心臟血管專科相關問題：主動脈瓣膜閉鎖不全需開刀嗎？-心臟血管專科

近兩年健檢心電圖異常，超音波檢測出主動脈瓣膜閉鎖不全，這樣需要開刀嗎?？

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醫師您好：近兩年健檢心電圖異常，被檢測出主動脈瓣膜閉鎖不全，看診醫師說是天生少一片，做完心臟超音波後，醫師將我轉介給心臟外科，想請問：1.這樣是建議要開刀更換了嗎？
2.本身是拳擊有氧健身教練，更換瓣膜前運動模式是否要改變？
更換後是否還能從事高強度的心肺或重訓？
3.主動脈瓣膜更換，整個手術費用大概會落於多少？
上述 再請醫師幫忙解釋看診醫院的病歷資料：【Subject Finding】History of Bicuspid aortic valve with Severe ARTEE examination in 2021/12: 2. rBiscupid aortic valve (suspected R+L fusion) with flail of the R+Lfusion cuspid, resulting in severe eccentric AR (2D-VC = 0.727cm, 3D-VCA = 1.33cm^, PHT = 166~192 ms); 3. No ASD or Ventricular septal defect (perimembranous type QP/QS: )2022/11/03: Bicuspid AV with severe AR with F/U Echo yearly, sometims acid regurgitation and leftupper extemity soreness within days, noted exercsie with no symptom,2022/11/10: Echo: bicuspid AV with severe AR, LV: 70-> 70 mm; respone to mediation with famotidine preparation,【Object Finding】Chest (PA):> Mildly increased lung markings. Suggest correlation with clinical profile and follow up.> Mildly enlarged cardiac silhouette.> Thoracolumbar spondylosis with osteophytes formation.Normal sinus rhythmModerate voltage criteria for LVH, may be normal variant2021-11-19 Cholesterol 182 mg/dLTET: negatvie.---------- Bicuspid aortic valve with Severe AR 1. Normal LV wall motion, LVEF2. LVESD = 43mm, Aortic root 31mm, ascending aorta 30mm3. A jet from Aorta to RV in SAX view4. Mild PR, mild TR2022/01 TEE: pending report

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張先生，40~49歲男性，詢問日期：2022/11/11