Key result
Asian patients with severe aortic stenosis exhibit unique anatomical characteristics, such as smaller aortic annuli and higher rates of bicuspid valves, which impact the adoption of transcatheter aortic valve replacement.
Asian patients with severe aortic stenosis present unique anatomical and socioeconomic challenges that require tailored approaches to TAVR and surgical management.
anagement of aortic valve stenosis (AS) has seen a significant resurgence of interest in the past decade, as shown in the increasing number of publications on the topic and international valve conferences pertaining to valve-related diseases. This growth has been largely driven by the evolution of treatments available for this condition. While the options were previously largely surgical, the emergence of transcatheter aortic valve replacement (TAVR) has changed the landscape. In addition, closer collaboration among heart teams and imaging advances in echocardiography and computed tomography have contributed to the rapid change. The recently updated American College of Cardiology guidelines on the management of valvular heart disease reflected this. The pace of change in Asia, however, appears less dramatic compared to that in the United States and Europe. This article described the unique characteristics of the Asian cohort and their impact on the contemporary management of aortic stenosis.
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EL et al. (2018) conducted an editorial in Severe aortic stenosis. Transcatheter aortic valve replacement (TAVR) was evaluated. Asian patients with severe aortic stenosis exhibit unique anatomical characteristics, such as smaller aortic annuli and higher rates of bicuspid valves, which impact the adoption of transcatheter aortic valve replacement.
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