Many people with a bicuspid aortic valve for example may never need treatment unless the valve becomes obstructive. Evaluation should include periodic echocardiograms, EKG and exercise test as well as a physical examination by a cardiologist. Subaortic and supra-aortic stenosis tend to cause progressive problems early on. A more aggressive treatment approach with these two types of stenosis is usually needed. There are no medications that will take away stenosis.
Medication is used to help control symptoms and to maximize heart function.
Medication may also be used to control blood pressure which is very important for people with aortic stenosis. High blood pressure increases the work the heart has to do to pump blood forward and can contribute to enlargement of the heart muscle. Medication may also be used to control rhythm disturbances sometimes associated with aortic stenosis. Surgery Surgery to relieve the area of stenosis is a primary treatment for congenital aortic stenosis. Timing of surgery depends on the overall function of the heart and the degree of obstruction.