Aortic Stenosis

Question 1

What is congenital aortic valve stenosis

Answer 1

Babies born with a narrow aortic valve which restricts blood flow from the left ventricle to right aorta. Patients can have valves with 1, 2, 3, or 4 leaflets

Question 2

Symptoms of congenital aortic valve stenosis

Answer 2

Asymptomatic, fatigue, SOB, dizziness, fainting, worse on exertion. HF within few months of life

Question 3

Signs of aortic valve stenosis

Answer 3

Ejection systolic murmur, palpable thrill, slow rising pulse and narrow pulse pressure

Question 4

Type of murmur in aortic stenosis

Answer 4

Ejection systolic murmur heard loudest over the aortic area. Crescendo-decrescendo character that radiates to the carotids. There is an ejection click before the murmur

Question 5

Management of aortic valve stenosis

Answer 5

ECHO, regular check ups, reestrict activities if significant. Percutaneous balloon aortic valvoplasty, surgical aortic valvotomy and valve replacement

Question 6

Complications of aortic stenosis

Answer 6

LV outflow tract obstruction
HF
Ventricular arrhytmias
bacterial endocarditis
sudden death on exertion