Tripathi A, et al. - Researchers determined the treated prevalence of bicuspid aortic valve as well as its incident complications in a pediatric population with congenital heart disease. They analyzed 15-year retrospective data, with selection criteria including age ≤17 years, enrollees in the South Carolina State Medicaid program and diagnosed as having bicuspid aortic valve on one or more service visits. The reported 15-year-treated prevalence was 2%, with a non-African American: African-American ratio of 3.5:1, and a male:female ratio of 1.6:1. The most prevalent coexisting congenital heart lesions were aortic stenosis (28.0%), ventricular septal defect (20.6%), and coarctation of the aorta (20.6%). Surgical intervention was not needed in the majority of isolated bicuspid aortic valve cases without aortic stenosis. For cases requiring repair/replacement, relatively benign outcomes were noted.