Medicines are used to treat symptoms of heart failure
or abnormal heart rhythms (most commonly atrial fibrillation
). These include diuretics (water
pills), nitrates, and beta-blockers. High blood pressure
should also be treated. If aortic stenosis is severe, this treatment must be done carefully so blood pressure does not drop too far.
People with this and other heart conditions should stop smoking
and be tested for high cholesterol.
Surgery to repair or replace the valve is often done for adults or children who develop symptoms. Even if symptoms are not very bad, the doctor may recommend surgery
based on test results.
A less invasive procedure called balloon valvuloplasty may be done instead of or before surgery.
A balloon is placed into an artery in the groin, threaded to the heart, placed across the valve, and inflated. However, narrowing often occurs again after this procedure.
A newer procedure done at the same time as valvuloplasty can implant an artificial valve. This procedure is most often done in patients who cannot have surgery, but it is becoming more common.
The outcome varies. The disorder may be mild and not produce symptoms. Over time, the aortic valve may become narrower. This may result in more severe heart problems such as:
Atrial fibrillation and atrial flutter
Blood clots to the brain (stroke
), intestines, kidneys, or other areas
Fainting spells (syncope
High blood pressure in the arteries of the lungs (pulmonary hypertension
The results of aortic valve replacement are often excellent. To get the best treatment, go to a center that regularly performs this type of surgery.