Hi. My Grandfather is 93 years old. Recently in a trip to china he complained of breathlessness and experienced a fainting episode. After some tests, doctors said that aortic valve in his heart is almost blocked (0.4 cm^2) while a normal healthy adult is about (6 cm^2). Taking into consideration that he is diabetic and of advance age, the doctors said that there is little else we could do except wait for his fate.. Is this really the case? Please help me and my Grandfather. Any views and suggestions would be a big help to us. Thank you so much.
Here is his 2-D ECHOCARDIOGRAM COLOR DOPPLER REPORT Dated: May 28, 2009:
Normal Left Ventricular cavity dimension with hypertrophied walls, Adequate left systolic thickening. Dilated left atrium, slightly dilated right atrium, normal right ventricular dimensions based on weight. Thickened aortic valve with calcifications at their margin and with restriction of motion. Thickened anterior mitral valve leaflet with no restriction of motion. Structurally normal tricuspid valve and pulmonic valve calcified mitral and aortic annuli. Normal Aortic root dimensions with thickened intima, Normal pulmonary artery dimensions. Dilated ascending aorta (39 mm). No evidence of Thrombus, No Pericardial effusion.
COLOR FLOW DOPPLER STUDY:
Aortic Stenosis, Severe with Aortic Valve Area of (0.4 cm^2) By continuity equation with peak gradient of 137 mmHg and Mean gradient of 71 mmHg. Mosaic color flow across the mitral valve, aortic valve, Tricuspid Valve and pulmonic valve. Pseudonormal velocity profile indicative of Left ventricular compliance dysfunction. Pulmonary artery pressure of 64 mmHg by TR JET.
Severe Calcific aortic stenosis with aortic regurgitation, 1+ Mitral sclerosis with severe mitral regurgitation severe tricuspid regurgitation. Concentric left ventricular hypertrophy with adequate segmental and global systolic function with stage II diastolic dysfunction. Dilated left atrium, slightly dilated right atrium, Atherosclerotic aortic root, Dilated ascending aorta, moderate pulmonary hypertension with pulmonic regurgitation.
Also, here are the medications he is currently taking: Imdur 30mg (Isosorbides-5-Mononitrate, Angiozem 30mg (Diltiazem HCL), Vestar 35mg (Trimetazidine). Thanks so much.