Aortic stenosis surgery: Difference between revisions

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===[[Aortic stenosis surgery aortic valvuloplasty|Aortic valvuloplasty]]===
===[[Aortic stenosis surgery aortic valvuloplasty|Aortic valvuloplasty]]===


==Overview==
Surgical intervention may be a necessary component of treatment. Intervention methods may include mechanical and device based therapies such as bileaflet mechanical aortic valves.
==Mechanical and device based therapy==
Aortic stenosis requires [[aortic valve replacement]] if medical management does not successfully control symptoms.
According to a prospective, single-center, nonrandomized study of 25 patients, percutaneous implantation of an aortic valve prosthesis in high risk patients with aortic stenosis results in marked hemodynamic and clinical improvement when successfully completed.<ref>{{cite journal |author=Grube E, Laborde JC, Gerckens U, ''et al'' |title=Percutaneous implantation of the CoreValve self-expanding valve prosthesis in high-risk patients with aortic valve disease: the Siegburg first-in-man study |journal=Circulation |volume=114 |issue=15 |pages=1616-24 |year=2006 |pmid=17015786 |doi=10.1161/CIRCULATIONAHA.106.639450}}</ref>
'''Bileaflet mechanical aortic valve'''
<googlevideo>4541951625687665949&hl=en</googlevideo>





Revision as of 20:47, 6 September 2011

Aortic Stenosis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Aortic Stenosis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Cardiac Stress Test

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography

Cardiac Catheterization

Aortic Valve Area

Aortic Valve Area Calculation

Treatment

General Approach

Medical Therapy

Surgery

Percutaneous Aortic Balloon Valvotomy (PABV) or Aortic Valvuloplasty

Transcatheter Aortic Valve Replacement (TAVR)

TAVR vs SAVR
Critical Pathway
Patient Selection
Imaging
Evaluation
Valve Types
TAVR Procedure
Post TAVR management
AHA/ACC Guideline Recommendations

Follow Up

Prevention

Precautions and Prophylaxis

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Aortic stenosis surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Aortic stenosis surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Aortic stenosis surgery

CDC on Aortic stenosis surgery

Aortic stenosis surgery in the news

Blogs on Aortic stenosis surgery

Directions to Hospitals Treating Aortic stenosis surgery

Risk calculators and risk factors for Aortic stenosis surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Mohammed A. Sbeih, M.D.[2]; Claudia P. Hochberg, M.D. [3]; Abdul-Rahman Arabi, M.D. [4]; Keri Shafer, M.D. [5]; Priyamvada Singh, MBBS [6]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [[7]]

Overview

Surgical intervention may be a necessary component of treatment. Intervention methods may include mechanical and device based therapies such as bileaflet mechanical aortic valves. An alternative treatment method includes aortic valvuloplasty.

Surgery

Mechanical and device based therapy

Aortic valvuloplasty

Overview

Surgical intervention may be a necessary component of treatment. Intervention methods may include mechanical and device based therapies such as bileaflet mechanical aortic valves.

Mechanical and device based therapy

Aortic stenosis requires aortic valve replacement if medical management does not successfully control symptoms. According to a prospective, single-center, nonrandomized study of 25 patients, percutaneous implantation of an aortic valve prosthesis in high risk patients with aortic stenosis results in marked hemodynamic and clinical improvement when successfully completed.[1]

Bileaflet mechanical aortic valve <googlevideo>4541951625687665949&hl=en</googlevideo>

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  1. Grube E, Laborde JC, Gerckens U; et al. (2006). "Percutaneous implantation of the CoreValve self-expanding valve prosthesis in high-risk patients with aortic valve disease: the Siegburg first-in-man study". Circulation. 114 (15): 1616–24. doi:10.1161/CIRCULATIONAHA.106.639450. PMID 17015786.