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HomeAnswersCardiologyaortic valve replacementMy doctor recommended aortic valve replacement surgery. Kindly advice.

What is aortic valve replacement surgery?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At March 12, 2024
Reviewed AtMarch 12, 2024

Patient's 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 0.95-centimeter square aortic valve area. We found another echo that was done six years ago. LVEF was the same, and the mean gradient was very close to todays: 37 mm Hg. She has fatigue on exertion. Should we focus on other diseases she has, such as chronic bronchitis and Hashimoto's, to alleviate the symptoms, or aortic valve replacement is urgent?

Thanks.

Hello,

Welcome to icliniq.com.

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 may be related to both her aortic valve disease and her other medical conditions, such as chronic bronchitis and Hashimoto's thyroiditis. In general, the decision to proceed with aortic valve replacement surgery is based on various factors, including the severity and progression of the valve disease, the patient's overall health and risk profile, and their symptoms. In this case, further evaluation of the patient's symptoms and underlying medical conditions may be appropriate to determine if they are contributing to her fatigue and to develop a comprehensive treatment plan that addresses all aspects of her health. This may involve medications to manage her other medical conditions, lifestyle modifications to improve her overall health and reduce her risk of complications, and close monitoring of her aortic valve disease to determine if surgery becomes necessary in the future. Ultimately, the decision regarding aortic valve replacement surgery should be made in consultation with a cardiologist or cardiac surgeon familiar with the patient's unique circumstances.

I hope this information will help you.

Thanks.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vandana Andrews
Dr. Vandana Andrews

General Practitioner

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