What Is Aortic Valve Stenosis?

7 Answers

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When should you have aortic valve replaced? My aortic valve area is .9 cm2 Thanks
Hello Richard, when AVA is less than 1cm2,it's classified as severe aortic stenosis, I'm sure you know well about it. When to take the replacement surgery depends on more than the AVA value, your doctor will need to evaluate the overall condition of your heart. You may consider to have a discussion with your cardiologist.
I'm 48 yrs old, born with aortic stenosis,two cusp valve. I'm a veteran that gets evaluated once a year. Lately and frequent enough. I'm experiencing palpitations in the morning, noticing shortness of breath during work and at normal rest. I don't know the measurement of the opening. How long can I expect to live a normal life after surgery in which I expect soon?. Also, my next appointment is in March, should I wait or get in asap? They said last year I had moderate stenosis of the aortic valve.
Hello Mr. Isaacson, if you feel the symptoms are getting worse, it's good to run an evaluation soon. The recovery from aortic valve repair surgery varies among people, some can recover in a month, some may need three months or longer. If possible, take the surgery at a medical center with a multidisciplinary team of cardiologists and other doctors and medical staff.
Yes I have a mother recently hospitalized with Afib-heart attack. Was told she has severe stonosis in aorta valve 80%, also recently found 80% blockage in leg and has 70% blockage in neck. Micro valve near the heart is in bad condition as well..Dr. said it’s bad-real bad. I am wondering if she is a good candidate for an TARV surgery instead of open heart and if so where would you recommend her to go for such a complicated surgery?? Do you know of any doctors that would take this on?? Please help
Hi, TARV is an option for people with a high risk in open-heart surgery. There's an evaluation to go of couse, including heart function(class I and class II), anatomical conditions of the aortic root. Also TARV is recommended to people over 70, because no one knows for how long exacty the new valve can function well. This surgery only started in 2002. The TARV sugery needs one cardiologist and two cardiac sugeons to work together, so ideally you choose a multidiscipline hospital. The best hospital for heart surgery ranks Cleveland, mayo, Smidt Heart Institute at Cedars-Sinai , New York-Presbyterian, Massachusetts General, University of Pennsylvania-Penn Presbyterian, Northwestern Memorial.
When should you have aortic valve replaced? My aortic valve area is .9 cm2 Thanks
Hello Richard, when AVA is less than 1cm2,it's classified as severe aortic stenosis, I'm sure you know well about it. When to take the replacement surgery depends on more than the AVA value, your doctor will need to evaluate the overall condition of your heart. You may consider to have a discussion with your cardiologist.
I'm 48 yrs old, born with aortic stenosis,two cusp valve. I'm a veteran that gets evaluated once a year. Lately and frequent enough. I'm experiencing palpitations in the morning, noticing shortness of breath during work and at normal rest. I don't know the measurement of the opening. How long can I expect to live a normal life after surgery in which I expect soon?. Also, my next appointment is in March, should I wait or get in asap? They said last year I had moderate stenosis of the aortic valve.
Hello Mr. Isaacson, if you feel the symptoms are getting worse, it's good to run an evaluation soon. The recovery from aortic valve repair surgery varies among people, some can recover in a month, some may need three months or longer. If possible, take the surgery at a medical center with a multidisciplinary team of cardiologists and other doctors and medical staff.
Yes I have a mother recently hospitalized with Afib-heart attack. Was told she has severe stonosis in aorta valve 80%, also recently found 80% blockage in leg and has 70% blockage in neck. Micro valve near the heart is in bad condition as well..Dr. said it’s bad-real bad. I am wondering if she is a good candidate for an TARV surgery instead of open heart and if so where would you recommend her to go for such a complicated surgery?? Do you know of any doctors that would take this on?? Please help
Hi, TARV is an option for people with a high risk in open-heart surgery. There's an evaluation to go of couse, including heart function(class I and class II), anatomical conditions of the aortic root. Also TARV is recommended to people over 70, because no one knows for how long exacty the new valve can function well. This surgery only started in 2002. The TARV sugery needs one cardiologist and two cardiac sugeons to work together, so ideally you choose a multidiscipline hospital. The best hospital for heart surgery ranks Cleveland, mayo, Smidt Heart Institute at Cedars-Sinai , New York-Presbyterian, Massachusetts General, University of Pennsylvania-Penn Presbyterian, Northwestern Memorial.
Hi, my Mother-in-law is 92, on dialysis 3x’s per week for ten years. Her doctor suggests TAVR or in the future dialysis may no longer work. She is currently in the hospital because of very low blood pressure, her heart rate is high. The hospital wanted to release her tomorrow  & wanted her to have physical therapy.  So now we’re not sure if she’ll be a candidate for TAVR. Any suggestions will be greatly appreciated. Thank you.

Christopher T. Calimano Sr.
Could she be a candidate for TAVR? The decision could only be made by the doctor who could give her the surgery. Age 92 plus dialysis, that makes it quite dangerous. Have a detailed talk with her doctor please.
This is a hard decision. For your mother-in-law dialysis is not suitable as long as she is hypotensive. Although TVAR is a minimally invasive procedure, your mother-in-law advanced age and poor overall condition may prevent surgeons from doing TAVR.

In summary, the risks for your mother-in-law with TAVR is very high. Whether she could do it depends on her legal guardian's perception and the surgeon's evaluation.
In this case, you'd talk to the best surgeon you can find for TAVR. Generally the risk is high, however you might be able to find a really good surgeon who's capable of handling the procedure for your mother-in-law.
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