Aortic valve stenosis treatment in 236 Cardiac surgery and Vascular surgery clinics in Asia

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236 clinics specializing in Cardiac surgery and Vascular surgery providing treatment of Aortic valve stenosis Aortic valve stenosis is a condition where the aortic valve becomes narrowed, obstructing blood flow from the heart. It can result in symptoms such as chest pain, breathlessness, and may require valve replacement surgery.
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disease in Asia.

Bahrain · 1
China · 6
India · 39
Indonesia · 9
Israel · 17
Japan · 13
Jordan · 4
Kuwait · 1
Lebanon · 1
Malaysia · 14
Mongolia · 1
Oman · 5
Singapore · 4
Sri Lanka · 5
Taiwan · 5
Thailand · 16
Turkey · 29
Vietnam · 6
You can select a specific country
Azerbaijan · 3 Bahrain · 1 Bangladesh · 7 China · 6 India · 39 Indonesia · 9 Israel · 17 Japan · 13 Jordan · 4 Kazakhstan · 6 Kuwait · 1 Lebanon · 1 Malaysia · 14 Mongolia · 1 Oman · 5 Philippines · 6 Saudi Arabia · 7 Singapore · 4 South Korea · 18 Sri Lanka · 5 Taiwan · 5 Thailand · 16 Turkey · 29 United Arab Emirates · 13 Vietnam · 6
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Prices for popular procedures:
  1. Balloon valvuloplasty
    ≈ $18,787
  2. Percutaneous balloon aortic valvuloplasty (PBAV)
    ≈ $14,024
  3. Aortography
    ≈ $3,762
  4. Ross operation
    ≈ $33,773
  5. Dual chamber pacemaker insertion
    ≈ $13,409
  6. Carotid endarterectomy (CEA)
    ≈ $13,815
  7. Foam sclerotherapy (Unilateral)
    ≈ $1,466
  8. Peripheral artery angioplasty and stent placement
    ≈ $10,906
  9. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $42,820
photo
Al Ain, United Arab Emirates
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English, Arabic
Mediclinic Al Ain Hospital is conveniently located in the heart of Al Ain city. The hospital offers a wide range of medical and surgical inpatient read more
Prices for popular procedures:
  1. Mechanical valve replacement
    ≈ $22,500
  2. Bio-prosthetic valve replacement
    ≈ $24,630
  3. Double valve replacement
    ≈ $23,140
  4. Transcatheter aortic valve replacement (TAVR)
    ≈ $52,486
  5. Aortic valve replacement (AVR)
    ≈ $25,803
  6. Balloon valvuloplasty
    ≈ $9,555
  7. Percutaneous balloon aortic valvuloplasty (PBAV)
    ≈ $8,276
  8. Aortography
    ≈ $2,120
  9. Ross operation
    ≈ $32,025
photo
Keelung City, Taiwan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Chinese, English
The hospital is the only hospital in Keelung City and the Northeast region with severe emergency medical capabilities. In addition to protecting the health and read more
Prices for popular procedures:
  1. Mechanical valve replacement
    ≈ $37,368
  2. Bio-prosthetic valve replacement
    ≈ $29,027
  3. Double valve replacement
    ≈ $25,412
  4. Transcatheter aortic valve replacement (TAVR)
    ≈ $35,319
  5. Aortic valve replacement (AVR)
    ≈ $27,962
  6. Aortography
    ≈ $1,619
  7. Ross operation
    ≈ $27,225
  8. Dual chamber pacemaker insertion
    ≈ $9,447
  9. Foam sclerotherapy (Unilateral)
    ≈ $783
photo
Kuala Lumpur, Malaysia
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English
Prince Court Medical Centre is a 270-bed private healthcare facility located in the heart of Kuala Lumpur, Malaysia. Our aim is to be the leading read more
Prices for popular procedures:
  1. Minimally invasive valvular heart surgery with valve repair or replacement
    by request
  2. Mechanical valve replacement
    ≈ $88,117
  3. Bio-prosthetic valve replacement
    ≈ $63,897
  4. Double valve replacement
    ≈ $63,828
  5. Transcatheter aortic valve replacement (TAVR)
    ≈ $126,006
  6. Aortic valve replacement (AVR)
    ≈ $69,889
  7. Aortography
    ≈ $5,626
  8. Ross operation
    ≈ $73,185
  9. Dual chamber pacemaker insertion
    ≈ $10,500
photo
Singapore, Singapore
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English
Located next to Singapore Botanic Gardens and close to the heart of the local shopping district, Gleneagles Hospital provides specialist, diagnostic and imaging services. This read more
Prices for popular procedures:
  1. Mechanical valve replacement
    ≈ $76,326
  2. Bio-prosthetic valve replacement
    ≈ $54,403
  3. Double valve replacement
    ≈ $56,045
  4. Transcatheter aortic valve replacement (TAVR)
    ≈ $78,997
  5. Aortic valve replacement (AVR)
    ≈ $57,822
  6. Heart valve replacement
    ≈ $46,951
  7. Heart valve repair
    ≈ $55,400
  8. Mitral valve replacement (MVR)
    ≈ $45,658
  9. Double valve repair
    ≈ $46,166
photo
Seoul, South Korea
Specializations: Cardiac surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Arabic, Chinese, English, Indonesian, Japanese, Mongolian, Russian
Leading the global spine paradigm in ‘endoscopic disc surgery’!In the early 1990s, Wooridul Spine Hospital was established a new ‘endoscopic laser spine treatment’combining laser with read more
Prices for popular procedures:
  1. Minimally invasive valvular heart surgery with valve repair or replacement
    by request
  2. Mechanical valve replacement
    ≈ $15,750
  3. Bio-prosthetic valve replacement
    ≈ $20,089
  4. Double valve replacement
    ≈ $19,447
  5. Transcatheter aortic valve replacement (TAVR)
    ≈ $36,358
  6. Aortic valve replacement (AVR)
    ≈ $12,000
  7. Balloon valvuloplasty
    ≈ $15,750
  8. Percutaneous balloon aortic valvuloplasty (PBAV)
    ≈ $6,649
  9. Aortography
    ≈ $1,851
photo
Istanbul, Turkey
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Acıbadem Maslak Hospital, which was put into service in 2009, within the scope of the expansion project completed in 2018; With the addition of a read more
Prices for popular procedures:
  1. Minimally invasive valvular heart surgery with valve repair or replacement
    by request
  2. Mechanical valve replacement
    ≈ $15,750
  3. Bio-prosthetic valve replacement
    ≈ $20,089
  4. Double valve replacement
    ≈ $19,447
  5. Transcatheter aortic valve replacement (TAVR)
    ≈ $36,358
  6. Aortic valve replacement (AVR)
    ≈ $12,000
  7. Balloon valvuloplasty
    ≈ $15,750
  8. Percutaneous balloon aortic valvuloplasty (PBAV)
    ≈ $6,649
  9. Aortography
    ≈ $1,851
photo
Istanbul, Turkey
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English
Acıbadem Fulya Hospital has been providing services in all branches of medicine in Beşiktaş, one of the most densely populated areas of Istanbul, since 2010. read more
Prices for popular procedures:
  1. Mechanical valve replacement
    ≈ $15,750
  2. Bio-prosthetic valve replacement
    ≈ $20,089
  3. Double valve replacement
    ≈ $19,447
  4. Transcatheter aortic valve replacement (TAVR)
    ≈ $36,358
  5. Aortic valve replacement (AVR)
    ≈ $12,000
  6. Balloon valvuloplasty
    ≈ $15,750
  7. Percutaneous balloon aortic valvuloplasty (PBAV)
    ≈ $6,649
  8. Dual chamber pacemaker insertion
    ≈ $6,701
  9. Foam sclerotherapy (Unilateral)
    ≈ $725
photo
Istanbul, Turkey
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Medicana Ataşehir Hosptial, which will be one of the most important healthcare centers not only in Turkey but also in Europe, is planned to deliver read more
Prices for popular procedures:
  1. Mechanical valve replacement
    ≈ $15,750
  2. Bio-prosthetic valve replacement
    ≈ $20,089
  3. Double valve replacement
    ≈ $19,447
  4. Transcatheter aortic valve replacement (TAVR)
    ≈ $36,358
  5. Aortic valve replacement (AVR)
    ≈ $12,000
  6. Balloon valvuloplasty
    ≈ $15,750
  7. Percutaneous balloon aortic valvuloplasty (PBAV)
    ≈ $6,649
  8. Dual chamber pacemaker insertion
    ≈ $6,701
  9. Foam sclerotherapy (Unilateral)
    ≈ $725
photo
Ankara, Turkey
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Providing world-class health services since 2008, Medicana International Ankara Hospital is one of the most important investments in the health sector, which has managed read more
Prices for popular procedures:
  1. Mechanical valve replacement
    ≈ $15,750
  2. Bio-prosthetic valve replacement
    ≈ $20,089
  3. Double valve replacement
    ≈ $19,447
  4. Transcatheter aortic valve replacement (TAVR)
    ≈ $36,358
  5. Aortic valve replacement (AVR)
    ≈ $12,000
  6. Balloon valvuloplasty
    ≈ $15,750
  7. Percutaneous balloon aortic valvuloplasty (PBAV)
    ≈ $6,649
  8. Dual chamber pacemaker insertion
    ≈ $6,701
  9. Foam sclerotherapy (Unilateral)
    ≈ $725
photo
Istanbul, Turkey
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Arabic, English, Kurdish, Russian, Somali
Medicana International Istanbul has an indoor area of 30,000 m2. It consists of two linked departments, including inpatient floors and outpatient floors. Our hospital was read more
Prices for popular procedures:
  1. Minimally invasive valvular heart surgery with valve repair or replacement
    by request
  2. Mechanical valve replacement
    ≈ $76,326
  3. Bio-prosthetic valve replacement
    ≈ $54,403
  4. Double valve replacement
    ≈ $56,045
  5. Transcatheter aortic valve replacement (TAVR)
    ≈ $78,997
  6. Aortic valve replacement (AVR)
    ≈ $57,822
  7. Aortography
    ≈ $5,405
  8. Ross operation
    ≈ $50,860
  9. Dual chamber pacemaker insertion
    ≈ $21,522
photo
Seoul, South Korea
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Arabic, Chinese, English, Mongolian, Russian
Ewha Womans University Mokdong Hospital is the only women's medical school affiliated in Korea and has been loved by customers through continuous innovation activities based read more
Prices for popular procedures:
  1. Mechanical valve replacement
    ≈ $76,326
  2. Bio-prosthetic valve replacement
    ≈ $54,403
  3. Double valve replacement
    ≈ $56,045
  4. Transcatheter aortic valve replacement (TAVR)
    ≈ $78,997
  5. Aortic valve replacement (AVR)
    ≈ $57,822
  6. Balloon valvuloplasty
    ≈ $22,495
  7. Percutaneous balloon aortic valvuloplasty (PBAV)
    ≈ $20,126
  8. Aortography
    ≈ $5,405
  9. Ross operation
    ≈ $50,860
photo
Seoul, South Korea
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Arabic, English, Russian
Starting with Jejungwon, Korea's first national hospital in 1885, it has opened a new horizon for advanced medicine in Korea, a barren land of read more
Prices for popular procedures:
  1. Minimally invasive valvular heart surgery with valve repair or replacement
    by request
  2. Mechanical valve replacement
    ≈ $15,750
  3. Bio-prosthetic valve replacement
    ≈ $20,089
  4. Double valve replacement
    ≈ $19,447
  5. Transcatheter aortic valve replacement (TAVR)
    ≈ $36,358
  6. Aortic valve replacement (AVR)
    ≈ $12,000
  7. Balloon valvuloplasty
    ≈ $15,750
  8. Percutaneous balloon aortic valvuloplasty (PBAV)
    ≈ $6,649
  9. Aortography
    ≈ $1,851
photo
Istanbul, Turkey
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Arabic, English, German, Russian
Lokman Hekim Health Group carried its quarter-century of experience in health care to Istanbul after Ankara and Van. Providing service with three hospitals and a read more
Prices for popular procedures:
  1. Minimally invasive valvular heart surgery with valve repair or replacement
    by request
  2. Mechanical valve replacement
    ≈ $15,750
  3. Bio-prosthetic valve replacement
    ≈ $20,089
  4. Double valve replacement
    ≈ $19,447
  5. Transcatheter aortic valve replacement (TAVR)
    ≈ $36,358
  6. Aortic valve replacement (AVR)
    ≈ $12,000
  7. Balloon valvuloplasty
    ≈ $15,750
  8. Percutaneous balloon aortic valvuloplasty (PBAV)
    ≈ $6,649
  9. Aortography
    ≈ $1,851
photo
Ankara, Turkey
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Arabic, English, German, Russian, Turkish
As of 01.08.2016, it started to provide health services as an 11-storey hospital building established on an indoor area of ​​approximately 18.000 m2 in the read more
Prices for popular procedures:
  1. Minimally invasive valvular heart surgery with valve repair or replacement
    by request
  2. Mechanical valve replacement
    ≈ $109,561
  3. Bio-prosthetic valve replacement
    ≈ $99,811
  4. Double valve replacement
    ≈ $84,689
  5. Transcatheter aortic valve replacement (TAVR)
    ≈ $31,500
  6. Aortic valve replacement (AVR)
    $35,065 - $50,965
  7. Balloon valvuloplasty
    ≈ $29,306
  8. Percutaneous balloon aortic valvuloplasty (PBAV)
    ≈ $22,290
  9. Aortography
    ≈ $6,835
photo
Beersheba, Israel
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Soroka University Medical Center of the Clalit group, is the third largest hospital in Israel and the only one in the Negev, which covers 60% read more
Prices for popular procedures:
  1. Minimally invasive valvular heart surgery with valve repair or replacement
    by request
  2. Balloon valvuloplasty
    ≈ $5,279
  3. Percutaneous balloon aortic valvuloplasty (PBAV)
    ≈ $4,015
  4. Aortography
    ≈ $1,167
  5. Ross operation
    ≈ $14,753
  6. Dual chamber pacemaker insertion
    ≈ $4,218
  7. Foam sclerotherapy (Unilateral)
    ≈ $545
  8. Coronary artery bypass graft (CABG)
    ≈ $12,483
  9. Peripheral artery angioplasty and stent placement
    ≈ $4,643
photo
Manama, Bahrain
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Bahrain Specialist Hospital (BSH) stands as a center of excellence in the Arabian Gulf. It is a highly specialized Medical Center that provides up to read more
Prices for popular procedures:
  1. Balloon valvuloplasty
    ≈ $29,306
  2. Percutaneous balloon aortic valvuloplasty (PBAV)
    ≈ $22,290
  3. Aortography
    ≈ $6,835
  4. Ross operation
    ≈ $80,872
  5. Dual chamber pacemaker insertion
    ≈ $34,706
  6. Carotid endarterectomy (CEA)
    ≈ $38,436
  7. Foam sclerotherapy (Unilateral)
    ≈ $8,358
  8. Peripheral artery angioplasty and stent placement
    ≈ $25,035
  9. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $38,695
photo
Rishon LeẔiyyon, Israel
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English, Russian
The Shamir Medical Center (Assaf Harofeh) is the fourth largest government university hospital in Israel and the main one in the Shefela area. The outpatient, read more
Prices for popular procedures:
  1. Minimally invasive valvular heart surgery with valve repair or replacement
    by request
  2. Balloon valvuloplasty
    ≈ $29,306
  3. Percutaneous balloon aortic valvuloplasty (PBAV)
    ≈ $22,290
  4. Foam sclerotherapy (Unilateral)
    ≈ $8,358
  5. Peripheral artery angioplasty and stent placement
    ≈ $25,035
  6. Arteriovenous (AV) fistula surgery
    ≈ $10,330
  7. Endovascular thrombectomy
    ≈ $20,074
  8. Uterine artery embolization (UAE)
    ≈ $20,468
  9. Varicose veins treatment
    ≈ $19,283
photo
Tel Aviv, Israel
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Russian, English
The Ramat Aviv Medical Center is a modern and sophisticated, privately owned medical facility. It is located in the Ramat Aviv mall, in one of read more
Prices for popular procedures:
  1. Aortography
    ≈ $6,835
  2. Ross operation
    ≈ $80,872
  3. Carotid endarterectomy (CEA)
    ≈ $38,436
  4. Foam sclerotherapy (Unilateral)
    ≈ $8,358
  5. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $38,695
  6. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $75,914
  7. Arteriovenous (AV) fistula surgery
    ≈ $10,330
  8. Endovascular thrombectomy
    ≈ $20,074
  9. Carotid angioplasty and stenting
    ≈ $35,379
photo
Haifa, Israel
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Arabic, English, Russian
Elisha Hospital is the largest and leading private hospital in the north of the country, a hospital that provides integrated medical solutions at the highest read more
Prices for popular procedures:
  1. Mechanical valve replacement
    ≈ $109,561
  2. Bio-prosthetic valve replacement
    ≈ $99,811
  3. Double valve replacement
    ≈ $84,689
  4. Transcatheter aortic valve replacement (TAVR)
    ≈ $31,500
  5. Aortic valve replacement (AVR)
    ≈ $39,068
  6. Aortography
    ≈ $6,835
  7. Ross operation
    ≈ $80,872
  8. Dual chamber pacemaker insertion
    ≈ $34,706
  9. Carotid endarterectomy (CEA)
    ≈ $38,436
photo
Jerusalem, Israel
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Arabic, English, Russian
Shaare Zedek is the largest multi-disciplinary medical center in Jerusalem, offering advanced services in most specialties. With a constant commitment to improve and provide our read more

Clinics grouping by rating

Clinic with the highest rating of 5 — Gangnam Severance Hospital in Seoul, South Korea and 2 more, clinic with the most reviews number of 35757 — Aster CMI hospital in Bengaluru, India.

With rating 4.0 and over — 109 clinics .

Countries with the highest number of clinics treating the diseases:

Aortic valve stenosis:

Related procedures:

Aortic stenosis – disease overview

Hemodynamic disorders in aortic stenosis

Aortic stenosis (AS) accounts for approximately 2.33% of all congenital heart defects and occurs with a frequency of 18.6 per 100,000 live births. With this pathology, a narrowing of the excretory tract of the left ventricle occurs, which interferes with the normal flow of blood into the ventricle. In this article, we will analyze in detail the features of AS: the causes, symptoms and complications of this disease.

Recall that the heart consists of four cavities (two ventricles and two atria), and also contains the same number of valves, one of which is the aortic valve. The latter normally consists of three cusps and prevents the return flow of blood from the aorta to the left atrium. The heart has two phases: systole (contraction) and diastole (relaxation).

Aortic stenosis - causes

One of the most common causes of AS is a bicuspid aortic valve (unilocular valve or other defects that are congenital anomalies also occur). Other conditions that increase the risk of stenosis include:

  • valve calcification and damage due to atherosclerosis;
  • rheumatic fever (complication of sore throat or scarlet fever, which can cause scarring of the aortic valve, making it difficult for its normal functioning).

Disease classification

Aortic stenosis is divided into three main groups:

  1. Subvalvular.
  2. Valvular.
  3. Supravalvular.

With subvalvular stenosis, narrowing of the outflow part of the left ventricle occurs, which is usually associated with the presence of a membrane or fibromuscular canal (thickening of the muscular septum).

This type of pathology can be isolated, but in some cases it is accompanied by aortic valve defects, ventricular septal defect (VSD), and also occurs as part of Sean's syndrome (a rare congenital malformation in which the left heart and aorta are affected). The course of subvalvular aortic stenosis is diverse and depends, inter alia, on the presence of concomitant conditions.

Valvular stenosis is the most common cause of a bicuspid aortic valve. Also, this type of pathology is the most common congenital malformation in adults (1-2% of the population), often accompanied by other anomalies, including hypoplasia (underdevelopment) of the mitral valve, left ventricle, ascending part of the aorta or its arch. Also, in some cases, this condition is associated with coarctation of the aorta and non-closure of the ductus arteriosus.

Supravalvular stenosis is caused by narrowing of the aorta above the valve. It can be an isolated defect, often a component of Williams syndrome. Supravalvular stenosis most often manifests itself in childhood and may be accompanied by other abnormalities, such as hypoplasia of the ascending aorta, aortic valve abnormalities, narrowing of the main branches of the aorta, and coronary artery abnormalities.

Valvular stenosis occurs most frequently (approximately 60–75% of cases). More rare forms are subvalvular (15–20%) and supravalvular (6–10%) aortic stenosis.

Hemodynamics for aortic stenosis

Aortic stenosis makes it difficult for blood to drain from the left ventricle, which leads to the following changes:

  1. The systolic pressure of the left ventricle increases, which causes an increase in the load on it and, consequently, its hypertrophy (an increase in the volume and mass of the muscles of the chamber).
  2. Systolic dysfunction of the left ventricle - thickening of its wall entails problems of relaxation of the chamber, which leads to a decrease in the ejection fraction of this chamber.
  3. As filling of the left ventricle becomes difficult, the end-diastolic pressure in the left ventricle increases and, as a consequence, the pressure in the left atrium and pulmonary veins increases. Without treatment, other heart defects can join the AS.

Thus, the consequences of impaired blood outflow from the left ventricle in severe fetal AS are:

  1. hypertrophy of the muscles of the left ventricle;
  2. changes in the inner layer of the heart (endocardial fibrosis);
  3. increased risk of acquired heart defects and heart inflammation;
  4. syndrome of underdevelopment of the left ventricle;
  5. enlargement of the aorta and an increase in the risk of its dissection.

Symptoms of the disease in children

Mild to moderate AS is most common in children. Patients do not complain at all or for a long time. Systolic murmur and early systolic click over the aortic valve are often the only signs of disease.

Critical aortic valve stenosis in a newborn

Such a defect, found in a baby at birth, is not life-threatening, but the condition worsens (quickly or over several hours or days) as the ductus arteriosus closes.

Symptoms of heart failure and respiratory failure develop, including:

  1. increased heart rate (tachycardia);
  2. lowering blood pressure (arterial hypotension);
  3. shortness of breath and an increase in the frequency of respiratory movements (tachypnea);
  4. enlargement of the liver (hepatomegaly);
  5. violation of blood flow through the body;
  6. acute renal failure;
  7. change in blood acidity;
  8. ventricular arrhythmias;
  9. shock;
  10. pulmonary edema.

Symptoms of the disease in adults

As noted earlier, the presence of certain symptoms depends on the degree of stenosis, and a slight narrowing usually does not appear for many years. It should be noted that with congenital and acquired aortic stenosis, the patient will have the same complaints and hemodynamic disturbances.

Symptoms of the disease include:

  • pain similar to that of angina pectoris;
  • dizziness;
  • rapid heartbeat;
  • frequent fainting or light-headedness;
  • shortness of breath during exercise (and in case of severe pathology - and at rest) and other symptoms of heart failure (edema in the legs, enlarged liver, etc.).

Aortic stenosis: auscultation

Auscultation is a method of examination in which a doctor uses a special device (often a phonendoscope) to listen for noises on the surface of the chest or in another location. This pathology is characterized by the presence of several auscultatory signs, however, before proceeding to them, it is necessary to understand what heart sounds are and how they are formed.

So, heart sounds are the characteristic sound of a working heart muscle. There are four heart tones:

  1. The first tone is formed due to the vibration of four components: ventricular contraction, closure of the mitral and tricuspid valves, opening of the semilunar valves and the ejection of blood from the ventricles.
  2. The second heart sound is shorter and higher in frequency than the first, occurs when the aortic and pulmonary valves are closed.
  3. The third heart sound is very weak and is caused by a rush of blood to the ventricles. It can be heard in most healthy young people.
  4. The fourth heart sound is rarely heard normally, but it can be displayed during phonocardiography (special instrumental examination). Caused by atrial contraction.

In AS, there are two characteristic auscultatory signs:

  • decrease in the strength of the aortic component in the formation of the second tone and its paradoxical splitting;
  • systolic murmur (ejection murmur) - occurs immediately after the first tone, gradually increases, and then decreases and disappears; often well performed along the carotid arteries and in the apex of the heart.

There is also such a thing as mitralization of the AS. In this condition, the relative insufficiency of the mitral valve is attached due to the expansion of its annulus fibrosus. In this case, the doctor can hear a "soft" noise that differs from that of a conventional AS.

Complications of the disease

This pathology can have the following complications:

  1. chronic heart failure;
  2. expansion of the ascending aorta and aortic dissection;
  3. infective endocarditis;
  4. acquired von Willebrand syndrome (violation of normal blood clotting);
  5. gastrointestinal bleeding;
  6. sudden cardiac death as a result of, for example, ventricular arrhythmias and acute heart failure.

Disease prognosis

The asymptomatic course may not affect life expectancy in any way. With a clinical picture characteristic of the disease, surgical intervention significantly improves the prognosis. Newborns with critical AS are at the highest risk of complications and death.

Summary

In this article, we examined the features of aortic stenosis, the causes of which are currently not fully known. This disease is characterized by a narrowing of the left ventricular outflow tract, which interferes with the flow of blood into the aorta.

The most common congenital anomaly is valve stenosis. The latter is often caused by the presence of two valve cusps instead of three. Subvalvular and supravalvular stenosis are less common.

The clinical picture of AS depends on the degree of narrowing. So, a critical stenosis in a newborn leads to circulatory failure.

Mild to moderate narrowing is usually asymptomatic, while severe stenosis causes fatigue, chest pain, fainting, and heart failure.

References:

  1. Harrison`s Principles of Internal Medicine 19/E (Vol.1). Dennis Kasper, Anthony Fauci, Stephen Hauseret all. McGraw-HillEducation 2015 ISBN: 0071802134 ISBN-13(EAN): 9780071802130.
  2. Kanwar A, Thaden JJ, Nkomo VT. Management of Patients With Aortic Valve Stenosis. Mayo Clin Proc. 2018 Apr;93(4):488-508. doi: 10.1016/j.mayocp.2018.01.020. PMID: 29622096.
  3. Interna szczeklika - duży podręcznik. Medycyna praktyczna. 2021. ISBN 9788374306522.
  4. Pediatria do LEK i PES. Anna Dobrzańska, Józef Ryżko. 2018. ISBN: 978-83-7609-855-5.

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