A member asked:

Could valvuloplasty work for patients with asymptomatic severe aortic stenosis?

6 doctors weighed in across 3 answers

No: Valvuloplasty is used a "bridge" to surgery in patient who are 2 "sick" to tolerate surgery or it can be used as a palliative treatment. The only definitive treatment for aortic stenosis is surgical replacement or for high risk and inoperable patients, transcatheter aortic valve replacement (tavr) is available. If the patient is truly asymptomatic, close monitoring is necessary.

Answered 9/18/2013

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No: Valvuloplasty is used a "bridge" to surgery in patient who are 2 "sick" to tolerate surgery or it can be used as a palliative treatment. The only definitive treatment for aortic stenosis is surgical replacement or for high risk and inoperable patients, transcatheter aortic valve replacement (tavr) is available. If the patient is truly asymptomatic, close monitoring is necessary.

Answered 7/7/2013

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Dr. Jon Spiers answered

Specializes in Thoracic Surgery

No: This is a temporizing measure for those too sick to undergo definitive treatment. In patients who can tolerate definitive therapy, it is unwise. It would be foolish to choose it. While some may be seduced by its less invasive nature, it is no match for the results archived by surgical treatment. Hope this helps.

Answered 12/10/2013

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