Journal article

Contemporary review of severe aortic stenosis

Heath SL Adams, Srikkumar Ashokkumar, Andrew Newcomb, Andrew I MacIsaac, Robert J Whitbourn, Sonny Palmer

Internal Medicine Journal | WILEY | Published : 2019

Abstract

Severe aortic stenosis (AS) is the most common form of valvular heart disease in the developed world, with a rising prevalence due to an ageing Australian population. Transcatheter aortic valve implantation (TAVI) offers a less invasive option for the treatment of severe AS, with evidence supporting TAVI compared with medical therapy in inoperable patients and superior with surgical aortic valve replacement (SAVR) in high-risk patients. Equal outcomes have been observed in all-comer intermediate-risk populations. The Heart Team utilises a shared decision-making approach between physicians and surgeons in risk-stratifying patients and reduces the intrinsic bias that may occur if decisions are..

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