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Updated: Jun 17, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Risk stratification of patients with aortic stenosis
Alec Vahanian1, Catherine M Otto
1Department of Cardiology, Service de Cardiologie, Bichat Hospital, 46 Rue Henri Huchard, Paris 75018, France. alec.vahanian@bch.aphp.fr
Abstract:
Aortic stenosis (AS) is now the most common indication for valve replacement in Europe and North America, with an ever increasing disease prevalence due to the ageing population (Iung B, Baron G, Butchart EG, Delahaye F, Gohlke-Bärwolf C, Levang AW, Tornos P, Vanoverschelde JL, Vermeer F, Boersma E, Ravaud P, Vahanian A. A prospective survey of patients with valvular heart disease in Europe: the Euro Heart Survey on valvular heart disease. Eur Heart J 2003; 24:1231-1243). The recent introduction of transcatheter aortic valve implantation has renewed interest in the optimal approach to patient management. Decision making in valvular heart disease necessitates a careful evaluation of the risk-to-benefit ratio, considering both the results of intervention and the severity-adjusted risk of adverse outcomes without intervention.
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