When a patient is confronted with severe aortic stenosis diagnosis he or she often wonders if surgery may be postponed or even prevented. It is natural for most people view any open-heart surgery as evil to be avoided at all costs. Nothing is further from the truth in the case of severe aortic stenosis. Timely surgery minimally invasive aortic valve is a real life saver at any age and should be pursued in the interest of every patient severe aortic stenosis, before it’s too late. This article will outline the current recommendations for safe and reliable treatment of this deadly disease and show how current minimally invasive options can safely and reliably most patients return to their homes and families two or three days after surgery with little pain and a barely noticeable scar.
The most common cause of aortic stenosis is degenerative tendinosis and is commonly found in elderly patients. Up to 4% of the population over 75 years are afflicted with this disease.There is also a less common group of patients who are born with a defective aortic valve formed with two cusps (bicuspid aortic valve or BAV) instead of the normal three. These patients may develop much earlier than the type tendinosis severe Degenerative aortic stenosis or insufficiency. In ancient times there were also many cases of rheumatic valve disease that now are rare due to the widespread use of antibiotics in all cases of strep throat infections.
The biggest misconception among patients and their relatives, sometimes even their physicians is that severe aortic stenosis can be safely treated medically instead of surgery. Which is a shame, especially now that the minimally invasive aortic valve is available. You summarize the most important piece of statistics on this subject with two obvious statistical realities:
Severe symptomatic aortic stenosis carries a 75% mortality in two years with medical therapy (lasix, beta blockers, etc.). Three-quarters of patients with this diagnosis will go away within two years.
Symptomatic severe aortic stenosis treated with surgery (aortic valve replacement), carries an average mortality of 2-3% and can restore a normal life expectancy
In other words, the decision to avoid surgery and pursue medical therapy alone is about 25-35 times more dangerous than the surgery itself.
As counterintuitive as it may seem to many of you, choosing surgery to treat an elderly patient is not really a no-brainer. Grandma or Grandpa is too old and frail to survive severe aortic stenosis and should get operated on before it’s too late.
New minimally invasive techniques are now available to afford even the elderly and fragile a quick recovery. The most renowned centers of minimally invasive aortic valve can help you or your loved one get the information you need to treat this disease with a less invasive approach.