The Genetic and Imaging Key to Understanding Bicuspid Aortic Valve Disease

Bicuspid Aortic Valve (BAV) is a prevalent congenital heart defect, characterized by the presence of two cusps instead of three, leading to significant clinical implications such as aortic stenosis, regurgitation, and aneurysms. Understanding the genetic underpinnings of BAV is essential for early d...

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Main Authors: Vaneeza Moosa, Julio Garcia
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/15/2/714
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author Vaneeza Moosa
Julio Garcia
author_facet Vaneeza Moosa
Julio Garcia
author_sort Vaneeza Moosa
collection DOAJ
description Bicuspid Aortic Valve (BAV) is a prevalent congenital heart defect, characterized by the presence of two cusps instead of three, leading to significant clinical implications such as aortic stenosis, regurgitation, and aneurysms. Understanding the genetic underpinnings of BAV is essential for early diagnosis and management, which can prevent severe complications like aortic dissection and heart failure. Recent studies have identified critical genes associated with BAV, including NOTCH1, GATA4, GATA5, SMAD6, NKX2.5, BMP2, and ROBO4, all of which play vital roles in aortic valve development and function. Imaging advancements, particularly in cardiac MRI and echocardiography, have enhanced the assessment of valve morphology and hemodynamics, with Wall Shear Stress emerging as a promising biomarker. This review consolidates current genetic and imaging research, elucidating the contributions of genetic variants to the etiology and progression of BAV, while emphasizing the importance of imaging biomarkers in clinical management. The findings aim to improve genetic screening strategies, facilitate early diagnosis, and guide the development of targeted therapies for individuals with BAV.
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spelling doaj-art-90aaffd8bade49ab9b66457e6ce1a8572025-01-24T13:20:33ZengMDPI AGApplied Sciences2076-34172025-01-0115271410.3390/app15020714The Genetic and Imaging Key to Understanding Bicuspid Aortic Valve DiseaseVaneeza Moosa0Julio Garcia1Undergraduate Medical Education, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, CanadaDepartment of Radiology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, CanadaBicuspid Aortic Valve (BAV) is a prevalent congenital heart defect, characterized by the presence of two cusps instead of three, leading to significant clinical implications such as aortic stenosis, regurgitation, and aneurysms. Understanding the genetic underpinnings of BAV is essential for early diagnosis and management, which can prevent severe complications like aortic dissection and heart failure. Recent studies have identified critical genes associated with BAV, including NOTCH1, GATA4, GATA5, SMAD6, NKX2.5, BMP2, and ROBO4, all of which play vital roles in aortic valve development and function. Imaging advancements, particularly in cardiac MRI and echocardiography, have enhanced the assessment of valve morphology and hemodynamics, with Wall Shear Stress emerging as a promising biomarker. This review consolidates current genetic and imaging research, elucidating the contributions of genetic variants to the etiology and progression of BAV, while emphasizing the importance of imaging biomarkers in clinical management. The findings aim to improve genetic screening strategies, facilitate early diagnosis, and guide the development of targeted therapies for individuals with BAV.https://www.mdpi.com/2076-3417/15/2/714Bicuspid Aortic Valvegenetic mutationsimaging biomarkersaortic stenosiswall shear stresscardiac MRI
spellingShingle Vaneeza Moosa
Julio Garcia
The Genetic and Imaging Key to Understanding Bicuspid Aortic Valve Disease
Applied Sciences
Bicuspid Aortic Valve
genetic mutations
imaging biomarkers
aortic stenosis
wall shear stress
cardiac MRI
title The Genetic and Imaging Key to Understanding Bicuspid Aortic Valve Disease
title_full The Genetic and Imaging Key to Understanding Bicuspid Aortic Valve Disease
title_fullStr The Genetic and Imaging Key to Understanding Bicuspid Aortic Valve Disease
title_full_unstemmed The Genetic and Imaging Key to Understanding Bicuspid Aortic Valve Disease
title_short The Genetic and Imaging Key to Understanding Bicuspid Aortic Valve Disease
title_sort genetic and imaging key to understanding bicuspid aortic valve disease
topic Bicuspid Aortic Valve
genetic mutations
imaging biomarkers
aortic stenosis
wall shear stress
cardiac MRI
url https://www.mdpi.com/2076-3417/15/2/714
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