Aortic waist stenosis

Aortic waist stenosis's disease overview

Aortic stenosis is a fairly common disease in congenital heart disease group. Aortic waist stenosis is often accompanied by other birth defects. The rate of encountering high aortic stenosis in turner syndrome, Noonan syndrome. It is necessary to detect this disease early right from the birth age because the disease can be life -threatening. In adults, there may be complications such as aortic separation, hypertension, cerebral hemorrhage due to brain rupture.

Causes of Aortic waist stenosis's disease

Pathological aortic stenosis is still unknown.

Symptoms of Aortic waist stenosis's disease

The aortic stenosis leads to hypertension characterized by the difference in blood pressure in the upper and lower limb (normal blood pressure in the lower limb is higher than the upper limb, in this case, the opposite). Over time, the left ventricular ventricular to adapt to the post -burden, gradually will lead to the heart and heart failure.

In the city, the aortic waist stenosis is often detected through the symptoms:

  • Very high blood pressure with the upper and lower blood pressure difference. Hypertension usually appears after 15 days of age. When the age of 15 blood pressure often becomes fixed, it does not drop despite the cause.
  • Failed inguinal circuits, may not be captured in severe cases
  • The heart blow in the left blow, can spread behind to the position next to the spine

    • People at risk for Aortic waist stenosis's disease

  • Families with relatives suffering from congenital left ventricular congestion (including aortic waist stenosis) increases the risk of disease
  • Turner syndrome

    • Prevention of Aortic waist stenosis's disease

  • Ensure healthy pregnancy to minimize chromosomal abnormalities
  • Not giving birth late after the age of 35

    • Diagnostic measures for Aortic waist stenosis's disease

  • chest X-ray: It can be normal, in case the classic can see signs of 3 supply in the aorta, rib marks
  • Electrolyte: detect signs of increased left ventricular burden, but it does not allow disease diagnosis

    • Heart doppler ultrasound: usually useful in children, in adults is more difficult to evaluate. On an ultrasound can determine the location of the narrow place, measuring the difference through the aortic waist, detecting congenital abnormalities in combination such as a valve aortic valve, congestion of left ventricular ventricular, stenosis of the valve Two leaves ...

  • Aortic computerized tomography: is a means of deciding diagnosis in adults. On the film, the position is located, narrow -shaped, the circulating system and coordinated lesions

    • Diagnostic cardiac catheterization: Bringing peripheral blood vessels (femoral arteries or rotary arteries) to capture narrow and circulating systems. Waist stenosis is diagnosed when the pressure difference is over 10mmHg between the aorta and the aorta. However, the pressure difference does not reflect the level of narrow because it can be influenced by the circulatory systems

    Aortic waist stenosis's disease treatments

    Treatment of aortic stenosis includes medical treatment, surgery or intervention

    Medical treatment

    is mostly symptomatic treatment, hypertension and heart failure. However, treating hypertension in patients with aortic stenosis is often less effective. In babies, maintaining the opening of arterioscleros with prostaglandin E1 can improve clinical symptoms in severe cases, life threatening

    Interventional or surgical indication
  • The pressure difference over a narrow place at over 20mmHg: can be assessed by the difference in blood pressure on the lower limb, through ultrasound or heart disease
  • There is evidence of the circulation of development system
  • Hypertension, the cause of waist stenosis
  • Heart failure
    • Surgical or intervention options?
  • Children over 4 months of age, under 25kg: Skin intervention or surgery depending on the center's experience and damage. However, surgery is a priority choice in the majority of centers for children under 5 years old
  • Children over 25kg and adults: Skin intervention is priority than surgery

    • See also:

  • Replace the skin aortic valve (Tavi): The optimal solution for people with aortic stenosis
  • What is artery? What types are there?
  • Aortic valve is easy to cause heart failure

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