Asymptomatic Severe Aortic Stenosis with Normal Ejection Fraction: when the Early/Elective Surgery Might be the Choice?
ثبت نشده
چکیده
Aortic valve replacement (AVR) therapy is clear in symptomatic AS patients, because it improves symptoms, LV function and survival. However, the indications for AVR in asymptomatic patients with severe AS are vague and the subject of ongoing debate. There are observational data that early AVR leads to favorable outcome compared to late (after symptom onset) surgery. Having in mind that operative risk for isolated AVR is low in experienced centers, there is growing and reasonable interest in identifying the subsets of asymptomatic patients which may benefit from early AVR.
منابع مشابه
Risk Stratification of Severe Aortic Stenosis With Preserved Left Ventricular Ejection Fraction Using Peak Aortic Jet Velocity
Management of asymptomatic patients with severe aortic stenosis (AS) is subject to debate. A watchful waiting strategy is adopted for the vast majority of asymptomatic patients because the surgical risk exceeds the spontaneous risk. However, a subset of patients with asymptomatic severe AS might benefit from early surgery. Only 1 study reported that asymptomatic patients with very severe AS (VS...
متن کاملExercise Echocardiography in Asymptomatic Patients with Severe Aortic Stenosis and Preserved Left Ventricular Ejection Fraction
The management of asymptomatic patients with severe aortic stenosis (AS) remains controversial. Recent series reported that early aortic valve replacement might be associated with improved clinical outcomes. However, the risk-benefit ratio should be carefully evaluated and early surgery only be proposed to a subset of asymptomatic patients considered at higher risk. Exercise echocardiography ca...
متن کاملValvular Heart Disease Early Surgery Versus Conventional Treatment in Asymptomatic Very Severe Aortic Stenosis
Background—The optimal timing of surgical intervention remains controversial in asymptomatic patients with very severe aortic stenosis. We therefore compared the long-term results of early surgery and a conventional treatment strategy. Methods and Results—From 1996 to 2006, we prospectively included a total of 197 consecutive asymptomatic patients (99 men; age, 63 12 years) with very severe aor...
متن کاملLetter by Meurin et al regarding article, "Early surgery versus conventional treatment in asymptomatic very severe aortic stenosis".
BACKGROUND The optimal timing of surgical intervention remains controversial in asymptomatic patients with very severe aortic stenosis. We therefore compared the long-term results of early surgery and a conventional treatment strategy. METHODS AND RESULTS From 1996 to 2006, we prospectively included a total of 197 consecutive asymptomatic patients (99 men; age, 63+/-12 years) with very severe...
متن کاملHigh-risk Coronary Artery Bypass Grafting and Mitral Valve Replacement in a HIV Positive Patient
Certain subsets of high-risk mitral valve patients are not suitable candidates for transcatheter therapies. The objective of this report is to present a young patient with combined mitral valve and coronary artery disease to illustrate these challenges.In this report, we present a 47-year-old man with longstanding HIV infection who was referred with severe mitral regurgitation (MR) and profound...
متن کامل