Overview

The heart has four chambers and four valves. The valves open and close to keep blood flowing through the heart. One of these valves is the aortic valve. This valve opens to let oxygen-rich blood flow from the heart into the blood vessel called the aorta. This valve usually has three flaps, or leaflets. But sometimes people are born with an aortic valve that has two flaps. This is called a bicuspid aortic valve.

A bicuspid aortic valve makes certain heart problems, like aortic valve stenosis and aortic valve regurgitation, more likely. It can also make problems with the aorta more likely.

In aortic valve stenosis, the valve has narrowed. Your heart has to work harder to pump blood throughout your body. Symptoms may include chest pain, dizziness, fainting, or shortness of breath.

In aortic valve regurgitation, the valve does not close properly. Some of the blood leaks back (regurgitates) through the valve into the heart. Your heart has to work harder to pump blood throughout your body. Symptoms may include chest pain, weakness and tiredness, shortness of breath, or an uneven heartbeat.

Although you have a bicuspid heart valve, your heart can work normally. But you have a higher chance that you might get stenosis or regurgitation as you get older. You'll see your doctor regularly to check your heart and aorta. Have a heart-healthy lifestyle to keep your heart and body as healthy as possible.

How can you care for yourself at home?

• Do not smoke. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good.
• Eat heart-healthy foods. These foods include vegetables, fruits, nuts, beans, lean meat, fish, and whole grains. Limit things that aren't so good for your heart, like sodium, alcohol, and sugar.
• Get regular exercise. Try for 2½ hours a week. Ask your doctor what level of exercise is safe for you. If activity is not likely to cause health problems, you probably don't have limits on the type or level of activity that you can do.
• Stay at a healthy weight. Lose weight if you need to.
• Manage other health problems such as diabetes, high blood pressure, or high cholesterol. If you think you may have a problem with alcohol or drug use, talk to your doctor.
• Get vaccinated against COVID-19, influenza (flu), and pneumonia.