Transcatheter Aortic Valve Replacement (TAVR) eBook | Page 6

What is Severe Aortic Stenosis? Severe aortic stenosis is the narrowing of your aortic valve opening that impedes normal blood flow. The most common cause is age, but birth defects, rheumatic fever and radiation therapy are other known causes of the condition. In elderly patients, severe aortic stenosis is sometimes caused by the buildup of calcium, or mineral deposits, on the aortic valve’s leaflets. Over time the leaflets become stiff, reducing their ability to completely open and close. When the leaflets can’t fully open, your heart must work harder to pump blood through the aortic valve to your body. Over time this condition weakens the heart, increasing your risk of heart failure — a disease that occurs when your heart cannot supply enough blood to your body. You may notice symptoms like chest pain, fatigue and shortness of breath, lightheadedness, fainting, or difficulty when exercising. It is important to remember, however, that heart valve disease often presents no outward symptoms and may go undetected. What are risk factors for aortic stenosis? • • • • • • • • Increasing in age High blood pressure High cholesterol Smoking Deformed aortic valve Rheumatic fever Radiation therapy to the chest Family history of aortic stenosis What are the symptoms of aortic stenosis? • • • • • • • • • Chest pain Fatigue Shortness of breath Difficulty walking short distances Lightheadedness walking short distances Swollen ankles and feet Rapid heartbeat Sleep sitting upright instead of lying flat on bed No longer take part in physical activities you used to enjoy What happens when someone has aortic stenosis? Over time, the leaflets of your aortic valve become stiff, reducing their ability to fully open and close. When the leaflets don’t fully open, your heart must work harder to push blood through the aortic valve to your body. Eventually, your heart gets weaker, increasing the risk of heart failure (when your heart cannot supply enough blood your body).