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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Aortic Stenosis. Have Difficulty Breathing And Chest Pain. Surgery Needed?

i have a aortic stenosis since i was born. But I have been monitored in the past 19 years but from recently checking, it is identified as severer. I had faint ( maybe once for a while) but not short breathing and chest pain now. My vavle's size is 0.7cm2 and pressure is 80. do you think I need to do surgery now or still wait and monitore?
Thu, 18 Jul 2013
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Cardiologist 's  Response
Dear patient,

There is no role for waiting. Once you experience a fainting episode with severe aortic stenosis, studies tell us that if we do nothing the life expectancy is about 3 years or less. You have done the right thing: monitor the stenosis until either it becomes severe and/or reveals symptoms; both conditions are present now so it is time for valve replacement.

Yours truly,

Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN
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Have Aortic Stenosis. Have Difficulty Breathing And Chest Pain. Surgery Needed?

Dear patient, There is no role for waiting. Once you experience a fainting episode with severe aortic stenosis, studies tell us that if we do nothing the life expectancy is about 3 years or less. You have done the right thing: monitor the stenosis until either it becomes severe and/or reveals symptoms; both conditions are present now so it is time for valve replacement. Yours truly, Dr Brenes-Salazar MD Cardiology Mayo Clinic MN