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Aortic valve replacement is a cardiac surgery procedure whereby a failing aortic valve is replaced with an artificial heart valve. The aortic valve may need to be replaced because of aortic regurgitation (back flow), or if the valve is narrowed by stenosis .
In patients who are deemed too high risk for open heart surgery, TAVI significantly reduces the rates of death and cardiac symptoms. [6] Until about 2017 TAVI was not routinely recommended for low-risk patients in favor of aortic valve replacement, however it is increasingly being offered to intermediate risk patients, based on studies finding ...
If untreated, severe symptomatic aortic stenosis carries a poor prognosis, with a 2-year mortality rate of 50-60% and a 3-year survival rate of less than 30%. [63] Prognosis after aortic valve replacement for people younger than 65 is about five years less than that of the general population; for people older than 65 it is about the same. [57]
Dr. Davis emphasizes that valve damage is not only caused by poor dietary habits, explaining, “Diet is often talked about in connection to heart disease, but valve damage has different causes.
Complications occur in 3% to 5% of cases with one to 3% chance of early death. The death rate is almost negligible in very experienced centres. 80% to 90% of cases survive 10 years, and 70% to 80% may live up to 20 years. [3] As of 2014, the Ross procedure comprises less than 1% of all aortic valve replacements in North America. [1]
Other complications reported include but are not limited to infection, damage to the artery being accessed, heart arrhythmias, and decreased kidney function. [3] [1] [8] It is typical for children to require reintervention after having BAV, whether it be a repeat BAV or more definitive treatment with surgical aortic valve replacement. [6]
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