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This video discusses the potential health concerns associated with bicuspid aortic valve disease. It explains that in patients with this condition, there are only two leaflets instead of the usual three, which can lead to eddy currents and damage to the leaflets. This damage can cause inflammation, calcific scarring, and ultimately aortic valve stenosis, which can occur much earlier in life than in people with a tri leaflet valve. Additionally, the connective tissue in the valve can weaken, leading to floppy aortic valve leaflets and aortic valve regurgitation. Finally, the early part of the aortic root can become weakened and enlarged, leading to aneurysms, which is why it's essential for patients with bicuspid aortic valve disease to have their aortic root assessed regularly. The video emphasizes that if an aortic valve procedure is required, the aorta may also need to be replaced depending on the size of the aneurysm. Keywords: bicuspid aortic valve, aortic valve disease, aortic valve stenosis, aortic valve regurgitation, aortic root, aneurysm.