Doctor insights on:
Aortic Stenosis Life Expectancy
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, ...Read more
More detail: There is not much "inoperable" as. However, the patients overall frail condition, such as in the very elderly with other health problems, or perhaps a very damaged and poorly functioning heart may make this too high an operative risk. But it isn't the valve. Per se, that is inoperable. Some folks would try a percutaneous valve placement in this setting. ...Read more
Aortic stenosis: It might progress when you grow, but it depends on the type. ...Read more
Is aortic stenosis from old age common? What percent of people will get it? More women or men? Life style increase risk?
Aortic stenosis...: At old age is usually senile calcific aortic stenosis and occurs on previously normal valves. Younger patients with stenosis tend to abnormal leaflets (2 vs 3). Mechanical stress may lead to calcium buildup on the valve. Smoking, diabetes, hypertension and male sex are other risk factors. There are similar links to atherosclerosis of the coronary arteries. But you can have one without the other. ...Read more
Does an infant with borderline left ventricle and aortic stenosis and other associated problems can live a normal healthy life or will compromise?
Likely Compromise: Unfortunately, a "borderline" left ventricle and as will likely have some long term effect. That does not mean your child cannot live a meaningful and happy life. As a cardiologist, I can tell you that there are too many unknowns to begin to speculate. But if things go well (i.e. Surgery/cath) your child can do well and be happy. ...Read more
Depends: Both vary separately and as a pair in their impact on the heart and circulatory system, from minimal to life threatening. ...Read more
What would experts say? Could a hole in your heart and aortic stenosis be a life threatening illness?
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
Aortic Stenosis: Aortic stenosis is the abnormal narrowing of the aortic valve. As the aortic valve develops progressive narrowing, 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. Severe aortic stenosis requires valve replacement. ...Read more
Calcium: This operation is rarely used but is done when the ascending aorta is too calcified to operate on. ...Read more
The heart must push harder which is a strain and causes "muscle bound" left ventricular hypertrophy and later heart failure.
The muscle needs more oxygen to pump and coronary flow is interfered with causing angina or heart attack in some.
Low forward flow can lead to fainting syncope.
It is related to degree if stenosis- narrowing of this door!
think of it as a door which does not open fully. ...Read more
Yes and yes: You can have a baby if you have aortic stenosis. Your doctor would need to know this and take certain precautions. Can you (normal) have a baby (with: who has) aortic stenosis? Yes, there is a type of aortic stenosis that could happen in babies rarely. Talk to baby's pediatrician. ...Read more
No.: The murmur from an ASD will be systolic but it will be heard in the pulmonic area. The symptoms will potentially be similar (fatigue, decreased exercise tolerance) but not until advanced shunting occurs which is unlikely. The long term prognosis is significantly different. ...Read more
Left-sided narrowing: Aortic stenosis involves obstruction to blood flow out of the left ventricle (the major pumping chamber in the heart). Most commonly, narrowing is at the level of the aortic valve itself, but subvalvar (below the valve) and supravalvar (above the valve) aortic stenosis also occurs. Aortic stenosis may be congenital (you are born with it), or acquired. Symptoms depend on the degree of obstruction. ...Read more
Congenital: Ebstein anomaly is a congenital condition affecting the tricuspid valve and its position inside the heart. Clinical symptoms are dependent on which structures are affected in addition to the valve. Aortic stenosis is a condition where the aortic valve opening is smaller than normal. This can be congenital or acquired. ...Read more
Peds cards: Depends on several factors. Recommend that you find a good pediatric cardiologist to talk to. ...Read more
Ebstein's anomaly is a congenital (you are born with this) problem where the tricuspid vale on the right side of the heart is not formed correctly and often leads to a leaky valve / regurgitation.
Aortic stenosis is where the aortic valve leaflets on the left side of the heart are thickened and do not open fully leading to a restriction of blood flow out of the heart. ...Read more
Shouldn't: Babies with this diagnosis should grow normally. If the valve leaks a lot, that could be a better reason. First step is to count calories by recording the daily intake. Most causes of growth failure, even if the heart is the culprit, are due to poor calories. Take these results to your pediatic cardiologist and discuss it. ...Read more
Depends: It is not just the presence of aortic stenosis, but the arrival of symptoms that determine whether the condition needs to be treated aggressively. With the development of chest pain, shortness of breath, and syncope, or fainting, the need for surgery increases. Otherwise, medical therapy may be all that is necessary for a long life. ...Read more
Vague question: You need t know the gradient across the stenosis. High gradients require valve replacement, as the left ventricle will begin to enlarge (hypertrophy) which can eventually lead to heart failure. Echocardiography and/or left ventricular angiography performed by an interventional cardiologist can define the gradient, then you both can decide on best treatment options. ...Read more
Fixed cardiac output: With aorttic stenosis the amount of blood pumped by the heart is fixed below a specific threshold as it cannot increase the output even with increased demand as with exercise etc. Consequently, the heart, the brain or any other organ will not get the increased blood supply it needs and therefore sudden death from irregular heart beats, myocardial infarction or syncope and brain ischemia can kill. ...Read more
Very unlikely: If it is acquired, it is usually b/c of poor lifestyle choices. However if you are 34 and have been diagnosed w/as, this is unusual, as as takes many yrs of poor lifestyle choices to acquire. You may want to check with your dr to be sure your diagnosis is correct. If u r asking b/c an elderly blood relative has as & u r pregnant & wondering @ur baby's chance of as, it is same answer, v.Unlikely. ...Read more
Depends on symptoms: Patients with uncorrected aortic stenosis have a poor survival: half of the patients that develop angina (chest pain) will die within 5 years, half of the patients that develop syncope (passing out) will die within 3 years, and half of the patients that develop heart failure will die within 2 years. Aortic valve replacement can pretty much normalize the life span and improve symptoms markedly. ...Read more
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
How does a child develop aortic stenosis at such an early age, isn't this a disease for the elderly?
Not Only Elderly: You are correct in that as is common in the elderly. But children are not little adults, and the process is different. In children with, the aortic valve itself usually did not develop normally. Or, they contracted a disease like rheumatic fever which affects heart valves (quite rare in the west). Please discuss your specific issues with your cardiologist. ...Read more
I am a patient w/ severe aortic stenosis. Can I be stabilized long enough to travel for 8 hours and wait two weeks?
Depends: Depends on if you have symptoms or not. I would recommend you call your cardiologist and review how you are feeling with them and let them advise you. ...Read more
Narrowed heart valve: The aortic valve is between the left ventricle and the aorta. It ensures that blood flows from the heart to the body and not backwards. When the valve is malformed, it does not open fully and the ventricle must work harder to push blood to the body. The medical term for this condition is stenosis. ...Read more
SAVR AND TAVR:
Traditionally, surgical aortic valve replacement was the best method for treating significant aortic stenosis. Some patients, unfortunately, were too ill for the procedure. Transcatheter aortic valve replacement (tavr) has proven an excellent alternative for these patients.
Talk to your thoracic surgeon and cardiologist to see if you are eligible. ...Read more
Needs expert eval: Aortic valve stenosis and chest pain, if it is angina, is an ominous combination. Angina means that there is pain related to inadequate blood flow to the heart muscle to meet the needs of the heart. In as, the work being done by the heart is high due to the obstruction, and there is potential for blood supply to be limited. Find an expert is structural heart disease to evaluate your symptoms. ...Read more
People are reluctant to give pre op patients with critical aortic stenosis inotropes. They stimulate the heart, but in the case of dobutamine and milrinone (most common phosphodiesterase inhibitor) they also drop the aortic pressure past the valve, and that can be very bad.
Post op, PDE's can be preferable to other inotropes because sympathomimetics worsen the stiffness of the thick LV. ...Read more
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