Aortic valve stenosis (or aortic stenosis) happens when the aortic valve in your heart becomes narrowed or blocked. This interferes with the normal blood flow out of your heart, causing heart damage, major health problems and even death.
Aortic valve stenosis (or aortic stenosis) happens when the aortic valve in your heart becomes narrowed or blocked. This interferes with the normal blood flow out of your heart, causing heart damage, major health problems and even death. Because this condition restricts blood flow, it also limits how much oxygen your body gets. This can cause chest pain, shortness of breath and fainting.
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Aortic stenosis is most common in people who are older, becoming more and more common after age 65. Several diseases can also cause it to develop when people reach middle age. In rare instances, children can be born with a defect of the aortic valve that causes stenosis.
About 2% of those over age 65 in the U.S. have aortic stenosis to some extent. Unfortunately, many people don’t know they have it until the condition causes symptoms or a screening or diagnostic test finds it.
Your aortic valve is one of four valves found in your heart. This particular valve is the last of the four that blood flows through before pumping out to your body. Your aortic valve normally has three flaps (leaflets), which open to let blood pass through and then seal shut to keep blood from flowing backward into the last chamber.
When too much blood stays in the last chamber of your heart, it increases pressure in that chamber, making your heart work harder than it should, and possibly damaging your heart itself. Two conditions can contribute to this: insufficiency and regurgitation.
Insufficiency happens when there isn’t enough blood flowing through your aortic valve. Regurgitation is when the valve itself can’t seal itself shut, causing some blood to flow the wrong way.
Symptoms of aortic stenosis (progressing from less severe to more severe) include:
For some people, aortic stenosis can happen slowly and take several years. For others, it can happen much faster. Waiting too long can result in heart damage that can’t be repaired or reversed. In cases of severe aortic stenosis, there’s also a risk of dying suddenly. Because of this, your healthcare provider may advise you not to delay treatment.
Your primary care provider may refer you to a cardiologist if they suspect you have aortic stenosis. A cardiologist will typically diagnose this condition based on your symptoms (if you have them) and one or more of the following diagnostic tests:
It’s possible to treat or even repair aortic stenosis, depending on when it’s found and the method used. If you have stenosis but no symptoms, your healthcare provider may advise you to simply monitor the issue with follow-up visits and tests. If you develop symptoms, your provider can offer you treatment options, including the following:
Your healthcare provider can help guide you on how to manage aortic stenosis. For those without symptoms or with mild stenosis, routine echocardiograms and regular follow-up appointments may be all that’s needed.
For those with moderate aortic stenosis, in addition to monitoring symptoms and routine echocardiograms, your healthcare provider may tell you to take it easy on your heart and limit your activity. They may also prescribe medications to prevent clotting or treat other issues related to aortic stenosis. But once you’re diagnosed with severe aortic stenosis, you should be referred for evaluation for aortic valve replacement or repair.
Depending on the treatment used, you may need to take medication either temporarily or permanently. Your healthcare provider can explain what medications you’ll need to take, how you should take them and for how long.
Recovery from aortic valve stenosis repair or replacement depends on the method used. Surgical methods take the longest. People who have surgery are typically in the hospital for several days, with full recovery usually taking several weeks.
Transcatheter methods like balloon valvuloplasty and TAVR have shorter recovery times. In some cases, people who have these types of procedures can go home either the same or the next day and resume their everyday lives shortly after.
Aortic stenosis caused by aging isn’t usually preventable. You should continue a healthy lifestyle, including managing your diet, maintaining a healthy weight and exercising regularly to limit other cardiovascular diseases.
Aortic stenosis caused by bacterial infections is almost always preventable by treating these infections promptly. This includes taking antibiotics and other medications as directed, not just until you feel better.
Aortic stenosis caused by inherited or chronic conditions isn’t usually preventable. Congenital aortic valve stenosis isn’t preventable.
If you choose not to have treatment or haven’t received treatment yet, you should call your healthcare provider if the following happens:
After starting a new medication, you should go to the ER if any of the following happens:
After a surgery or catheter procedure, you should go to the ER if any of the following happens:
Talking to a healthcare provider about your risk of aortic stenosis sooner rather than later, especially if you have symptoms, can make a huge difference in your life. Aortic stenosis is a complicated condition, but advances in surgical and catheter-based techniques mean the ability to treat it has never been better.
Last reviewed by a Cleveland Clinic medical professional on 05/18/2022.
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