Aortic valve replacement is performed when the valve becomes severely narrowed (aortic stenosis) or does not close properly (aortic regurgitation), affecting the heart’s ability to pump blood effectively.
When valve disease progresses to the point where symptoms develop or heart function begins to decline, surgical replacement may be recommended to restore normal blood flow and protect long-term heart function.
Careful assessment of imaging, symptoms, heart function, age, and overall health is essential before proceeding.
The aortic valve controls blood flow from the heart into the aorta.
It may become:
The operation is performed under general anaesthetic using a heart-lung machine.
The diseased valve is removed and replaced with a prosthetic valve. The heart is then restarted and valve function is carefully assessed.
In some patients, valve replacement is performed alongside other procedures, such as:
In selected patients, the Ross procedure may be considered as an alternative approach.
The Ross procedure offers a biological solution without the need for lifelong anticoagulation (blood thinning). In carefully selected patients, it may provide durable valve function and avoid some of the longer-term considerations associated with prosthetic valves.
Patients are monitored in a cardiac intensive care unit following surgery.
Hospital stay is typically around one week, depending on recovery and whether additional procedures have been performed.
Early mobilisation begins under supervision, supported by cardiac rehabilitation guidance.
Follow-up includes clinical review and imaging to assess valve function over time.
Recovery continues at home over several weeks, with gradual improvement in energy levels and activity.
Mr Ahmed Othman is a Consultant Cardiac and Aortic Surgeon with extensive experience in aortic valve surgery, including complex and combined procedures.
His clinical practice includes technically demanding cases requiring careful assessment, precise operative planning, and structured long-term follow-up.
International training across Cairo, the Cleveland Clinic, and Royal Brompton & Harefield has shaped a measured and considered approach to surgical decision-making.
The choice between a mechanical valve, a biological valve, or the Ross procedure depends on age, lifestyle, medical history, and individual preferences.
Each option has different long-term considerations, including durability and the need for anticoagulation. These are discussed in detail during consultation.
Mechanical valves are designed for long-term durability, while biological valves have a more limited lifespan and may require replacement in the future.
The expected durability varies depending on the type of valve and individual factors.
Mechanical valves require lifelong anticoagulation.
Biological valves do not usually require long-term anticoagulation, although short-term medication may be needed after surgery.
Yes. Aortic valve replacement is often performed alongside other procedures, such as aortic root surgery or coronary artery bypass surgery, where required.
This is planned carefully based on your overall condition.
Aortic valve replacement is a major cardiac procedure performed when the valve is severely narrowed or leaking and affecting heart function.
All major cardiac procedures carry recognised risks. These are assessed based on your overall health, heart function, and whether additional procedures are required. The aim is to intervene at a point where surgery provides clear benefit in terms of symptoms and long-term heart function.
Your individual risk profile is discussed in detail during consultation, allowing you to make an informed decision.
Recovery continues over several weeks at home, with gradual improvement in energy levels and activity.