Key result
Transcatheter aortic valve replacement following an aborted sternotomy resulted in 40% long-term mortality compared to 100% mortality with conservative treatment.
Why the study?
In patients with symptomatic aortic stenosis, sternotomy is sometimes aborted if severe aortic calcification is unexpectedly found; this study aimed to describe experience, causes, management, and patient outcomes.
Does TAVR improve survival compared to conservative treatment in patients with severe aortic stenosis and an aborted sternotomy?
Observational (n=7)
No
Does TAVR improve survival compared to conservative treatment in patients with severe aortic stenosis and an aborted sternotomy?
Absolute Event Rate: 40% vs 100%
In patients with severe aortic stenosis and an aborted sternotomy due to severe aortic calcification, TAVR appears to offer a survival benefit over conservative management, although overall mortality remains high.
No abstract yet. The journal hasn't published one we can show.
No takes yet. Share an insight, caveat, or question.
Gašparovič et al. (2020) conducted an observational in Severe aortic stenosis with aborted sternotomy (n=7). Transcatheter aortic valve replacement (TAVR) vs. Conservative treatment was evaluated on Long-term mortality. Transcatheter aortic valve replacement following an aborted sternotomy resulted in 40% long-term mortality compared to 100% mortality with conservative treatment.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: