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Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...

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Related Experiment Video

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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

[Transapical aortic valve implantation--indications, risks and limitations].

U Kappert1, Dominik Joskowiak, S M Tugtekin

  • 1Klinik für Herzchirurgie, Herzzentrum Dresden GmbH Universitätsklinik, Fetscherstrasse 76, Dresden, Germany.

Clinical Research in Cardiology Supplements
|April 25, 2012
PubMed
Summary

Calcified aortic stenosis is common, especially in older adults. Transcatheter aortic valve implantation (TAVI) offers a less invasive option for high-risk patients, but long-term data is needed to confirm its benefits over traditional surgery.

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Implantation of the Syncardia Total Artificial Heart
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Published on: July 18, 2014

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Interventional Cardiology

Context:

  • Calcified aortic stenosis is the most prevalent heart valve disease in Western countries.
  • Surgical aortic valve replacement is the standard treatment for severe symptomatic aortic stenosis.
  • Increasing patient age and comorbidities elevate surgical risks, necessitating alternative treatments.

Purpose:

  • To review the current status of transcatheter aortic valve implantation (TAVI) as an alternative to surgical aortic valve replacement.
  • To discuss the transfemoral and transapical approaches for TAVI.
  • To highlight the need for further research to establish TAVI's long-term efficacy and indications.

Summary:

  • Transcatheter aortic valve implantation (TAVI) has emerged as a viable alternative to surgical aortic valve replacement, particularly for elderly patients with severe aortic stenosis and high surgical risk.
  • The main TAVI approaches include transfemoral (retrograde) and transapical (antegrade) routes.
  • While initial TAVI results are promising, conventional surgery remains the standard due to limited long-term data. Patient-specific risk profiles guide treatment selection.

Impact:

  • TAVI provides a less invasive treatment option for patients unsuitable for traditional surgery.
  • Further randomized trials are crucial to determine the long-term survival benefits of TAVI across different risk populations.
  • Optimal patient selection based on individual risk assessment is key for successful TAVI outcomes.