Treatment Overview
Treatment for
aortic valve stenosis usually depends on whether you
have symptoms. If you have symptoms, surgery to replace the aortic valve is
usually required. View a
slide show
on aortic valve replacement surgery
.
In most cases, if you have symptoms, the risk of not treating
aortic valve stenosis is higher than the risk of having surgery. Most people
who have symptoms of severe aortic valve stenosis die within 2 to 5 years if
they do not have valve replacement surgery.2
Doctors may prefer
balloon valvuloplasty for teens, young adults in their
20s, or people for whom valve surgery is too great a risk. This treatment
involves inserting a tiny balloon into the aortic valve and expanding it to
open the valve. While this is less risky than valve surgery, it is usually only
a temporary treatment in anyone other than young people.
For most people, valve replacement is the only effective treatment.
You and your doctor need to decide whether to replace the aortic valve at the
time you are diagnosed or delay until later. Depending on the results of your
tests, you may also require additional heart surgery during your valve
replacement surgery, such as
coronary artery bypass grafting. For more information
about valve replacement surgery, see:
Should I have surgery to replace my aortic
valve?
You may need medicine to prevent or treat a heart infection or
heart failure. If you have surgery to receive an
artificial valve, you also may have to take blood thinners (anticoagulants) to prevent blood clots from forming.
For more information, see the Medications section of this topic.