm depending on risk factors.
Pearls
- Sievers classification of BAV (type 0, 1, 2 based on raphe).
- Aortopathy is independent of valve dysfunction.
- Family screening for first-degree relatives recommended.