Transcatheter Aortic Valve Implantation: Future Directions

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Submit Manuscript | http://medcraveonline.com aortic stenosis treated surgically with biological prostheses in the last years, treatment of degenerative biological valves is one of the main current and future areas of TAVI expansion. The degeneration may occur in both stenosis and regurgitation, although most often is mixed. The main mechanisms, which represent the leading causes of reoperation, are: calcification, fracture, pannus formation and valve thrombosis. Nowadays, reoperation represents the standard treatment for degenerate biological prostheses, involving a considerable risk in terms of morbidity and mortality (3%). Reoperation mortality in patients at high surgical risk may exceed 20%. In these patients, TAVI is an alternative and a much less invasive therapeutic option.

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تاریخ انتشار 2016