Aortic Stenosis

My Mom is 72 years old and has been in very good health all of her life with the exception of a heart murmur that was deemed "congential" when she was in her early 30's. She recently had a physical and once again the murmur was detected. She was referred to a cardiologist for an echocardiogram. The cardiologist said she should consider surgery within 1 year. My mom has had no symptoms and is extremely active. What is your opinion on whether surgery is necessary when no symptoms exist?
Also, we would like a second opinion and an appointment with one of your valve cardiologists if possible.

Thank you very much.

[Cleveland Clinic, MD]

Dear Rob,
Aortic stenosis is a narrowing of the valve leading out of the heart to the rest of the body.  It can be congenital in nature or more commonly it is degenerative.  The timing of replacement of the valve in aortic stenosis is based on several factors.  First, the overall health of the patient must be considered.  Second, is the presence of symptoms.  If present symptoms are a very strong reason to operate.  Lastly, the heart function is examined.  If it is decreased then surgery is usually recommended.  

We would be happy to see your mother here for a second opinion.  You can call 1-800-CCF-CARE and ask for an appointment with on of the "valve cardiologists" such as Dr. Stewart.  Best wishes.

[Susan]

At age 51 two years ago, my aortic valve was replaced due to a congenital heart defect which by then had created a rather severe stenosis.  I, too, thought I had no symptoms.  I didn't realize until after the surgery and a more full recovery that I did have symptoms and just didn't realize it.  It would be far best to have the surgery now if indicated than wait until she is less healthy due to some other reason.  The older one gets, the harder the surgery is to recover from.  Good luck!  She sounds like one plucky lady who will do just fine!

[Rob]

Susan,

I appreciate your response. Could we have your e-mail address if possible? Thanks.