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  1. Stentless aortic valve replacement: current status and future trends.
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  3. Stentless aortic valve replacement: current status and future trends.
  4. What should I expect after surgery?

Compliance with ethical standards Conflict of interest The authors declare that they have no conflict of interest. Informed consent Not applicable to a review article. Transcatheter aortic- valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. Transcatheter versus surgical aortic valve replacement in high-risk patients. Transcatheter aortic-valve replacement with a self-expanding prosthesis. Outcomes of surgical aortic valve replacement in high-risk patients: a multi-institutional study.

Ann Thorac Surg. The society of thoracic surgeons cardiac surgery risk models: part 2—isolated valve surgery. The society of thoracic surgeons cardiac surgery risk models: part 3—valve plus coronary artery bypass grafting surgery. A mulitcentre validation study. Eur Heart J.

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J Am Coll Cardiol. Incidence and severity of paravalvular aortic regurgitation with multidetector computed tomography nominal area oversizing or undersizing after transcatheter heart valve replacement with the Sapien 3: a comparison with the Sapien XT. J Am Coll Cardiol Intv. CrossRef Google Scholar.

Stentless aortic valve replacement: current status and future trends.

Local versus general anesthesia for transfemoral aortic valve implantation. Clin Res Cardiol. J Thorac Cardiovasc Surg. Temporal trends in quality of life outcomes after transapical transcatheter aortic valve replacement. Circ Cardiovasc Qual Outcomes. Propensity-matched comparisons of clinical outcomes after transapical or transfemoral transcatheter aortic valve replacement.

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Transcatheter or surgical aortic valve replacement in intermediate-risk patients. Caval-aortic access to allow transcatheter aortic valve replacement in otherwise ineligible patients: initial human experience. Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis. First human case description. Prospective multicenter evaluation of the direct flow medical transcatheter aortic valve.

Transcatheter aortic valve replacement for severe symptomatic aortic stenosis using a repositionable valve system: day primary endpoint results from the REPRISE II study. Transapica ltranscatheter aortic valve implantation using the JenaValve system: acute and day results of the multicentre CE-mark study.

Eur J Cardiothorac Surg. Comparison of balloon- expandable vs self-expandable valves in patients undergoing transcatheter aortic valve replacement: the CHOICE randomized clinical trial.

Stentless aortic valve replacement: current status and future trends.

Anatomical and procedural features associated with aortic root rupture during balloon-expandable transcatheter aortic valve replacement. Annular rupture during transcatheter aortic valve replacement: classification, pathophysiology, diagnostics, treatment approaches, and prevention. Predictive factors, management, and clinical outcomes of coronary obstruction following transcatheter aortic valve implantation: insights from a large multicenter registry.

Paravalvular regurgitation after transcatheter aortic valve replacement with the Edwards Sapien valve in the PARTNER trial: characterizing patients and impact on outcomes. Preparatory balloon aortic valvuloplasty during transcatheter aortic valve implantation for improved valve sizing. Jam Coll Cardiol Intv. Anatomy of the aortic valvar complex and its implications for transcatheter implantation of the aortic valve.

Circ Cardiovasc Interv. Med Eng Phys. Possible subclinical leaflet thrombosis in bioprosthetic aortic valves. Iung B. Interface between valve disease and ischaemic heart disease.

What should I expect after surgery?

Prevalence of coronary artery disease in patients with aortic stenosis with and without angina pectoris. Am J Cardiol. Eur J CardiothoracSurg. Google Scholar. Predictors of mortality after aortic valve replacement. Long-term survival after aortic valve replacement among high-risk elderly patients in the United States: insights from the Society of Thoracic Surgeons adult cardiac surgery database, to Current results of surgical aortic valve replacement: insights from the German aortic valve registry.

Coronary artery disease and outcomes of aortic valve replacement for severe aortic stenosis. A second important reason for referral to SAVR is the need for concomitant cardiac surgery.

Transcatheter Aortic Valve Implantation (TAVI)

Potential limitations for TAVI in isolated aortic valve disease may be a bicuspid valve anatomy which is more present in younger patients , pure native aortic valve regurgitation, and too large an aortic annulus size for transcatheter heart valves. However, technological improvements have not come to a halt yet, and it can be expected that dedicated TAVI devices for these conditions will be available soon. However, with the expectation of treating ever younger patients with TAVI and an increasing experience with complex percutaneous coronary intervention PCI — including a rapidly growing toolbox to treat chronic total occlusions — it may not be unrealistic to predict that a significant proportion of these patients will be treated by TAVI plus PCI in the future Figure 1D.

Even though TAVI has become a mature technology over the past decade, some new dedicated TAVI devices are still warranted to treat specific patient subgroups. Importantly, SAVR will not become redundant or obsolete. Even if TAVI is used to treat all patients with isolated aortic valve disease as well as aortic valve disease in combination with CAD, aortic valve surgery will still be needed in one third of all patients requiring AVR Figure 1D. However, the cardiac surgeon will face more complex aortic valve pathology, comprising cases of infectious endocarditis, and patients needing aortic root or other concomitant cardiac surgery.

This supports the centralisation of these services within centres of excellence, both for TAVI and for cardiac surgery, which could provide best clinical practice, research, and education. Conflict of interest statement The authors have no conflicts of interest to declare. References 1. Institut fur Qualitatssicherung und Transparenz im Gesundheits. Outcome after transvascular transcatheter aortic valve implantation in Eur Heart J. J Am Coll Cardiol. N Engl J Med. Latest news. The Trials book is supported by Biotronik. Read this consensus to appraise ACS, ambiguous coronary angio findings and interventional decision-making.