Aortic stenosis is one of the most common and most serious valve disease problems. Aortic stenosis is a narrowing of the aortic valve opening. Aortic stenosis restricts the blood flow from the left ventricle to the aorta and may also affect the pressure in the left atrium.
Symptoms of aortic stenosis may include:
I. Breathlessness
II. Chest pain, pressure or tightness
III. Fainting, also called syncope
IV. Palpitations or a feeling of heavy, pounding, or noticeable heartbeats
V. Decline in activity level or reduced ability to do normal activities requiring mild exertion
Infants and children, who have aortic stenosis due to a congenital defect, may exhibit symptoms such as:
I. Fatigue upon exertion
II. Failure to gain weight
III. Poor or inadequate feeding
IV. Breathing problems
Include:
• Electrocardiogram
• Heart catheterization
• Echocardiogram
• Chest X-ray
Include:
• Medication:
• Aortic valve replacement
Currently aortic valve replacement approaches include
- Open heart surger
- Minimally invasive cardiac surgery (MICS)
- Minimally invasive catheter-based (percutaneous) aortic valve replacement.
A diseased aortic valve is most commonly replaced using a surgical procedure with either a mechanical or a tissue valve. The procedure is done either in an open-heart surgical procedure or, in a smaller but growing number of cases, a minimally invasive cardiac surgery (MICS) procedure.
• Transcatheter aortic valve replacement
people who are not candidates for surgical valve replacement, transcatheter valve replacement may be a suitable alternative.
• Balloon valvuloplasty
For infants and children, balloon valvuloplasty, where a balloon is inflated to stretch the valve and allow greater flow, may also be effective. In adults, however, it is generally ineffective, as the valve tends to return to a stenosed state. The surgeon will make a small incision at the top of the people's leg and proceed to insert the balloon into the artery. The balloon is then advanced up to the valve and is inflated to stretch the valve open.
Consult at Aadil Hospital for medical and surgical procedure.
