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REFRAT

Diagnosis dan Penatalaksanaan

 Oleh:

Muhammad Agung Wijaksana, S.ked

  Pembimbing:

Dr. Erwin Sukandi, Sp.PD-KKV

Stenosis Aorta

Anatomi Katup

Katup aorta atau katup semilunaris memiliki 3 daun katup: left coronary cusp, right coronary cusp, dan non-coronary cusp

Definisi

Stenosis Katup Aorta adalah suatu penyempitan atau penyumbatan pada katup aorta. Penyempitan pada Katup aorta ini mencegah katup aorta membuka secara maksimal sehingga menghalangi aliran darah mengalir dari jantung menuju aorta.

Etiologi

Kelaianan Kongenital

Kalsifikasi

Demam rematik

Derajat Stenosis Aorta

Derajat Stenosis Aorta

Manifestasi Klinis

Nyeri dada

Pingsan (syncope)

Sesak nafas

Patofisiologi

Etiologi

Penyempitan katup aorta

Hipertropi Ventrikel kiri

Angina Disfungsi sistolik

syncope sesak nafas

Diagnosis

Anamnesis Pemeriksaan Fisik Pemeriksaan Penunjang

ECG Chest x-ray Echocardiography Treadmil exercise test Cardiac Catheterization

Tatalaksana

Farmakologi Statin Antibiotik Antikoagulan Antihipertensi : ACE-inhibitor, β-Bloker

Non-Farmakologi Penggantian katup AVR/TAVR

Prognosis

Survival rate 10 tahun sebesar 60%

30% memerlukan operasi ulang

Daftar Pustaka• Ottto CM, Prendergast B. Aortic-valve stenosis: from patients at risk to severe valve

obstruction. The new England journal of medicine. 2014• Panggabean MM. Stenosis aorta. Buku Ajar Ilmu Penyakit Dalam Jilid II. Ed. V. 2009.

Jakarta: Balai Penerbit FK UI• Nishimura RA, et al. 2014 AHA/ACC guidlines for the management of patients with

valvular heart desesase: aortic stenosis. A report of the american college cardiology/American heart association task for on practice guidlines. J Acoll cardiol. 2014

• Olswaska M. Pathogenesis and pathofisiology of aortic valve stenosis in adults. Department of sosial cardiology, department of cardiac and valvular desease, institute of cardiology. Jagiellonian unversity, medical college. Krakow. Poland. 2011.

• Bonow OR, et al. ACC/AHA 2006 guidlines for the management of patients with valvular heart desesase: aortic stenosis. A report of the american college cardiology/American heart association task for on practice guidlines. J Acoll cardiol. 2006

• Grimard BH, Larson JM. Aortic stenosis: Diagnosis and Treatment. American family physician. 2008.

• Baumgartner H, et al. Guidelines and standards echocardiographic of valve stenosis: EAE/ASE recommendations for clinical care. European society of cardiology. 2008

• Carry T. Aortic stenosis: pathofisiology, diagnosis, and management of non surgical patients. 2013

TERIMAKASIH