This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Surgery for valvular aortic stenosis

Authoring team

Symptomatic aortic stenosis should be treated by valve replacement. The aim is to replace a severely stenosed valve before symptoms appear because a damaged left ventricle never completely returns to normal functioning. In contrast, it is never too late to replace the valve.

Indications for surgery include:

  • symptomatic indicators e.g. angina, syncope
  • if the patient is asymptomatic then surgery in indicated if there is a significant peak gradient e.g. greater than 50 mm Hg or reduction of Gorlin valve area e.g. less than 0.5 square centimetres
  • to prevent irreversible left ventricular damage e.g. dilation of left ventricle on chest X-ray

Possible operations include:

  • infants - balloon angioplasty
  • children - congenital stenosis may be treated by open aortic valvotomy on cardiopulmonary bypass
  • adults - aortic valve replacement

Asymptomatic patients should be advised to avoid competitive sports.


Create an account to add page annotations

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.