Common "Aortic Valve Replacement" queries answered by top doctors | iCliniq

Aortic Valve Replacement

The aortic valve is the valve between the left ventricles and the aorta. Replacement of the aortic valve is done to replace the defective aortic valve. The valve replacement is done during aortic valve regurgitation, aortic valve stenosis, congenital heart disease, etc.

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How can high BP be controlled in a patient with aortic valve replacement?

Query: Hello doctor, My BP is very high 200/75 mmHg. I have made aortic valve replacement surgery with metal valve nine years ago. The BP is high for the past four days and nothing gets it down. In an emergency clinic, they gave me a Nitroglycerin patch which made my BP reach 170/75 mmHg, however, it did n...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to There are multiple options available for you. Firstly, it is better to shift to other drugs like Telmisartan 80 mg or Losartan 100 mg instead of Coversyl plus because combination makes it difficult to titrate. If you want to stick to the same then some other medicine...  Read Full »

My CRP and ESR levels are high. Kindly help.

Query: Hi doctor,I am getting a fever every day. But, every day the fever occurs and goes to a maximum of 100 degrees, and it gets back to the body temperature without any medications. It is repetitive. I have done a few blood tests and am attaching the reports. I have found out that my CRP and ESR is very...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hi, Welcome to It is likely a viral fever only as it settles within four to five days. ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) are usually elevated due to viral fever or any other fever. As it gets recovered within four to five days without any antibiot...  Read Full »

My doctor recommended aortic valve replacement surgery. Kindly advice.

Query: Hi doctor, The patient is a 54-year-old female and had a 42 mm Hg mean gradient and 60 % LVEF. She was recommended aortic valve replacement surgery, and the next echo showed a 38 mm mean gradient and a 0.14725 square inches aortic valve area. We found another echo that was done six years ago. LVEF w...  Read Full »

Dr. Vandana Andrews

Answer: Hello, Welcome to I understand your concern. Based on the information provided, the patient's aortic valve disease seems to be progressing slowly, as evidenced by the relatively stable echocardiogram findings over six years. However, the patient's current symptoms of fatigue on exertion...  Read Full »

I have moderate aortic valve stenosis. Kindly help.

Query: Hello doctor, I have grade 2 to 3 heart murmur and moderate aortic valve stenosis. I just wanted to know, which valve is preferred, a metal mechanical or a plastic valve? Which lasts longest? Which is quietest? Is there a best brand to request?  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to The selection of valve material like a bioprosthetic valve or metallic valve depends upon many factors such as age of patient, comorbidities, previous thoracic surgeries, previous radiotherapy, risk or redo surgery and risk of anticoagulation and its complications. Us...  Read Full »

Which valve is suitable for open heart surgery, mechanical or tissue valve?

Query: Hello doctor, I am a 46-year-old male. I recently got the echo done and found issues with the aortic valve. The reports show: bicuspid, lateral cusp shows a 6.4 x 6.8 mm structure attached to its free surface? Healed vegetation over lateral aortic cusp, severe eccentric AR, Mild TR, No PAH. Mitral v...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to You should go for a mechanical (metal) aortic valve. In patients with age less than 55 years, mechanical valves are recommended. The reason being, the life of the bioprosthetic valve is not great in this age group, and it is bound to degenerate, requiring repeat valv...  Read Full »

Is my mother's loss of consiousness and aortic valve shrinkage co-related?

Query: Hi doctor, My mother is 71-years-old. She weighs 147.71 Lbs, and her height is 5.41 feet approximately. Four months ago, she fell suddenly and became unconscious while trying to pluck flowers in the garden. As soon as she fell, her forehead got injured and bleeding with a cut above the eyebrow. Imme...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I can understand your concern. I have gone through the reports (attachment removed to protect the patient's identity). There are two reports, one with severe aortic stenosis and the other with moderate aortic stenosis. Based on the first report of severe aortic stenosi...  Read Full »

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