Aortic valve

What is Aortic valve?

The aortic valve is the valve located between the left ventricle of the heart and the aorta. It is a tricuspid valve,consists of three cusps. The closure of the aortic valve contributes the A2 component of the second heart sound (S2).

Questions and answers on "Aortic valve"

Hello
I'm a 45 year old female and recovered from peripartum cardiomyopathy 20 years ago. My echos have been normal in the past but I recently established a new cardiologist due to my history and he requested an updated echo for his records. He suspected I may have Biscupid Aortic Valve and wants me to do a TTE to confirm. My question is, I have silicone breast implants with this echo, but did not have them for prior echos. Is it possible there was an obstructed view due to my implants?

doctor1 MD

Brief Answer:
TTE is the investigation of choice for confirming bicuspid aortic valve.

Detailed Answer:
Hello

Breast implants can cause technical difficulties during ECHO.
There are certain modified techniques to overcome the problem but still performing ECHO is difficult in patients with breast...

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I have had my aortic valve replaced 2 times, now my dr says after 10 years this valve is sounding of buildup on it. 2 weeks they will do test to find out how much, i need some info of what to talk to the dr. about. I know they can t change the valve because of the valve won t heal this time, can they go in and clean the valve to buy a little time. I would thank you for any info of what to ask for...Dave

doctor1 MD

I'm not sure about that-- valves can be replaced and surgeons don't really "clean up" a valve. Go to a good cardiologist and maybe get a TEE to evaluate the valve carefully to determine if it is failing or not Make sure you are evaluated by a very good cardiologist and Surgeon at a major medical...

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Is it true that when you get a Mechanical Aortic Valve you can t fly in airplanes because of the pressure? I also heard that you can t use a cell phone.....is the above true?

doctor1 MD

Thanks for the query
There is no contraindication for flying in planes with mechanical valves but MRI cant be done.
Even cell phones can be used but avoid keeping it in the chest pocket

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echogram showed trileaflet. moderate slerosis. aoric valve function normal. What would be in order? XXXX
I have wellsfargo master card. my e-mail- YYYY@YYYY

doctor1 MD

Brief Answer:
Its moderate aortic valve stenosis, but needs cardiac catheterization

Detailed Answer:
Welcome Dear Jimmcnulty!

I can well understand your concerns and want to assure you that you have mild to moderate degree of valve leaflet hardening in aortic valve. It doesn't affect much the...

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I am a 72 year old female living in the UK. I was diagnosed with aortic stenosis three years ago. My first echo showed mild stenosis and second echo a year later was much the same. Now third echo 18 months later has shown a rapid decline. Looking on the internet this states it to have a poor prognosis which has really frightened me. Apart from getting tired more quickly and isolated chest pain I have no symptoms.
Peak Jet velocity m/sec 2.4 - now 3.6
Peak P Grad mmHg 23 - now 51
Mean P Grad mmHg 15 - now 25
Valve Area 1.5cm2 - now 0.9 cm2
Ejection Fraction 60
Left Venticle normal size and wall thickness with preserved systolic function
I am waiting to see a cardiologist under NHS service but wondered if you could give me some advice in the meantime.

doctor1 MD

Brief Answer:
I would explain as follows:

Detailed Answer:

Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would like to explain that your clinical status is optimistic.

You don't have to be afraid, as your cardiac disease is thoroughly treatable.

As your...

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My recent MRI for heart area noted some changes to the negative; I am 79 yo.
NOW my pulse rate has varying swings from the usual 55-65 to as high as 86 without notable exercise. My doctor said be sure my upper blood pressure reading was no lower than 120, but did not mention pulse rate.
In 1 1/2 weeks, I have an angiogram scheduled.
Should I be unduly worried about pulse rate swings, mostly taken after sitting a while?

doctor1 MD

Brief Answer:
My opinion as follows:

Detailed Answer:
Hello!

Welcome on HCM!

I passed carefully through your question and would explain that these heart rate variations between resting and exercising conditions is quite normal and physiological.

There is no reason to worry about this!

A heart...

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Hello Dr. Rynne, my name is XXXXXXX XXXXX and I am writing from XXXXXXX My father, XXXXXX has had high blood pressure for many years but few months back it went around 165. The consulting doctor we have been visiting over here prescribed medications that brought down maintaining the BP at around 145 but my father is going through severe head reeling, dizziness and feet & ankle swelling, so much so he feels unable to do his every day regular chores comfortably and without fear. However the doctor says that these are the medications' side effects and we need to adjust to it as nothing can be done. Kindly help.

doctor1 MD

Brief Answer:
Require Large Drug Modifications in your case

Detailed Answer:
Hi Sir.

I understand your query and concern.

I have gone through all your uploaded reports in detail.

The Echo is showing LVH which is an indicative of uncontrolled long standing hypertension.

The Holter as well as...

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will oral intake of calcium disodium edta, help remove a slight calcium deposit on the aortic valve. ?

doctor1 MD

Brief Answer:
Symptomatic care. Edetate calcium disodium not for calcium chelation.

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Calcium disodium edetate is a lead chelator and is not even indicated for aortic calcifications. After age of 65 slight...

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My father has done 2D ECHO Cardio graphy report.

It shows Aortic valve has some issue. I could n't understand it. I want to understand more clearly about this issue. Please see the attachment and guide us what it means what actions need to be taken .
My father is 70 years old

doctor1 MD

Brief Answer:
It is age related degeneration of his Normal aortic valve

Detailed Answer:
Hello ,
I went through the echo report attached .
As I start I would like to clear that you said your father is 70 years , while the report is someone who is 55 years . Hopefully it's the correct report...

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My brother 27 years old had an echocardiogram just as a routine check up due to family history of HCM. No HCM in immediate family, and his exam was also normal both ecg and echo.
His first echo was normal with normal aortic tricuspid that opens normally and no sign of aortic valve stenosis.
For an unrelated reason, just to change doctors and have a new file, he repeated an echo with a different doctor like four days later. His echo was also normal, except this time his report mentioned aortic valve is slightly thickened, tricuspid with normal color doppler flow.

Thickening as i read means sclerosis, and my brother is only 27 years although he smokes.
My question is how can one report say normal aortic valve and four days later slight thickening ? Is this a common finding at his age ? And would slight thickening mean aortic sclerosis???

doctor1 MD

Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that these small differences between the two cardiac ultrasound reports do not have any clinical significance.

In my opinion, they could be related...

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Recent questions on  Aortic valve

doctor1 MD

Hello - Just wondering....I am a 41 yr old female, born with an aortic stenosis. I am a healthy person, never ever go to the doctor except back in Jan 2001 I had an aortic root enlargement and aortic valve replacement with a bovine valve. I have felt awesome afterwards. I have an extremely stressful job (office work not physical) just wondering if what feels like depression, tiredness, both arms ache with physical activity. My left thumb has had two occasions last week where it was stuck in a gripped position and could not move it for a minute or two. I know I am stressed as my neck has knots and am using alot of ben gay and advil. My blood pressure is actually perfect so I am assuming that it is NOT my heart. That is what I have come to the conclusion and just wanted to double check as I don t want to go to the doctor. Wouldn t that be a good indicator that I am just fine and it is just stress?

doctor1 MD

Doctor, I am Anisha,26 years old, height 169 cm, weight 65kg. Working as Software professional in Bangalore. I had undergone PDA surgery when I was 3 yrs old. I got married 6 months back and got pregnant in last June. During the routine check up for the pregnancy, it was found that, I have SEVERE AS and MILD AR. And doctor advised me to terminate the pregnancy and prescribed immediate Aortic valve replacement surgery. After this, we consulted another doctor and he also came to the same conclusion. We did MTP on June 11th, and after this I got normal periods on July 9th. My next appointment with the cardiologist is on 19th August. Based on the ECHO and ECG, they said, we can fix the date of operation. Doctor has opted, BIO-PROSTHETIC AORTIC VALVE REPLACEMENT. In the last two months, our life was much changed by hearing all this. Abortion and operation, tension, grief everything. I would like to know Doctor, I donĂ¢??t have faced any problem in walking or climbing steps, cycling or anything. I was leading a normal life. After this operation, would we be having any problem with conceiving again? Please take this as my request and please let me know will this operation cause any problem in having children and leading a normal life.

doctor1 MD

I had undergone PDA surgery when I was 3 yrs old. I got married 6 months back and got pregnant in last June. During the routine check up for the pregnancy, it was found that, I have SEVERE AS and MILD AR. And doctor advised me to terminate the pregnancy and prescribed immediate Aortic valve replacement surgery. After this, we consulted another doctor and he also came to the same conclusion. We did MTP on June 11th, and after this I got normal periods on July 9th. My next appointment with the cardiologist is on 19th August. Based on the ECHO and ECG, they said, we can fix the date of operation. Doctor has opted, BIO-PROSTHETIC AORTIC VALVE REPLACEMENT. In the last two months, our life was much changed by hearing all this. Abortion and operation, tension, grief everything. I would like to know Doctor, I donĂ¢??t have faced any problem in walking or climbing steps, cycling or anything. I was leading a normal life. After this operation, would we be having any problem with conceiving again? Please take this as my request and please let me know will this operation cause any problem in having children and leading a normal life.

doctor1 MD

Hi, i am 32 years old I would like your advise on a heart surgery that i will undertake on Novermber 2010. In 1999 i had a correction to a coarctation with a 20mm Dacron interposition and in October 2000 i excised a bicuspid aortic valve, replaced with a 24mm cryopreserved aortic homograft. A couple of weeks ago i was admitted to hospital with left heart failure, pulmonary oedema and orthopnea. My surgent said that the valve replaced ten years ago is leaking and must be replaced however, he gave me two options which consist of the two types of valves i can choose one from. I am need of an aortic valve and root. The first option was to have a metal valve which they say lasts longer. The second option was replacing the present leaking valve with one that is the same. So i would be grateful if you can advise me which of the two you would recommend for me. I would also appreciate it if you could tell me the chances of the operation succeeding and how far technology will get in case of a further operation within the next ten years. If you would like any further information just contact me via email. I would be grateful if you can respond back to me as soon as possible. Thank you

doctor1 MD

Good Morning, I am caregiver for my Father who is 95. He has asthma , COPD, just had a stent inserted in his right aortic valve and is due to have a valve replacemt next week. Last thursday he started feeling ill, cough , clight fever, took him to...

doctor1 MD

I still do not have the results of the test except he said I had a teenager heart. The echo test I sent to you. One Dr said the echo test was really good. Nothing wrong at all. I wrote you the results and you said certain things were wrong. So one...

doctor1 MD

My wife has a blood pressure reading of 113/50. She has had low readings for a few days now but not as low as today. She is 85 and otherwise healthy. How concerned should we be?

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Dr. Andrew Rynne
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Hi, I am Dr. Andrew Rynne (Family Physician). I will be guiding you through the process. Please write your question below.

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