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Is Stroke A Risk Factor After Having A Aortic Valve Replacement?
Question: Hello, I am having Aortic valve replacement surgery for regurgitation along with ascending aortic aneurysm repair and I may be treated at the same time for minor possible afib on March 17th. I am a 57 yr old female, non smoker that has always been healthy other than being told since I was a small child that I had a heart murmur. My questions are how much of a risk is there for stroke and can an ascending aortic aneurysm repair using a graft cause paralysis and if so how much of a risk is there? My name is XXXXX and thank you very much, any insight would be a help.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello XXXXXXX
Welcome on HCM!
I understand your concern and would like to explain that aortic valve replacement surgery with ascending aortic aneurysm repair (even using a graft) now has become a routine procedure and when performed in high-volume cardiac surgery centers it has a very high rate of success with quite a low potential for complications.
Now returning to your direct question, this kind of intervention (as other cardiac surgery procedures) has a potential for stroke.
In your case it will depend on different factors:
- The extend of aortic aneurysm through the aortic arch (possible involvement of cervical vascular branches)
- Also from structural changes of aorta walls (the presence of extensive atherosclerosis and calcifications may be a risk factor for embolic events or stroke)
-Another risk factor is the duration of extra-corporal circulatory support during surgery. The longer the circulatory assistance the greater the risk for neurological complications
-The last but not the least is the surgical team competence.
Despite the above mentioned potential underlying factors, the risk for stroke remains quite low, in general less than 3.3-5%.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello XXXXXXX
Welcome on HCM!
I understand your concern and would like to explain that aortic valve replacement surgery with ascending aortic aneurysm repair (even using a graft) now has become a routine procedure and when performed in high-volume cardiac surgery centers it has a very high rate of success with quite a low potential for complications.
Now returning to your direct question, this kind of intervention (as other cardiac surgery procedures) has a potential for stroke.
In your case it will depend on different factors:
- The extend of aortic aneurysm through the aortic arch (possible involvement of cervical vascular branches)
- Also from structural changes of aorta walls (the presence of extensive atherosclerosis and calcifications may be a risk factor for embolic events or stroke)
-Another risk factor is the duration of extra-corporal circulatory support during surgery. The longer the circulatory assistance the greater the risk for neurological complications
-The last but not the least is the surgical team competence.
Despite the above mentioned potential underlying factors, the risk for stroke remains quite low, in general less than 3.3-5%.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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