How is aortic valve sclerosis treated?

How is aortic valve sclerosis treated?

There is no medical treatment for aortic sclerosis. The good news is that it is unlikely to progress to significant aortic valve disease. Those with aortic sclerosis are at higher risk of cardiovascular disease however and so they should pay special attention to cardiovascular risk factors.

Can you reverse aortic valve sclerosis?

However, there are no medications that can reverse aortic stenosis. The only cure is replacing the diseased valve. Usually, heart valve replacement requires open-heart surgery. During this procedure, patients are connected to a heart-lung bypass machine, which does the work of the heart while their heart is stopped.

What is the treatment of choice for aortic stenosis?

Aortic valve replacement is often needed to treat aortic valve stenosis. In aortic valve replacement, your surgeon removes the damaged valve and replaces it with a mechanical valve or a valve made from cow, pig or human heart tissue (biological tissue valve).

Does aortic sclerosis progress to stenosis?

It is often detected either as a systolic murmur on physical examination or on echocardiography or computed tomography (CT) performed for some other reason. Aortic valve sclerosis is important clinically because it can progress to aortic stenosis and is associated with increased cardiovascular risk.

How fast does aortic sclerosis progress?

In both treatment groups, the rate of progression from normal aortic valve to sclerosis was around 24% over four years. Although the rate of progression in a population is unknown, the incidence of aortic sclerosis increases with age as table 1​ shows.

Can you live a long life with aortic stenosis?

Patients with aortic stenosis can live full and rewarding lives. However, they may need to be monitored by a heart specialist with office visits and periodic testing. In many cases, aortic stenosis is discovered in patients before they develop any symptoms.

How serious is aortic sclerosis?

Aortic sclerosis may be accompanied by mitral annulus calcification up to 50% of cases. It is associated with an increase of approximately 50% in the risk of death from cardiovascular causes and the risk of myocardial infarction.

How long can you live with aortic valve stenosis?

1 Aortic stenosis is the most common clinically relevant consequence of BAV and usually presents between 50 and 70 years of age. 2 If left untreated, severe aortic valve stenosis is associated with an annual mortality of 25% and the mean duration of survival after diagnosis is 2–3 years.

What is the life expectancy of someone with aortic stenosis?

Severe symptomatic aortic stenosis is associated with a poor prognosis, with most patients dying 2–3 years after diagnosis.

What is aortic valve sclerosis?

Aortic valve sclerosis is defined as calcification and thickening of a trileaflet aortic valve in the absence of obstruction of ventricular outflow. Its frequency increases with age, making it a major geriatric problem. Of adults aged > 65 years, 21-29% exhibit aortic valve sclerosis.

What is the difference between aortic stenosis and sclerosis?

Aortic sclerosis can be diagnosed on echocardiography by thickening and calcification of one or more leaflets of a tricuspid aortic valve. In contrast with aortic stenosis, leaflet opening is not restricted and the velocity through the aortic valve is ⩽ 2.5 m/s.

What causes sclerosis of the aorta?

Incidence of aortic sclerosis increases with age, male gender, smoking, hypertension, high lipoprotein (Lp) (a), high low-density lipoprotein (LDL), and diabetes mellitus. Aortic valves affected by aortic sclerosis contain a higher amount of oxidized LDL cholesterol and show increased expression of metalloproteinases.

Likewise, people ask, what is the life expectancy of someone with aortic stenosis? Without treatment, the average life expectancy after the onset of heart failure due to aortic stenosis is between 6 to 24 months.

What to expect after aortic stenosis treatment?

Your recovery from aortic stenosis treatment depends on the type of procedure and how healthy you were beforehand. Every case is different, but most people spend roughly a week in the hospital and…

What medications are contraindicated in aortic stenosis?

Otto CM,Burwash IG,Legget ME,Munt BI,Fujioka M,Healy NL,Kraft CD,Miyake-Hull CY,Schwaegler RG. Prospective study of asymptomatic valvular aortic stenosis.

  • Rosenhek R,Klaar U,Schemper M,Scholten C,Heger M,Gabriel H,Binder T,Maurer G,Baumgartner H.
  • Carabello BA,Stewart WJ,Crawford FA.
  • What are the end stages of aortic stenosis?


  • Severe calcification or congenital stenosis with severely reduced opening
  • Vmax ≥ 4 m/s or mean ΔP ≥ 40 mmHg
  • AVA ≤ 1.0 cm²
  • LVEF < 50%
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