I am assuming that there is no stenosis and no regurgitation of the valve. If that's the case, the Aortic root needs to be monitored, probably with yearly echo's or other modalities such as MRI or CT. You basically want to postpone doing any surgery on the root as far as possible in case you develop aortic stenosis or aortic regurgitation so that both can be dealt with at the same time.
The symptoms you had of almost passing out are very likely due to the aortic stenosis and you should NOT do strenous exercise as this could lead to sudden death!! Aortic stenosis is a progressive problem and it will only get worse. You likely need the surgery sooner not later and absolutely you should talk to the doctor about the rapid heart rate you are having.
The patient was premedicated with nitroglycerin and EKG monitoring used. An intravenous line was established and rapid bolus iodinated contrast was administered while CT images were obtained. No complications were encountered.
Three dimensional reconstructions of the CT images were performed and post-processing and analysis was done for definition of coronary stenosis.
This cardiac scan was interpreted by a cardiologist with respect to the heart only.
If and when the aortic root narrows (stenosis), it can enlarge the left ventrical (pumping chamber) due to an increase of gradient pressure. An enlarged heart can cause arrhythmatic problems (irregular heartbeats) and if untreated the enlarged heart can/will enlarge to a degree that will severly reduce contractility and the heart will fail to pump sufficient blood/oxygen to meet system's demand with congested heart failure.
MODERATE HYPERTENSIVE HEART DISEASE.
What does this mean?
Do I need a Coronary Angiogram?
My daughter is 2.5Y old,in his color doppeler test the evidence of aortic stenosis has found
Report says
Aortic valve opening 11.6mm closure ECCENTRAL
Thickening ++ Mid systolic closure ABSENT
Dimention Aortic root dimeter 15.2mm Left atrium 19.7mm
RVID(ed) 11.3mm LVID(ed) 31.1 LVID(es) 19.4mm
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You have mild aortic stenosis. A normal aortic valve normally does not generate any gradient at rest, and maybe only a small gradient with exercise. With this sized valve and your absence of symptoms you need no other treatment other than coronary artery disease prevention ( with a statin and maybe aspirin) and screening echocardiograms every 3-5 years.
of a valve problem, the problem is, if there is a problem would be an aortic valve stenosis. Aorta valve stenosis would also be associated with the enlarged left ventricle.
The stenosis can be related to sclerosis of the valve opening (orifice), and is not uncommon with the aging process. An enlarged left ventrical is cardiomyopathy.
Hope this helps, if you have any follow up questions feel free to ask.
2.7cm, my problem is that one Doctor suggest I have aortic valve replacement and other says no need for surgery now and he wants to put me on medification, CAPTOPRIL.Are you on any medification? what ?
Balloon valvuloplasty may relieve aortic valve stenosis and its symptoms, especially in infants and children. However, in adults, the procedure isn't usually successful, and the valve tends to narrow again even after initial success. For these reasons, doctors rarely use balloon valvuloplasty today to treat aortic valve stenosis in adults, except in patients who are too sick to undergo surgery (may provide a few years of relief without much risk!).
Dear Tam,
Based on the echo report information that you have listed, it appears that he has mild residual stenosis of the aortic valve, which does not cause a problem. That said, I tell all of my patients that aortic valve disease is something that you have for life in one way, shape, or form. This valvuloplasty will not last him his whole life, as it will wear out and/or have an inflammatory response from the body that will make the valve leaky, more stenotic, or both.
But, these valves can be complicated by aortic valve stenosis (obstruction), insufficiency (leakage), and prolapse as well as dilation of the aortic root. When you throw aortic valve stenosis into the mix, it does change things somewhat. I typically tell my patients that aortic valve disease is something that will require care for life. That doesn’t necessarily mean that it will require frequent interventions, however.
Two, the adult literature says that an adult with a bicuspid aortic valve and no stenosis or insufficiency and an aortic root of 4 cm or less needs no restrictions. Therefore, I would talk with your cardiologist and ask on what basis of proof his recommendation has been made. It is certainly not unreasonable, though, to obtain a second opinion for this if you feel that this recommendation is not sound.
The cardiologist told us that echo showed dyskinesia on left ventricular walls and aortic valve stenosis with a severe audible murmur. He also told us that he suffered no MI and that the elevation in BNP and troponins was due to aortic valve problems. My dad suffered a syncope 6 hours after admission. We are considering transferring him to a hospital specialized in cardiac surgery. He is currently on a mechanical ventilator. Your opinion regarding this matter will be highly appreciated.
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