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When to Choose Surgery in the Era of Transcatheter Aortic Valve Replacement
Moritz C Wyler von Ballmoos1, Colin M Barker2, Michael J Reardon1
1Department of Cardiovascular Surgery, Houston Methodist Hospital, 6550 Fannin Street, Houston, TX 77030, USA; Weill Cornell Medicine, New York, NY 10065, USA.
Abstract:
Treatment of severe symptomatic aortic stenosis has undergone significant changes with the advent of transcatheter aortic valve replacement (TAVR). Initially reserved for inoperable patients, these devices have improved; outcomes now rival or outperform surgical treatment. TAVR is recommended for high-risk and certain intermediate-risk patients. As transcatheter aortic valve replacement becomes an option for younger, healthier patients, long-term planning and thoughtful considerations of potential subsequent interventions are paramount. A robust understanding of risks, benefits and expected outcomes with TAVR is critical to provide patients with the best treatment option.
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