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Aortic stenosis; In the center an aortic valve with severe stenosis due to rheumatic heart disease. The valve is … surrounded by the aorta. The pulmonary trunk is at the upper right. The right coronary artery, cut lengthwise, is at the lower left. The left main coronary artery, also cut lengthwise, is on the right. Specialty: Cardiac surgery ...
Patients with symptomatic severe aortic stenosis have a mortality rate of approximately 50% at 2 years without intervention. [5] In patients who are deemed too high risk for open heart surgery, TAVI significantly reduces the rates of death and cardiac symptoms. [6]
Aortic valvuloplasty, also known as balloon aortic valvuloplasty (BAV), is a procedure used to improve blood flow through the aortic valve in conditions that cause aortic stenosis, or narrowing of the aortic valve. It can be performed in various patient populations including fetuses, newborns, children, adults, and pregnant women.
Aortic valve repair or aortic valve reconstruction is the reconstruction of both form and function of a dysfunctional aortic valve. Most frequently it is used for the treatment of aortic regurgitation. [1] It can also become necessary for the treatment of aortic aneurysm, less frequently for congenital aortic stenosis.
Edwards SAPIEN 3 and SAPIEN 3 Ultra Transcatheter Heart Valve systems were FDA-approved for the treatment of patients at low risk for death or major complications associated with open-heart surgery on August 16, 2019. [15] These products are used to treat patients with severe aortic stenosis without utilizing open-heart surgery. [16]
The literature reports generally favorable outcomes for apicoaortic surgery given the age, frailty, and comorbidities of the patient population. Patients typically improve from New York Heart Association Functional Classification III or IV to Class I or II. AVB effectively relieves the LVOTO caused by aortic stenosis.
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