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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Open Heart Surgery Only Solution For Stenosis?

i been told i have moderate stenosis 31 gradient,but it would be too risky to replace mechanical aortic valve which i recieved back in 1991. they said it would be 5 times riskier to repeat open heart surgery at this time. I,m 48 years old right now, had the first surgerywhen i was29. They said my stenosis would have to get worse before they would even consider surgery. Is this good advice?
posted on Thu, 13 Mar 2014
Twitter Tue, 25 Apr 2017 Answered on
Twitter Wed, 26 Apr 2017 Last reviewed on
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Pulmonologist 's  Response
Hello
thanks for posting here.
I have gone through your description.
the severity of your aortic valve stenosis is mild to mderate with a pressure gradient of only 31. Hence surgery is not an option at this stage. You have to be on medications for the time being.
However you have to follow up repeatedly every year with 2 D echo to assess the severity and progression of aortiv valve disease.
Wishing you good health
Regards.
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Is Open Heart Surgery Only Solution For Stenosis?

Hello thanks for posting here. I have gone through your description. the severity of your aortic valve stenosis is mild to mderate with a pressure gradient of only 31. Hence surgery is not an option at this stage. You have to be on medications for the time being. However you have to follow up repeatedly every year with 2 D echo to assess the severity and progression of aortiv valve disease. Wishing you good health Regards.