Aortic Stenosis -- Adult
(Stenosis, Aortic—Adult; AS—Adult)
A birth defect of the aortic valve, which normally has three cusps:
- A two-part aortic valve becomes stenotic with progressive wear and tear
- An aortic valve that has only one cusp or has stenosis from birth
- Progressive hardening and calcification of the aortic valve with age
- Scarring of the aortic valve caused by rheumatic fever—rare
- Gender: male
- Family members with heart disease that affects the valves
- History of rheumatic fever
- Diabetes mellitus
- Extreme fatigue after exercise or exertion
- Fainting with exercise or exertion
- Pain, squeezing, pressure, or tightness of the chest usually occurring with exertion
- Rapid or irregular heartbeat
- Shortness of breath
- Lightheadedness with exertion
- Neurological symptoms of a stroke or transient ischemic attack
- Abnormal chest sounds such as a heart murmur or clicking sound
- Noticeable chest heave or vibration when the doctor's hand is held over your heart
- Balloon valvuloplasty —A balloon device is passed through the arteries to open or enlarge the stenotic aortic valve. This may provide temporary relief of symptoms. But since the valve can become blocked again, this treatment is not a permanent solution.
- Aortic valve replacement —During this open surgery, the defective heart valve is replaced with either a bioprosthetic valve or a synthetic valve.
- Transcatheter aortic valve replacement—This surgery also involves replacing the defective valve. But this is minimally invasive surgery that involves inserting the replacement valve through a small incision in the chest or through an artery in the leg.
|Aortic Valve Replacement—Mechanical and Bioprosthetic Valve Shown|
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- Get regular medical care, including exams and tests.
- Only certain people with AS need antibiotics before dental or medical procedures. Ask your doctor if you need antibiotics to prevent infection of the heart valve.
American Heart Association http://www.heart.org
National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov
Canadian Cardiovascular Society http://www.ccs.ca
Canadian Society for Vascular Surgery http://www.canadianvascular.ca
Premedication (antibiotics). American Dental Association's Mouth Healthy website. Available at: http://www.mouthhealthy.org/en/az-topics/p/Premedication-or-Antibiotics.aspx . Accessed May 8, 2013.
Infective endorcarditis. American Heart Association website. Available at: http://www.heart.org/HEARTORG/Conditions/CongenitalHeartDefects/TheImpactofCongenitalHeartDefects/Infective-Endocarditis%5FUCM%5F307108%5FArticle.jsp . Updated April 12, 2013. Accessed May 8, 2013.
Aortic stenosis. DynaMed website. Available at: http://www.ebscohost.com/dynamed . Updated March 18, 2013. Accessed May 8, 2013.
Valve replacement in patients with aortic stenosis. Am Fam Physician . 2002;65:2342.