Aortic Stenosis

Aortic Stenosis

Aortic stenosis is a condition in which the aortic valve of the heart becomes narrowed. The aortic valve lies between the left ventricle (the main pumping chamber of the heart) and the aorta, the largest artery that supplies oxygen-rich blood to the entire body.

When this valve does not open fully, blood flow from the heart into the aorta is reduced. As a result, the heart must work harder to push blood through the narrowed opening. Over time, this extra effort can weaken the heart muscle and affect overall heart function.

Most patients with aortic stenosis remain asymptomatic throughout, especially in early or moderate stages. Patients become symptomatic when the blockage is severe. Symptoms of aortic valve disease:

  • Chest pain or tightness during physical activity
  • Dizziness or fainting attacks, especially while walking or using stairs
  • Shortness of breath or easy fatigue on exertion
  • Palpitations or feeling of rapid or irregular heartbeats
  • Reduced exercise capacity

Consult aortic stenosis doctors in Navi Mumbai at UMC Hospitals for further diagnosis and care.

The heart possesses four valves, which are designed to ensure that blood flows in the right direction. In aortic stenosis, the aortic valve opening is narrowed; this reduces blood flow from the left ventricle into the aorta.

To compensate, the left ventricle must produce greater pressure. Over time, the result is that the wall of the left ventricle thickens and stiffens, a process known as hypertrophy of the left ventricle. Initially, this allows for the continuation of normal blood flow, but in time actually decreases the efficiency of the heart, ultimately leading to reduced pumping capacity, rhythm disturbances, and even heart failure if not treated.

Causes and Risk Factors

Common causes of aortic stenosis include:

  • Congenital valve abnormalities, such as a bicuspid aortic valve
  • Age-related calcium build-up on the valve, commonly seen after 60 years
  • Rheumatic fever, following untreated streptococcal throat infections

Risk factors that increase the likelihood of developing aortic stenosis include increasing age, high blood pressure, diabetes, high cholesterol, chronic kidney disease, prior chest radiation, and a history of heart infections.

Complications of Untreated Aortic Stenosis

If not treated appropriately, aortic stenosis can lead to:

  • Heart failure
  • Dangerous heart rhythm abnormalities
  • Stroke due to blood clots
  • Infective endocarditis (infection of the valve)
  • Sudden cardiac death

These risks highlight why timely diagnosis and monitoring are essential.

While a medical exam can detect a murmur of the heart, further diagnostic tests are needed to confirm this and other diagnoses, which include:

  • Electrocardiogram (ECG)
    Tests the rhythm of the heart’s electrical activity.
  • Echocardiography
    Most important test done to evaluate the functioning of the valve and the extent of narrowing
  • Chest X-ray
    Can reveal an enlarged heart or valve calcification
  • Exercise or stress testing
    It helps in assessing symptoms in some affected individuals

Treatment depends on symptom severity and test findings.

  • Mild or asymptomatic cases
    Regular monitoring, lifestyle advice, and medications to manage blood pressure or rhythm issues
  • Severe symptomatic cases
    Valve intervention is usually required

Interventional options include:

  • Surgical aortic valve replacement
  • Balloon valvuloplasty
  • Transcatheter Aortic Valve Replacement (TAVR)

Your cardiology team will recommend the most suitable approach based on age, symptoms, valve anatomy, and overall health.

Our experienced team provides the best aortic stenosis treatment in Navi Mumbai at UMC Hospitals. Our multidisciplinary cardiac team includes cardiologists, cardiac surgeons, imaging specialists, and critical care experts. The focus is on accurate diagnosis, evidence-based decision-making, and compassionate patient-centred care, with access to both surgical and minimally invasive valve therapies when indicated.