Top
20
Doctor insights on: Aortic Stenosis

Share
Dr. Joshua Buckler
638 doctors shared insights

Aortic Stenosis (Overview)

The abnormal narrowing of the aortic valve. Progressive narrowing of the aortic valve means the heart must work harder to contract and "squeeze" the blood through a smaller and smaller outflow orifice. This will eventually cause symptoms such as chest pain, dyspnea, or loss of consciousness.


1

1
What is an aortic stenosis?

What is an aortic stenosis?

Narrowing of the: Aortic valve by calcification causing fixed restriction of blood flow out of the heart. ...Read more

See 3 more doctor answers
Dr. Joshua Buckler
638 doctors shared insights

Aortic Stenosis (Overview)

The abnormal narrowing of the aortic valve. Progressive narrowing of the aortic valve means the heart must work harder to contract and "squeeze" the blood through a smaller and smaller outflow orifice. This will eventually cause symptoms such as chest pain, dyspnea, or loss of consciousness.


2

2
How does the condition aortic stenosis occur?

How does the condition aortic stenosis occur?

May start from birth: Aortic valve problems may start from birth if the aortic valve was abnormal due to a birth defect. As one ages, there can be progressive wear and tear of a bicuspid valve present since birth. There can also be wear and tear of a previously normal aortic valve in the elderly. Rheumatic fever can also cause scarring of the aortic valve in a child or adult. ...Read more

See 2 more doctor answers
3

3
Managing Spinal Stenosis (Checklist)

Use NSAIDs for relief
Daily
Get an Xray/MRI if not better in 6 weeks
Once
See a spine specialist if not better in 6 weeks
Once
5

5
I am not feeling like myself. What are the symptoms of aortic stenosis?

Several: The most common symptom is chest pain with effort or in more advanced cases where the stenosis has been severe for many years, decreased exercise tolerance, shortness of breath, light headedness and palpitations among others. Check with your doctor, the diagnosis is usually straight forward. ...Read more

See 1 more doctor answer
6

6
What's the sign in physical exam with which we can say aortic stenosis in a case is not severe?

What's the sign in physical exam with which we can say aortic stenosis in a case is not severe?

Echocardiogram: In order to evaluate the severity of aortic stenosis you must have an echocardiogram. Several measurements are performed, including jet velocity and aortic valve area, that will determine the severity of stenosis. Physical exam findings are not consistent enough to be used as a determining factor for the degree of stenosis. ...Read more

7

7
Can you tell me how is a diagnosis of aortic stenosis made?

Can you tell me how is a diagnosis of aortic stenosis made?

Echocardiogram: Physical exam can be helpful, but echocardiography (cardiac ultrasound) is generally the diagnostic study of choice. Using echo, you can examine the morphology and movement of the valve leaflets, and measuring blood flow velocities, you can estimate pressure gradients to assess severity of obstruction. Cath can sometimes be helpful in assessment and may allow intervention in some cases. ...Read more

8

8
Diagnosed with aortic stenosis at 45 yo. Is this young for this or not?

Somewhat: But not uncommon. Discuss causes and treatment plan with your cardiologist. ...Read more

11

11
What could cause an aortic stenosis with apico-aortic conduit?

What could cause an aortic stenosis with apico-aortic conduit?

Calcium: This operation is rarely used but is done when the ascending aorta is too calcified to operate on. ...Read more

13

13
What are other ways to treat aortic stenosis besides valve replacement surgery?

None: Unfortunately we are yet to find a non-surgical way to halt or reverse aortic stenosis. Current technology however is advancing the placement of new aortic valves through a catheter avoiding having to open the chest. ...Read more

See 1 more doctor answer
15

15
How is aortic stenosis treated?

Surgery vs Meds: Initially aortic stenosis (as) is treated with medications, but when the heart begins failing due to it as well as a few other parameters, it is time to think about surgical valve replacement. This can be done either as a traditional open heart operation or in some cases now percutaneously without having an incision. ...Read more

See 2 more doctor answers
16

16
What is the treatment for valvular aortic stenosis?

Depends: Surgical if it's really bad & the patient can withstand the surgery. If the stenosis is not severe, medical management. ...Read more

17

17
What are some treatments for aortic stenosis surgery?

What are some treatments for aortic stenosis surgery?

Multiple: Options for aortic valve surgery today include replacement with full sternotomy or mini- sternotomy, or percutaneous aortic valve replacement, which will likely be the standard of care in another 5- 10 years. Currently, surgery is still the best approach with the longest track record. ...Read more

18

18
Want to get on with my life. How is aortic stenosis diagnosed? When can treatment start?

Want to get on with my life. How is aortic stenosis diagnosed? When can treatment start?

Echocardiography: An echocardiogram with doppler will make the diagnosis. There is no need for treatment unless it is severe and causing symptoms. ...Read more

See 1 more doctor answer
19

19
My mother has severe aortic stenosis and has converted to a-fib a few days ago. She was placed on pradaxa. Is it the right drug choice for her? Thanks

Depends: Severe aortic stenosis with atrial fibrillation should at least be considered for surgery. If not a surgical candidate then considered for a new type of valve procedure called tavi or tavr. Pradaxa was approved to reduce stroke risk caused by atrial fibrillation. The one issue is it should be afib that was not a result of valvular heart disease. That is something her cardiologist should decide. ...Read more

20

20
Bicuspid aortic valve & aortic stenosis. Baby sometimes gets a blue tongue, is there a way to treat this?

Bicuspid aortic valve & aortic stenosis. Baby sometimes gets a blue tongue, is there a way to treat this?

Yes: Bicuspid valve is a relatively common condition and most tolerate until adulthood and valve replacement. Some are treated in children with valve dilation, open repair or rarely with replacement since so small. If cyanosis is happening, need evaluation for endocardiac shunting ( pfo, asd, vsd ) etc. ...Read more

See 1 more doctor answer

Aorta (Definition)

The aorta is the largest artery in the body, leaving directly from the left ventricle of the heart to supply blood to the entire body. It is made of elastic tissue layers called "intima" and is subject to damage by high blood pressure, smoking, cholesterol, ...Read more


Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more