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Heart Disease (Expert Forum)
aortic valve stenosis
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
aortic valve stenosis
by Sanford Timen, Oct 26, 1999 12:00AM
Has an alternative to valve replacement/repair become available? My 80 year old father is currently being followed by his cardiologist for AS. He does not have active ASHD and has never had a angina nor an MI.
Doctor's Answer
by CCF CARDIO MD - DLB, Oct 26, 1999 12:00AM
No good alternative exists. Balloon aortic valvuloplasty is not a good option, other than for patients who are too ill to undergo surgery or patients with a very limited lifespan (due to cancer for example).
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There are currently 3 options for elderly diagnosed with AS (aortic stenosis). I know because my 85 year old mother (who was quite vigorous, independent, homemaker) had a brief fainting episode in 1996 and was diagnosed with AS). Although she recovered immediately and fully from the faint, the hospital said the 3 options were:
1) valve replacment surgery; and at 85 it would be a pig valve
2) valvuplasty - which is like angioplasty, only for the valve, a balloon 'cleans' the valve as much as it can. But this is very temporary 'help'
3) do nothing.
Before you do ANYTHING, tho - get a 2nd and even 3rd Opinion. You must NEVER agree to elective open heart surgery for anyone (meaning it's non-emergency) without getting more than 1 opinion.
Good luck - and feel free to let me know what has happened with your Dad, I'd be glad to discuss with you.
I can be emailed at ***@****