Does early elective valve replacement surgery improve outcomes in asymptomatic patients with very severe aortic stenosis?
Asymptomatic patients with very severe aortic stenosis face high risks of rapid deterioration, suggesting early elective valve replacement should be considered.
Despite being asymptomatic, patients with very severe aortic stenosis have a poor prognosis with a high event rate and a risk of rapid functional deterioration. Early elective valve replacement surgery should therefore be considered in these patients.
Rosenhek et al. (Tue,) studied this question.