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Forum Name: Valvular Heart Diseases

Question: Aortic Stenosis with advanced CAD


 Billdt - Tue Apr 05, 2005 1:36 pm

My father has recently been diagnosed with severe Aortic stenosis. He has been passing out and experiencing shortness of breath with minimal activity. He was told that he needed a valve replacement. While attempting to schedule the valve surgery, his cardiologist changed his opinion stating that my dad had advanced Coronary Artery Disease (CAD) which would be a major risk factor and could cause a heart attack on the table if he underwent traditional or keyhole replacement. He is currently undergoing EECP for the third time, but the relief he gets from his symptoms is only temporary after each course.
My question is, Are there any other alternatives to repair his leaky valve in this case, or is it fact that he has advanced CAD, and therefore,a decreased life expectancy, limiting him from receiving additional treatment options?
 Dr. Yasser Mokhtar - Wed May 18, 2005 7:42 pm

User avatar Dear Bill,

Once aortic stenosis patients start to be symptomatic, their life expectancy decreases. Coronary disease adds to the complexity of the case, and this means that if the decision to go with surgery is taken, then your dad will have to have a coronary artery bypass surgery which adds to the risk of your dad during surgery.

If your dad lives in a small or medium sized city and this is the limiting factor in your dad having this complex surgery, you can ask to have your dad referred to one of the tertirary medical centers in a big city where more complex cases are taken care of all the time.

The only treatment for aortic stenosis is valve replacement.

You have also to put in consideration what are your dad's wishes regarding his treatment options.

Thank you very much for using our website http://doctorslounge.com and i hope that this information helped.

Yasser Mokhtar, M.D.

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