Conversation: The conversation between human and AI assistant.
[|Human|] i been told i have moderate stenosis 31 gradient,but it would be too risky to replace mechanical aortic valve which i recieved back in 1991. they said it would be 5 times riskier to repeat open heart surgery at this time. I,m 48 years old right now, had the first surgerywhen i was29. They said my stenosis would have to get worse before they would even consider surgery. Is this good advice?
[|AI|]  Hello thanks for posting here. I have gone through your description. The severity of your aortic valve stenosis is mild to moderate with a pressure gradient of only 31. Hence, surgery is not an option at this stage. You have to be on medications for the time being. However, you have to follow up repeatedly every year with 2 D echo to assess the severity and progression of aortic valve disease. Wishing you good healthRegards.