Aortic Valve Replacement
Learn more about the different surgical options for aortic valve replacement, as well as other treatment options for Aortic Stenosis

While there is no cure for Aortic Stenosis, there are options available to treat the condition. Treatment plans and options depend on the symptoms and the severity of the Aortic Stenosis. You may not need treatment if the symptoms are mild or not present, and instead would monitor your heart closely with your doctor.
Medications do not treat Aortic Stenosis directly, but are used to manage the symptoms of the condition. These medications will do things like help reduce fluid accumulation due to heart failure, slow your heart rate or control heart rate disturbances.
However, many patients will eventually require a surgical procedure and potentially aortic valve replacement. One surgical option is Balloon Valvuloplasty. This is where the doctor inserts a thin tube into an artery and guides it into the aortic valve. The tube then blows up like a balloon and stretches the valve open, causing blood flow to improve.
Another option is Aortic Valve Replacement. This is when a surgeon will remove the narrowed aortic valve, and replace it with a mechanical valve, or a valve made of natural tissues. This procedure is typically completed during an open heart surgery.
A third option is Transcatheter Aortic Valve Replacement (or TAVR). TAVR is a less invasive surgical option to treat Aortic Stenosis. Instead of open heart surgery the new valve is attached to a catheder and inserted into an artery in the leg. The catheder is then pushed through the artery to the heart, where the new heart valve is placed in the heart.
Surgery is an effective way to treat Aortic Stenosis, but like all procedures your doctor will need to monitor your recovery closely. Overall recovery time will also depend on the specific procedure conducted.
Preeti Parikh, MD serves as the Chief Medical Officer of HealthiNation. She is a board-certified pediatrician practicing at Westside Pediatrics, is an Assistant Clinical Professor at the Mount Sinai School of Medicine, and is an American Academy of Pediatrics spokesperson. She holds degrees from Columbia University and Rutgers Robert Wood Johnson Medical School and has completed post-graduate training at the Mount Sinai School of Medicine.
00:00.000 --> 00:02.515
[MUSIC]
00:02.515 --> 00:04.033
While there's no cure for
00:04.033 --> 00:08.110
aortic stenosis there are options
available to treat the condition.
00:08.110 --> 00:13.016
[MUSIC]
00:13.016 --> 00:17.300
Hi, I'm Dr. Preeti Parikh,
Chief Medical Editor at HealthiNation.
00:17.300 --> 00:20.330
Treatment plans are dependent
on your symptoms and
00:20.330 --> 00:22.690
severity of the aortic stenosis.
00:22.690 --> 00:27.270
If you are not experiencing any symptoms
and the aortic stenosis is mild,
00:27.270 --> 00:32.050
then you may not need treatment but just
continued close monitoring of symptoms and
00:32.050 --> 00:34.490
severity of the aortic stenosis.
00:34.490 --> 00:37.462
Medications cannot treat aortic stenosis,
but
00:37.462 --> 00:41.530
instead are often used to manage
the symptoms of aortic stenosis.
00:41.530 --> 00:46.103
These for instance can help to reduce
fluid accumulation due to heart failure,
00:46.103 --> 00:50.280
slow your heart rate or
to control heart rhythm disturbances.
00:50.280 --> 00:53.670
However patients will eventually
require surgery to repair or
00:53.670 --> 00:55.500
replace the aortic valve.
00:55.500 --> 01:00.960
There are three main procedures including
balloon valvuloplasty, this is when
01:00.960 --> 01:06.140
your doctor inserts a thin tube into an
artery and guides into the aortic valve.
01:06.140 --> 01:08.860
The tip of the catheter is
inflated like a balloon and
01:08.860 --> 01:12.390
stretches the valve open
causing blood flow to improve.
01:13.720 --> 01:16.900
Another common procedure is
aortic valve replacement.
01:16.900 --> 01:19.740
Where a surgeon removes
the narrowed aortic valve and
01:19.740 --> 01:24.770
replaces it with a mechanical valve or
a valve made from natural tissues.
01:24.770 --> 01:28.930
This procedure is generally
performed during open heart surgery.
01:28.930 --> 01:33.440
Transcatheter aortic value replacement is
a less invasive procedure to treat aortic
01:33.440 --> 01:36.410
stenosis, instead of open heart surgery,
01:36.410 --> 01:41.710
the new valve is attached to a catheter
inserted through an artery in the leg.
01:41.710 --> 01:45.620
That catheter is then pushed through the
artery to the heart where the new valve is
01:45.620 --> 01:46.440
placed in the heart.
01:47.460 --> 01:51.010
Surgery is an effective way of
treating aortic valve stenosis, but
01:51.010 --> 01:55.410
like all procedures, your doctor will
need to monitor you closely to check for
01:55.410 --> 01:57.710
any changes in your condition.
01:57.710 --> 02:01.630
Your recovery time will also depend
on the procedure you have and
02:01.630 --> 02:04.630
your doctor's rehabilitation
recommendations.
02:04.630 --> 02:12.049
Thanks for watching.
Sources:
Aortic Stenosis. Bethesda, MD: US National Library of Medicine, 2015. (Accessed on October 7, 2015 at https://www.nlm.nih.gov/medlineplus/ency/article/000178.htm).
Problem: Aortic Valve Stenosis. Dallas,TX: American Heart Association, 2015. (Accessed on October 7, 2015 at http://www.heart.org/HEARTORG/Conditions/More/HeartValveProblemsandDisease/Problem-Aortic-Valve-Stenosis_UCM_450437_Article.jsp).
Aortic Valve Stenosis. Rochester, MN: Mayo Clinic, 2015. (Accessed on October 7, 2015 at http://www.mayoclinic.org/diseases-conditions/aortic-stenosis/basics/definition/con-20026329).
Grimard BH et al. Aortic Stenosis: Diagnosis and Treatment. American Family Physician. 93 (5): March 2016.
Aortic Valve Stenosis. American Heart Association. Dallas, Texas. May 2016. (Accessed on 11/18/2018 at http://www.heart.org/en/health-topics/heart-valve-problems-and-disease/heart-valve-problems-and-causes/problem-aortic-valve-stenosis)
Aortic Stenosis. Medline. Us National Library of Medicine. 2018. (Accessed on 11/18/2018 at https://medlineplus.gov/ency/article/000178.htm)