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[Percutaneous aortic aortic valve replacement: myth or reality?]

Eduardo Keller Saadi1

  • 1Universidade Luterana do Brasil (ULBRA), Porto Alegre, RS, Brasil.

Revista Brasileira De Cirurgia Cardiovascular : Orgao Oficial Da Sociedade Brasileira De Cirurgia Cardiovascular
|August 23, 2008
PubMed

Insights

Transcatheter aortic valve implantation offers a less invasive option for high-risk patients with severe aortic stenosis. This review explores the development and clinical application of this novel treatment, highlighting its potential impact.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Cardiac Surgery

Context:

  • Conventional aortic valve replacement (AVR) with extracorporeal circulation is standard for calcific aortic stenosis.
  • Elderly patients with comorbidities, reoperations, or severe left ventricular dysfunction face high surgical risks with traditional AVR.
  • Percutaneous techniques have emerged as a significant advancement in treating aortic stenosis.

Purpose:

  • To review the literature on percutaneous aortic valve implantation (PAVI).
  • To trace the development from experimental stages to clinical application of PAVI.
  • To assess PAVI as a treatment for patients with severe aortic stenosis and high surgical risk.

Summary:

  • Surgical aortic valve replacement is the gold standard for aortic stenosis but carries high risks for certain patient groups.
  • Percutaneous aortic valve implantation has been developed as an alternative for high-risk surgical candidates.
  • This review analyzes the literature on the evolution and clinical use of PAVI in patients with severe aortic stenosis.

Impact:

  • PAVI provides a less invasive therapeutic option for high-risk patients with severe aortic stenosis.
  • Cardiovascular surgeons play a crucial role in the development and application of percutaneous aortic valve procedures.
  • The adoption of PAVI signifies a paradigm shift in managing complex aortic valve disease.

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