One of the interesting findings in the presentation is that, Aortic Stenosis is one of the most underreported conditions. Shockingly, slightly 2.5 million Americans over the age of 75 have Aortic Stenosis (UW Department of Medicine, 2016). Most individuals suffer from mild AS, and even some have severe conditions but they never seek medical attention. Sections of people do not even know that they have it. Only 60% of patients undergo the surgical valve replacement, out of the individuals suffering from severe AS (UW Department of Medicine, 2016). Suggestively, this condition is undertreated.
The second interesting finding about Aortic Stenosis is that, once it becomes severe, it subjects the body to problems. Severe AS leads to Myocardial Decompensation, which results to left ventricle hypertrophy, left ventricle dilatation, myocardial ischemia, pulmonary edema, pulmonary hypertension, right ventricle overload, and reduced cardiac output (UW Department of Medicine, 2016).
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Thirdly, although Aortic Stenosis can be remedied through surgical AVR, risk factors are likely to be seen among patients in the event of poor outcomes. They include frailty, hostile chest and hostile aorta. Still, patients are likely to end up experiencing complications among them para-vulvar regurgitation, AV block, femoral complications, stroke attack, mycocardial infarction and aortic dissection (UW Department of Medicine, 2016). Notably, the progress that has been made in treating this condition has been largely contributed by the presence of a multidisciplinary heart team.
Over the years, experts in the medical field have identified alternative methods of treating aortic stenosis. Evidences have come up indicating use of Minimally Invasive Surgical procedures (MIS) ( Fattouch, Castrovinci & Carità, 2016) . The approach has been associated with improved aesthetic results, and the possibility of reducing trauma, besides decreasing ventilation time and postoperative pain. This treatment option leads to faster recovery and less loss of blood ( Fattouch, Castrovinci & Carità, 2016) .
References
Fattouch, K., Castrovinci, S., & Carità, P. (2016). Aortic valve stenosis: treatments options in elderly high-risk patients. Journal of geriatric cardiology : JGC, 13 (6), 473–474. https://doi.org/10.11909/j.issn.1671-5411.2016.06.008
UW Department of Medicine (2016). 1/22/16: Transcatheter Aortic Valve Replacement: “The most significant medical breakthrough?” <https://www.youtube.com/watch?v=RmwjXC_5b8I&feature=youtu.be>
