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Valvoplasty for aortic stenosis
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bearyhealthy posted:
Is this treatment effective?
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James Beckerman, MD, FACC responded:
It's not great.

Valvuloplasty is currently most commonly considered in individuals at high risk for aortic valve replacement who have significant symptoms. The unfortunately thing about valvuloplasty is that typically, the aortic valve becomes stenotic (tight) once again, usually just a few months after the valvuloplasty is performed. So it's not a fix so much as it can reduce symptoms temporarily. If a person is a good surgical candidate, valve replacement is generally preferred. Another possible setting in which valvuloplasty might be considered is if an individual with severe aortic stenosis needs another surgical or medical procedure that she/he might not tolerate because of the severity of the aortic stenosis. The valvuloplasty could be a "bridge" so that the patient can tolerate the other procedure. But also keep in mind that valvuloplasty has its own inherent risks - particularly stroke. Lots to think about!
 
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heartbert replied to James Beckerman, MD, FACC's response:
Thank you for that answer.
Do you think it could be a bridge to help a patient recover strength to undertake a valve replacement surgery?
Or has this been done before for that you know of?
For a woman patient 83 years old, and barley strong enough to handle some of the stress tests that have been administered.
I know the Cleveland Clinic is doing a percutaneous valve surgery as a test for approval from the FDA and they are only 2 hours away. So that may be an option. I have the 2nd opinion information from them.
@http://my.clevelandclinic.org/eclevelandclinic/myconsult/default.aspx


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