Although mild aortic valve stenosis is manageable in children, - TopicsExpress

Although mild aortic valve stenosis is manageable in children, deterioration may occur with growth. Severe aortic stenosis in infancy and childhood may be associated with either sudden death or heart failure. The usual basis for the stenosis is fusion of the valve, which is usually bicuspid rather than tricuspid. The valve is often both obstructed and incompetent (allowing blood to leak back from the aorta into the left ventricle). Patients with more than a trivial degree of aortic stenosis usually should not take part in competitive sports, such as swimming or football. In moderate to severe degrees of aortic stenosis, surgery usually is necessary and is performed using cardiopulmonary bypass. The aorta is opened just above the valve, and the surgeon incises the valve sufficiently to convert severe stenosis to a mild or moderate degree of obstruction. In older patients the valve is often thickened and calcified, and it may need to be replaced

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