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Definition: A congenitally bicuspid aortic valve . 2 leaflets2 complete commissuresNot included are stenotic or partially fused valves caused by inflammatory processes, such as rheumatic fever. . Epidemiology. Affect 1~2 percent of the general population (4 million US citizens)Male-to-female ratio: 2:1 Sex is not a predictive variable in the natural history of bicuspid aortic valve85 percent will become stenotic (with or without coexistent insufficiency) due to progressive calcification9440

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