Review of the decision making approach to treating young and low-risk patients with aortic stenosis

Tanush Gupta, S. Chris Malaisrie, Wayne Batchelor, Konstantinos Dean Boudoulas, Laura Davidson, Uzoma N. Ibebuogu, Jacques Kpodonu, Ramesh Singh, Ibrahim Sultan, Misty Theriot, Michael J. Reardon, Martin B. Leon, Kendra J. Grubb, A Perspective From the American College of Cardiology Cardiac Surgery Team and Interventional Cardiology Councils

Research output: Contribution to journalEditorialpeer-review

Abstract

Over a decade of randomized controlled trial data shows that transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) yield similar outcomes for patients with symptomatic severe aortic stenosis (AS), regardless of surgical risk. The 2020 American College of Cardiology and American Heart Association guidelines recommend these options for patients aged 65 to 80. However, with limited supporting data, TAVR is increasingly performed on patients under 65. To address this, the leadership of the American College of Cardiology’s Cardiac Surgery Team and Interventional Cardiology Councils compiled relevant data into a decision-making tool to guide the treatment of young and low-risk AS patients.
Original languageEnglish (US)
JournalJournal of Thoracic and Cardiovascular Surgery
DOIs
StateAccepted/In press - 2025

Keywords

  • aortic stenosis
  • clinical practice guidelines
  • heart valve team
  • shared decision making
  • surgical aortic valve replacement
  • transcatheter aortic valve replacement

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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