Managing the challenge of a small aortic annulus in patients with severe aortic stenosis

被引：0
作者：
Prieto-Lobato, Alicia [1 ,2 ]
Nuche, Jorge [1 ]
Avvedimento, Marisa [1 ]
Paradis, Jean-Michel [1 ]
Dumont, Eric [1 ]
Kalavrouziotis, Dimitris [1 ]
Mohammadi, Siamak [1 ]
Rodes-Cabau, Josep [1 ,3 ]
机构：
[1] Laval Univ, Quebec Heart & Lung Inst, Quebec City, PQ, Canada
[2] Hosp Mar, Barcelona, Spain
[3] Clin Barcelona, Barcelona, Spain
来源：
EXPERT REVIEW OF CARDIOVASCULAR THERAPY | 2023年 / 21卷 / 11期
关键词：
Aortic stenosis; heart valve prosthesis; surgical aortic valve replacement; small aortic annulus; transcatheter aortic valve replacement; VALVE-REPLACEMENT; HEMODYNAMIC PERFORMANCE; COMPUTED-TOMOGRAPHY; CLINICAL-OUTCOMES; SUTURELESS VALVES; RAPID DEPLOYMENT; ELDERLY-PATIENTS; TERM SURVIVAL; TRANSCATHETER; IMPLANTATION;
D O I：
10.1080/14779072.2023.2271395
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
IntroductionSmall aortic annulus (SAA) poses a challenge in the management of patients with severe aortic stenosis requiring aortic valve replacement - both surgical and transcatheter - since it has been associated with worse clinical outcomes.Areas coveredThis review aims to comprehensively summarize the available evidence regarding the management of aortic stenosis in patients with SAA and discuss the current controversies as well as future perspectives in this field.Expert opinionIt is paramount to agree in a common definition for diagnosing and properly treating SAA patients, and for that purpose, multidetector computer tomography is essential. The results of recent trials led to the expansion of transcatheter aortic valve replacement among patients of all the surgical-risk spectrum, and the choice of treatment (transcatheter, surgical) should be based on patient comorbidities, anatomical characteristics, and patient preferences.
引用
收藏
页码：747 / 761
页数：15
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