Abnormal pulse wave velocity in bicuspid aortic valve: comparison to trileaflet aortic valve and the impact of aortic regurgitation

Abstract

Introduction Abnormal aortic stiffness implies an unfavorable prognosis in a variety of aortic diseases, and is considered an emerging biomarker for cardiovascular disease. In bicuspid aortic valve (BAV), aortic stiffness can be elevated as a result of intrinsic aortopathy, as well as geometrical, morphological and functional abnormalities. Aortic regurgitation (AR) is associated with LV dysfunction in approximately 4% of patients per year. It has been found that loss of vascular elasticity in patients with AR hastens the development of symptoms, as typically aortic regurgitation is compensated for by increased systolic volume, which is then further accommodated by compliant arteries.