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severe aortic stenosis

Answer

The management of severe aortic stenosis primarily involves aortic valve replacement (AVR), which can be performed surgically or via a transcatheter approach. The choice of intervention depends on the patient's clinical status, anatomical considerations, and procedural risk.

Indications for aortic valve replacement

Choice of approach

Choice of valves

Specific circumstances

In conclusion, the management of severe aortic stenosis requires a comprehensive evaluation of the patient's clinical status, anatomical considerations, and procedural risk to determine the most appropriate intervention. The choice of valve and approach should be individualized, taking into account the patient's age, comorbidities, and preferences.

References

1

Aortic stenosis

Specific circumstances

Guidelines

Patients undergoing cardiac surgery for other indications

Pathway
ACC/.../AHA 2021