Bicuspid Aortic Valve and Sudden Cardiac Death

Bicuspid aortic valve (BAV) is the most common congenital heart anomaly, affecting an estimated 0.5% to 0.77% of the general population. This condition occurs when the aortic valve has only two cusps instead of the usual three, disrupting normal valve function and increasing the risk of various card...

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Main Authors: Cecilia Salzillo, Andrea Quaranta, Fabrizia Di Lizia, Michela Lombardo, Marco Matteo Ciccone, Vincenzo Ezio Santobuono, Enrica Macorano, Francesco Introna, Biagio Solarino, Andrea Marzullo
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Life
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Online Access:https://www.mdpi.com/2075-1729/15/6/868
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author Cecilia Salzillo
Andrea Quaranta
Fabrizia Di Lizia
Michela Lombardo
Marco Matteo Ciccone
Vincenzo Ezio Santobuono
Enrica Macorano
Francesco Introna
Biagio Solarino
Andrea Marzullo
author_facet Cecilia Salzillo
Andrea Quaranta
Fabrizia Di Lizia
Michela Lombardo
Marco Matteo Ciccone
Vincenzo Ezio Santobuono
Enrica Macorano
Francesco Introna
Biagio Solarino
Andrea Marzullo
author_sort Cecilia Salzillo
collection DOAJ
description Bicuspid aortic valve (BAV) is the most common congenital heart anomaly, affecting an estimated 0.5% to 0.77% of the general population. This condition occurs when the aortic valve has only two cusps instead of the usual three, disrupting normal valve function and increasing the risk of various cardiovascular diseases. Often asymptomatic in its early stages, BAV can gradually progress, leading to stenosis, valve insufficiency, and abnormalities of the ascending aorta. One particularly concerning aspect is its potential association with sudden cardiac death (SCD). The aim of this literature review is to examine the relationship between BAV and the risk of SCD, highlighting the pathogenic variants and pathophysiological mechanisms involved while emphasizing the significance of valve classification and its clinical implications. Additionally, it explores current research gaps and future directions to enhance early identification of at-risk individuals and reduce the incidence of SCD.
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institution Kabale University
issn 2075-1729
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publishDate 2025-05-01
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record_format Article
series Life
spelling doaj-art-bd374abd46224eeaa9c77b8d6c6c045c2025-08-20T03:27:21ZengMDPI AGLife2075-17292025-05-0115686810.3390/life15060868Bicuspid Aortic Valve and Sudden Cardiac DeathCecilia Salzillo0Andrea Quaranta1Fabrizia Di Lizia2Michela Lombardo3Marco Matteo Ciccone4Vincenzo Ezio Santobuono5Enrica Macorano6Francesco Introna7Biagio Solarino8Andrea Marzullo9PhD Course in Public Health, Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyPathology Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari “Aldo Moro”, 70124 Bari, ItalyPathology Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari “Aldo Moro”, 70124 Bari, ItalyPathology Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari “Aldo Moro”, 70124 Bari, ItalyCardiology Unit, Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyCardiology Unit, Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyLegal Medicine Unit, Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyLegal Medicine Unit, Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyLegal Medicine Unit, Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyPathology Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari “Aldo Moro”, 70124 Bari, ItalyBicuspid aortic valve (BAV) is the most common congenital heart anomaly, affecting an estimated 0.5% to 0.77% of the general population. This condition occurs when the aortic valve has only two cusps instead of the usual three, disrupting normal valve function and increasing the risk of various cardiovascular diseases. Often asymptomatic in its early stages, BAV can gradually progress, leading to stenosis, valve insufficiency, and abnormalities of the ascending aorta. One particularly concerning aspect is its potential association with sudden cardiac death (SCD). The aim of this literature review is to examine the relationship between BAV and the risk of SCD, highlighting the pathogenic variants and pathophysiological mechanisms involved while emphasizing the significance of valve classification and its clinical implications. Additionally, it explores current research gaps and future directions to enhance early identification of at-risk individuals and reduce the incidence of SCD.https://www.mdpi.com/2075-1729/15/6/868bicuspid aortic valvepathogenic variantsclassification valvularsudden cardiac deathcardiovascular complicationspreventive strategies
spellingShingle Cecilia Salzillo
Andrea Quaranta
Fabrizia Di Lizia
Michela Lombardo
Marco Matteo Ciccone
Vincenzo Ezio Santobuono
Enrica Macorano
Francesco Introna
Biagio Solarino
Andrea Marzullo
Bicuspid Aortic Valve and Sudden Cardiac Death
Life
bicuspid aortic valve
pathogenic variants
classification valvular
sudden cardiac death
cardiovascular complications
preventive strategies
title Bicuspid Aortic Valve and Sudden Cardiac Death
title_full Bicuspid Aortic Valve and Sudden Cardiac Death
title_fullStr Bicuspid Aortic Valve and Sudden Cardiac Death
title_full_unstemmed Bicuspid Aortic Valve and Sudden Cardiac Death
title_short Bicuspid Aortic Valve and Sudden Cardiac Death
title_sort bicuspid aortic valve and sudden cardiac death
topic bicuspid aortic valve
pathogenic variants
classification valvular
sudden cardiac death
cardiovascular complications
preventive strategies
url https://www.mdpi.com/2075-1729/15/6/868
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