Poll: Lifetime Management of Severe AS in Young Low-Risk Patient

You are seeing a 55-year-old obese woman (height is 5 feet and 4 inches; body surface area is 2.5 m2) with calcific severe symptomatic aortic stenosis of a tri-leaflet aortic valve who has no significant comorbidities and a Society of Thoracic Surgeons risk score for mortality of <1% for surgical aortic valve replacement (SAVR). A computed tomography scan shows annular diameters of 20.1 x 22.5, perimeter of 64 mm, and area of 420 mm2. Coronary heights are 9 mm for left main and 10 mm for right coronary artery. Iliofemoral vessels are generous for vascular access for transcatheter aortic valve replacement (TAVR).

Clinical Topics: Cardiac Surgery, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Valvular Heart Disease, Aortic Surgery, Cardiac Surgery and VHD, Interventions and Imaging, Interventions and Structural Heart Disease

Keywords: Transcatheter Aortic Valve Replacement, Aortic Valve, Aortic Valve Stenosis, Coronary Vessels, Heart Valve Prosthesis, Calcinosis, Surgeons, Risk Factors, Obesity, Tomography

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