Management of valve disease

Question 1

Indications for surgical repair of aortic stenosis

Answer 1

1) Symptomatic
2) Asymptomatic but have evidence of severe AS
- valve area <1cm,
- mean gradient >40
- velocity >4m/s

Question 2

Indications for surgical repair of AR

Answer 2

1) Symptomatic

Question 3

Indications for surgical repair of Mitral regurgitation

Answer 3

1) Symptomatic with primary MR secondary to degenerative disease
2) Symptomatic (from another cause of MR) but not responding to medical treatment and have evidence of LV dysfunction
- EF <30%
- LVESD >55mm