Aortic heart disease - a disease manifested in incomplete closure of the aortic valve or narrowing ( stenosis ) of the aortic orifice, or a combination thereof. Stenosis of the mouth is a decrease in the lumen of the aorta extending from the heart, leading to difficulty in the outflow of blood from the left ventricle of the heart. Such a defect can be either congenital or acquired.
Content
- 1 Clinic
- 2 Diagnostics
- 3 Treatment
- 4 See also
- 5 Links
Clinic
- Angina pectoris
- Fainting
- Progressive heart failure
Diagnostics
A physical examination reveals symptoms of left ventricular hypertrophy and dilatation and a specific auscultatory picture.
Specifying instrumental methods are ECG and chest x-ray, the diagnosis is finally confirmed by echocardiography with dopplerography.
Treatment
At the initial stages of the disease, therapy is aimed at preventing the development of hypertrophy and dilatation of the heart chambers and eliminating the phenomena of heart failure. Drug therapy does not eliminate the cause of the disease, but improves the quality of life, and reduces the severity of the symptoms of the disease. The drugs of choice in isolated aortic defect are selective Ξ²-blockers.
With the progression of the disease, prosthetics of the affected valve is performed. A polymer prosthesis is installed, or a donor xeno valve, from cadaveric material, or from the body of an animal donor, usually a pig. Each of the above prosthetics options has its drawbacks.
When installing an inorganic valve, the patient should receive anticoagulant therapy for life, to prevent thrombosis, without controlling blood coagulation, the patient dies relatively quickly from thromboembolism. When prosthetics with an organic prosthesis, such therapy is not required, but due to the fact that the organic valve is inferior in strength to the mechanical and is not able to regenerate, its life does not exceed 10 years, and then it needs to be replaced.
See also
- Aortic stenosis
- Aortic insufficiency
- Coarctation of the aorta
- Stenosis of the aortic orifice
- Aortic aneurysm