Ask a Texas Heart Institute Doctor
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Question:
What is your recommendation for severe aortic valve stenosis?After passing out and falling flat on my face on pavement, I have been diagnosed with severe aortic valve stenosis due to sclerosis. The mean systolic gradient was measured at 63 mmHg with a peak at 97 mmHg. Aortic valve replacement surgery was recommended as soon as my trauma injuries allowed. Two other cardiologists confirmed this diagnosis.
A cardiac catheterization found no significant coronary artery disease. Thus, I may be eligible for minimally invasive valve replacement surgery in lieu of full open heart surgery. Next week I have an appointment with a doctor reported to be one of the best in the area and a master with the use of the surgical robot. I am 75, lead an active lifestyle (hiking, cycling, canoeing) and am in generally good health. At this point I’m not sure if I should have the surgery done here or somewhere that has more experience.
submitted by George from Idaho, 9/25/08
Answer:
by Texas Heart Institute surgeon, J. Michael Duncan, MD 
The valve needs to be replaced as soon as possible. Passing out from aortic stenosis means there is a severe obstruction and one is at risk for sudden death. The robot is not used for aortic valve replacement. Conventional techniques for valve replacement are recommended.
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Updated September 2008
