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Updated: Feb 24, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Update on the significance of postprocedural aortic regurgitation after transcatheter aortic valve replacement on
Maximilian Schmidt-Salzmann1, Michael Schlüter1, Karl-Heinz Kuck1
1Department of Cardiology, Asklepios Klinik St Georg, Hamburg, Germany.
Abstract:
Transcatheter aortic valve replacement (TAVR) is an established therapy for patients with aortic stenosis and a high surgical risk. Recent data on intermediate-risk patients will probably enlarge the indication for TAVR. In the beginning of the TAVR era, relevant (>mild) aortic regurgitation (AR) was a common finding after TAVR; it was associated with worse outcome compared with patients without significant AR. To date, several improvements in imaging, grading of severity and treatment have been done and will be discussed in this article. AR after TAVR still is a strong and independent predictor of 1-year mortality and every effort should be made to prohibit its development.
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