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

doi:10.1016/j.jtcvs.2024.12.027

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 journal › Editorial › peer-review

2 Scopus citations

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 language	English (US)
Pages (from-to)	1035-1040
Number of pages	6
Journal	Journal of Thoracic and Cardiovascular Surgery
Volume	170
Issue number	4
DOIs	https://doi.org/10.1016/j.jtcvs.2024.12.027
State	Published - Oct 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

Access to Document

10.1016/j.jtcvs.2024.12.027

Cite this

Gupta, T., Malaisrie, S. C., Batchelor, W., Boudoulas, K. D., Davidson, L., Ibebuogu, U. N., Kpodonu, J., Singh, R., Sultan, I., Theriot, M., Reardon, M. J., Leon, M. B., Grubb, K. J., & A Perspective From the American College of Cardiology Cardiac Surgery Team and Interventional Cardiology Councils (2025). Review of the decision making approach to treating young and low-risk patients with aortic stenosis. Journal of Thoracic and Cardiovascular Surgery, 170(4), 1035-1040. https://doi.org/10.1016/j.jtcvs.2024.12.027

Gupta, T, Malaisrie, SC, Batchelor, W, Boudoulas, KD, Davidson, L, Ibebuogu, UN, Kpodonu, J, Singh, R, Sultan, I, Theriot, M, Reardon, MJ, Leon, MB, Grubb, KJ & A Perspective From the American College of Cardiology Cardiac Surgery Team and Interventional Cardiology Councils 2025, 'Review of the decision making approach to treating young and low-risk patients with aortic stenosis', Journal of Thoracic and Cardiovascular Surgery, vol. 170, no. 4, pp. 1035-1040. https://doi.org/10.1016/j.jtcvs.2024.12.027

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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{\textquoteright}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.",

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AU - Sultan, Ibrahim

AU - Theriot, Misty

AU - Reardon, Michael J.

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AB - 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.

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KW - shared decision making

KW - surgical aortic valve replacement

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

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Keywords

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