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Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow (know Main Indicators of a Heart Disease in a Child). The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.
Diagnosis of Valvar Aortic Stenosis:
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:
- Feeling breathless
- Angina or chest pain with a feeling of pressure or tightness
- Syncope of fainting
- Palpitations and enhanced heartbeats
- A steady decline in regular activities and energy levels
- Fatigue due to little exertion
- Not gaining weight
- Poor eating patterns
- Problems in breathing
The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.
Echocardiogram: The initial test that is recommended for patients with symptoms of valvar aortic stenosis is Doppler Echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.
Other major tests which help in the diagnosis of valvar aortic stenosis include:
- MRI or magnetic resonance imaging, which provides images of internal body structures with great detail.
- CT scan or computed tomography where three-dimensional images are extracted.
- Chest X ray
- Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.
Treatment: Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.
Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.
Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.
My brother 0f 11 years old, had an infection in mouth and his right side cheek got swollen and have pain. I too have faced this problem once. Suggest some tablets. Please respond immediately.
My son is too active not sitting in one place. I wanted to identify whether he is a hyper active child his age is 2 years & 3 months old. How to identify whether he is a normal child or hyper active child.
My daughter two months old and premature baby now she feed milk thro nipple by pushing milk thro syringe. Now she weighs 2 kg. Dr. told to start mother feeding. She did nt take mother milk directly and she started crying while try to attempt .plz guide us.
My son is 6 years old suffered with viral fever last week now his platelet count is 118000 is it dangerous we have used ibuprofen with paracetamol for 4 days is low platelet count leads to dengue im very tensed please give me a advice.
My 18 months daughter denies to have food all the time and if she eats then quantity is very less. She is of 10 kg only and sh is underweight What to do, pl suggest
I have 12 Weeks Baby Girl. Her Vaccinations plan on 10 weeks but she was suffering cold so Vaccinations Can't be Possible in this Condition.& already passed 2 weeks for Delay Vaccinations. So in this condition what we should do? Vaccinations delay is it serious Problem?
My 3 year old boy often falls sick. Suffers from runny nose following by fever. How to raise his immunity.
My child age 6 is facing sever atopic dermatitis. Is long term steroidal cream harmful for his skin.
Hello Dr. My kid is of 2 yrs. Still he is not eating anything? That's y he is slim not healthy. What should I do gain wait and health for him? And due to overeating of chocolates there's cavity on his tooth? What should I do to remove cavities. please tell homemade remedies for health and cavities.
Breastfeeding baby. 6 months old. With cough. 101.6 fever a few times. Vomiting milk. With cold. Stool with blood a few times. Not dark red blood. Wakes up in night crying. Before bloody stool. Sticky poop. With normal yellow.
My baby is 3 month. 15 or 20 days after birth he started vomiting. After every feeding he very much vomiting .he formula feeding baby. Bt after breast feeding he also vomiting .his urine is clear but his stool is not clear. His activities is ok. But he is not growth properly.
Hi doctor. I want to know my 3 year old baby girl why she is suffering from cold many times. Please suggest me what can I do for her good health.
I am from chattisgarh, ambikapur, my premature baby admitted in ekta hospital before 4 month (born 6 month 1 days, born weigh 750g) running 4 month weigh 2.7 kg, before problem septicemia, meningitis, recent problem hydrocephalus. Running medicine gardenal 2ml every night, and diamox 250mg (50mg) 3 times every day. please help me mujhe kya karma chahiye, kya is disease ka treatment medicinal ho sake hai?
It is very important to teach your child that nobody should be touching his/her private parts except the doctor or nurse for health-ups.