Key result
Transcatheter aortic valve implantation may provide a reasonable therapeutic strategy for patients with severe aortic stenosis and concomitant mitral regurgitation who are ineligible for open surgery.
Why the study?
Does TAVI provide a reasonable therapeutic strategy for patients with severe aortic stenosis and concomitant mitral regurgitation who are not candidates for open surgery?
Does TAVI provide a reasonable therapeutic strategy for patients with severe aortic stenosis and concomitant mitral regurgitation who are not candidates for open surgery?
Answers are grounded in this paper and cite their sources.
TAVI is highlighted as a potential therapeutic strategy for patients with severe AS and concomitant MR who are poor candidates for open double-valve surgery.
Moderate or severe mitral regurgitation (MR) is a common finding in patients with severe aortic stenosis (AS). The combination may be a relative indication for double valve surgery, particularly when MR is severe, degenerative, associated with left atrial dilation, chronic atrial fibrillation, or mitral annular calcium. However, in patients for whom open surgery is not desirable, TAVI may provide a reasonable therapeutic strategy with an expectation in selected patients that MR may improve, be better tolerated, or be amenable to staged transcatheter mitral interventions. In this paper, we briefly review the surgical experience with concomitant AS and MR and discuss the potential implications of transcatheter-based heart valve techniques in this patient group.
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Barbanti et al. (2013) conducted a review in Severe aortic stenosis and moderate or severe mitral regurgitation. Transcatheter aortic valve implantation (TAVI) vs. Double valve surgery was evaluated. Transcatheter aortic valve implantation may provide a reasonable therapeutic strategy for patients with severe aortic stenosis and concomitant mitral regurgitation who are ineligible for open surgery.
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