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Aortic Stenosis
Group no 05
Fgt POD Tharaka
Lmeda RMSS Rajamanthri
Meda HTKD Priyanga
Etiology
Aortic stenosis is the narrowing of the aortic
valve opening, which restricts blood flow from
the left ventricle to the aorta.
1. Congenital Causes
 Bicuspid Aortic Valve (BAV): Instead of three
cusps, the valve has two, leading to early
calcification and stenosis. Common in
younger patients.
2. Acquired Causes
 Rheumatic Fever: Inflammatory disease
following a streptococcal infection can cause
valve leaflet thickening and fusion, leading to
stenosis (often seen in developing countries).
3. Degenerative Calcific Aortic Stenosis
 Age-related Calcification:
Most common in older adults. Progressive
calcification of the valve leaflets due to wear
and tear over time.
Signs and Symptoms of Aortic Stenosis
 Aortic stenosis can be asymptomatic for years
but may present with classic symptoms as the
disease progresses.
Symptoms
 Angina (Chest Pain)
 Dyspnea (Shortness of Breath)
 Fatigue (especially during activity)
 Palpitations
 Dizziness
 Orthopnea (shortness of breath when lying
flat)
 Paroxysmal nocturnal dyspnea (waking up
breathless at night)
 Reduced exercise tolerance
Signs
 Slow-rising and weak pulse (pulsus parvus et
tardus)
 Narrow pulse pressure
 Systolic thrill over the aortic area
 Left ventricular heave
Aortic Stenosis – Medical and Surgical
Treatment
Medical Management
 Diuretics – for heart failure symptoms (use
with caution to avoid hypotension)
 Beta-blockers or ACE inhibitors
 Avoid strenuous activity – especially in
symptomatic patients
Surgical Treatment
a. Surgical Aortic Valve Replacement (SAVR)
Open-heart surgery to replace the stenotic
valve
b. Transcatheter Aortic Valve Implantation
(TAVI / TAVR):
Minimally invasive, catheter-based
procedureIdeal for elderly patients or those at
high surgical risk
c. Balloon Valvuloplasty:
emporary relief, often used in children or as a
bridge to surgery in adults
Aortic Stenosis after spread in human body.pptx
Aortic Stenosis after spread in human body.pptx