Doctor insights on:
Severe Aortic Stenosis Treatment
Are there any treatments for aortic stenosis other than surgery or percutaneous aortic valve replacement?
Surgery: This is a mechanical obstruction to the outflow tract of the left ventricle.Removal of the mechanical obstruction with a suitable replacement is the standard of care proven to prolong and preserve quality of life given suitable candidate.Prosthetic choice depends on age and pathology.Percutaneous aortic valve interventions other than straight baloon valvuloplasty reserved for inoperable candidates. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
What happens if you don't have any treatments done for your son's aortic stenosis, will it eventually resolve?
No: Aortic stenosis does not resolve over time. However, it can remain stable. There are some fairly decent established criteria for when to intervene (depends on echo measures and other symptoms/conditions). Please discuss your specific issues with your cardiologist. ...Read moreSee 2 more doctor answers
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
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. ...Read moreSee 2 more doctor answers
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
If I have surgery to correct severe aortic stenosis, will I be likely to have a fairly normal lifespan?
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