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Improving Care for Aortic Severe Stenosis Patients

The Phoebe Heart Valve Clinic is comprised of a multi-disciplinary team including cardiologists, cardiovascular surgeons, a valve clinic program coordinator, and a team of advanced practitioners specifically dedicated to assess and treat patients with valvular heart disease.

Patient Evaluation Process

The Phoebe Heart Valve Clinic team takes a collaborative approach to the evaluation of patients with valvular disease. All valve clinic patients are evaluated by both an interventional cardiologist and cardiovascular surgeon to formulate a coordinated, state-of-the-art treatment plan for each patient’s complex valve condition.

Today, there are two treatment options at Phoebe for valve replacement:

Understanding Aortic Valve Stenosis

A healthy aortic heart valve allows oxygen-rich blood from the lungs to flow from the left ventricle of the heart to the aorta, where it then flows to the brain and the rest of the body. Severe aortic stenosis causes narrowing or obstruction of the aortic valve and is most often due to accumulations of calcium deposits on the valve’s leaflets (flaps of tissue that open and close to regulate the flow of blood in one direction through the valve often referred to as degenerative calcific aortic stenosis). The resulting stenosis impairs the valve’s ability to open and close properly. When the leaflets don’t fully open, the heart must work harder to push blood through the calcified aortic valve. Eventually, the heart’s muscles weaken, increasing the patient’s risk of cardiac stress and heart failure.

What causes aortic valve stenosis?

Problems that can cause aortic valve stenosis include:

  • Calcium buildup on the aortic valve. As you age, calcium can build up on the valve, making it hard and thick. This buildup happens over time, so symptoms usually don't appear until after age 65.
  • A heart defect you were born with (congenital).
  • Rheumatic fever or endocarditis. These infections can damage the valve.

What are the symptoms?

Aortic valve stenosis is a slow process. For many years, even decades, you will not feel any symptoms. But at some point, the valve will likely become so narrow (often one-fourth of its normal size) that you start having problems. Symptoms are often brought on by exercise, when the heart has to work harder.

As aortic valve stenosis gets worse, you may have symptoms such as:

  • Chest pain or tightness.
  • Feeling dizzy or faint
  • Feeling tired and being short of breath – even at rest
  • A feeling that your heart is pounding, racing, or beating unevenly (palpitations).
  • Difficulty exercising

Speak with our Heart Valve Clinic experts: 229-312-8258.

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