Timing for surgery in asymptomatic aortic valvular diseases — a matter of controversy

SISU, Roxana Cristina; CINTEZA, Mircea
December 2008
Maedica - a Journal of Clinical Medicine;2008, Vol. 3 Issue 4, p285
Academic Journal
The article presents information on surgery in patients with aortic valvular diseases. It is stated that Aortic stenosis (AS) is the most common type of valvular heart disease in Europe and North America. AS may be caused by rheumatic disease, a congenital bicuspid valve or calcification of a trileaflet valve, which results in the obstruction of the aortic outflow tract. Echocardiography has become the key diagnostic tool for AS, which also assesses the degree of valve calcification. It is stated that surgery is recommended for asymptomatic severe aortic stenosis, if a patient shows an abnormal response to exercise, impaired left ventricular systolic function, or calcification of the aortic valve.


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