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Optimum management of elderly patients with calcified aortic stenosis

A Pieter Kappetein1, Martijn van Geldorp, Johanna J M Takkenberg

  • 1Department of Cardio-thoracic Surgery, Erasmus Medical Center, Room Bd 569, PO Box 2040, 3000 CA Rotterdam, The Netherlands. a.kappetein@erasmusmc.nl

Expert Review of Cardiovascular Therapy
|April 12, 2008
PubMed

Insights

Elderly individuals often develop aortic stenosis. This review covers diagnosis, treatment options like aortic valve replacement, and new minimally invasive techniques for this growing population.

Area of Science:

  • Cardiology
  • Geriatrics
  • Valvular Heart Disease

Background:

  • Aging populations are experiencing increased incidence of aortic stenosis.
  • Calcific aortic stenosis is a significant health concern in the elderly.
  • Early diagnosis and management are crucial for improving outcomes.

Purpose of the Study:

  • To review the pathogenesis, diagnosis, and management of calcific aortic stenosis.
  • To discuss current treatment modalities, including surgical and emerging minimally invasive aortic valve replacement.
  • To identify suitable candidates for novel treatment approaches in elderly patients.

Main Methods:

  • Literature review of pathogenesis, diagnosis, and treatment of aortic stenosis.
  • Analysis of current guidelines for aortic valve replacement.
  • Evaluation of emerging transfemoral and transapical aortic valve implantation techniques.

Main Results:

  • Symptomatic severe aortic stenosis necessitates consideration for aortic valve replacement.
  • Surgical aortic valve replacement remains the primary treatment.
  • Transcatheter aortic valve implantation (TAVI) offers a viable alternative for select elderly patients.

Conclusions:

  • Aortic stenosis management requires a tailored approach considering patient age and comorbidities.
  • Minimally invasive techniques are expanding treatment options for elderly patients with aortic stenosis.
  • Further research is needed to optimize patient selection for emerging aortic valve replacement strategies.

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