Most children who have had an aortic stenosis surgical repair will live healthy lives. Activity levels, appetite and growth should eventually return to normal.
As the child grows, a valve that was ballooned may once again become narrowed. If this happens, a second balloon procedure or operation may be necessary to repair aortic stenosis. Sometimes the aortic tissue itself may be abnormal, which might lead to complications in the teen or adult years. Regular follow-up care at a specialized cardiac center should continue throughout life.
Your child's cardiologist may recommend that antibiotics be given to prevent bacterial endocarditis after discharge from the hospital.
People who had a mechanical valve replacement may need to take anticoagulants (blood thinners) to prevent blood clots from forming on the artificial valve surfaces. Regular monitoring of the blood’s clotting status is very important in maintaining the most appropriate dose of anticoagulants.
Initial valve replacement is often done using a tissue valve to avoid the need for anticoagulation, especially for females of childbearing age. Anticoagulation during pregnancy is very difficult to manage and requires special treatment.
Repeat valve replacement is not uncommon in the long term. In addition, blood pressure should be closely monitored and managed.
Consult your child's doctor about your child's specific outlook.