Well I think its unlikely there would not be more and serious medical imaging done BEFORE surgery (such as a CT with contrast) as preparation for surgery. This would likely clarify things to a more accurate level than the mere ultrasound done by the first Cardiologist. If surgery proceeded and the valve was found to be perfectly healthy (I'd doubt that) then the surgeon would have his arse handed to him by the system. This may surprise you, but they can't just toss it in the bin and have the cleaner empty it. Well, maybe in India. They have to go to pathology.What would a surgeon do if when he got to your aortic valve, he determined maybe it didn't need to be replaced?
I just discovered I have severe stenosis out of the blue about a year ago. I have zero symptoms. Are you saying you went 20 years in the state of severe stenosis, just watching it periodically on echos? What was the thing that made you determine to have surgery? I'd love it if I could just stay stable (without doing damage to my heart) for a few more years since I'm 58 and would need at least two more replacements.I had exact similar situation! I lived in hell because of the different contradicting opinion.
After about 5 years, the very first doctor that my family hated for his diagnosis proved to be most brilliant. He was the first one who detected the my undetectable heart issue!
Note: you may just need another good echo with color contrast to put your mind at ease.
Also, though my valve was severe in my thirties. I had my surgery 20+ years later.
Good luck, enjoy your life, don’t let worry overtake your good energy!
Yes, I'm going with a tissue valve unless they discover some reason that I can't.I gather by thinking you will need 2 replacements you are leaning tissue valve? I am 58 and elected mechanical On-X becasue I don't want to do it again, even through the groin is not perfect.
I just got diagnoses with minor AS--though believe it was also diagnosed in 2010-yes both my American and Thai drs here in Bangkok are given me huge windows of up to 20 years or more before I need AVRI had almost the exact same experience. Cardiologist who had been monitoring me for 20+ years (with Echo tests) said I was 5 - 10 years, possibly never, away from surgery. 2 weeks later I was in NW in Chicago scheduling surgery. 1 month later removed very calcified valve and ascending aorta. I heard later from some theraputic nurses that some of the cardiologists have the mentality of waiting until someone is in the ER before taking action as opposed to more preventive / aggressive treatment.
I went from mild to moderate in 1 year and then to severe in 1 more year.I got diagnosed with mild (one reading just below moderate) the other mild; was told to get echos every 3-5 years. I will probably go with every years---AS is serious/life threatening and you do not mess with this disease
OMG I have heard of such stories..How often were you given echos ? I wonder about that..one can go from mild to severe/needing AVR surgery in as little as 2-3 years..I am only 56 and this may have started in my 40's...I went from mild to moderate in 1 year and then to severe in 1 more year.
Are you saying you went 20 years in the state of severe stenosis, just watching it periodically on echos? Watchful waiting is what those of us with stenosis of the birth valve do. Not sure what you mean by "severe," but that usually means it's time for replacement. They do not wait for symptoms. As Pellicle indicated, the change due to stenosis is not linear when it gets bad. It can change quickly. That's why it's echos every 5 years, every 3 years, every year and then 6 months. My stenosis was due to a bicuspid valve. I never made it past the every year and only had my first "symptom" after being told "get thee to a surgeon" based upon the echo.I just discovered I have severe stenosis out of the blue about a year ago. I have zero symptoms. Are you saying you went 20 years in the state of severe stenosis, just watching it periodically on echos? What was the thing that made you determine to have surgery? I'd love it if I could just stay stable (without doing damage to my heart) for a few more years since I'm 58 and would need at least two more replacements.