Supravalvular aortic stenosis
ICD-10 Q25.3 is a billable code used to indicate a diagnosis of supravalvular aortic stenosis.
Supravalvular aortic stenosis (SVAS) is a congenital heart defect characterized by a narrowing of the aorta just above the aortic valve. This condition can lead to increased pressure in the left ventricle, resulting in hypertrophy and potential heart failure if left untreated. SVAS is often associated with Williams syndrome, a genetic disorder caused by a deletion of genetic material on chromosome 7. Clinically, patients may present with symptoms such as exercise intolerance, chest pain, or heart murmurs. Diagnosis typically involves echocardiography, which can visualize the narrowing and assess the severity of the stenosis. Treatment options may include surgical intervention to relieve the obstruction and improve blood flow. Long-term follow-up is essential to monitor for potential complications, including re-stenosis or other associated cardiovascular anomalies.
Pediatric documentation should include growth parameters, developmental milestones, and specific symptoms related to cardiac function.
Common scenarios include routine pediatric check-ups where a heart murmur is detected, leading to further evaluation and diagnosis of SVAS.
Consideration must be given to the age of the patient and the potential for growth-related changes in cardiac function.
Genetic documentation should include family history, genetic testing results, and any associated syndromic features.
Scenarios may involve genetic counseling for families with a history of Williams syndrome or other genetic conditions associated with SVAS.
Coders should be aware of the implications of genetic syndromes on the management and prognosis of SVAS.
Used in cases of severe supravalvular aortic stenosis requiring intervention.
Documentation must include indications for the procedure and pre-operative assessments.
Pediatric cardiology specialists should provide detailed operative reports.
Common symptoms include exercise intolerance, chest pain, and heart murmurs. Some patients may remain asymptomatic until later in childhood or adolescence.
