Aortic stenosis is ASYMPTOMATIC.

When
Aortic symptoms develop, patients usually first
have:

 Fatigue
 Dizziness with exertion
 Shortness of breath
 Irregular heartbeats or palpitations
 Chest pain
Pathophysiology
Progressive in the area of
the aortic valve.

Stenosis
antegrade velocity when aortic area at least by half.
 Aortic valve stenosis is a
narrowing of the orifice between the
left ventricle and aorta. Stenosis is Adaptation by hypertrophy
often result of degenerative
calcification.
 Aortic valve makes it harder for the Early Changes Late Changes
leaflets to open and permit blood to
Atrial
flow forward from the left ventricle to Fibrillation
aorta. Diastolic Dysfunction Systolic Dysfunction
 In children, these problem can
include a valve that: Mitral Myocardialischemic
Compliances, left
 Only has two leaflets regurgitation Myocardia fibrosis
ventricular diastolic
instead of three (bicuspid Abnormal wall
pressure.
aortic valve). motion
 Leaflets that are partially
fused together. Heart Failure
 Thick leaflets that does not
open all the way.
 Damage by Rheumatic fever Unchanged contractility.
Decreased contractility.
or bacterial endocarditis. Decreased stroke volume
Normal Stroke Volume
 Valve can be narrowed
(supravalvar or subvalvar
aortic stenosis).

Signs and Symptoms

Medical Surgical
Management
 Surgical replacement of the aortic
valve.
 Patient who does not qualify for a
surgery may benefit from one or two
balloon percutaneous valvuloplasty
procedure with or without
transcatheter aortic valve
implantation (TAVI)
 Prophylactic antibiotics
 Digitalis and Diuretics

Nursing Management
 Avoid vigorous exercise
 Exercise if it’s tolerated