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• W2263812681 abstract "<p>Aortic stenosis (AS) is the commonest valve disease in the</p><p>West, with a prevalence varying between 0.02% in adults</p><p>under 44 years and 3-9% in those over 80 years of age <span>1, 2</span>. The</p><p>disease may remain “silent” and hence unnoticed for years,</p><p>particularly in the elderly with naturally limited exercise. With the</p><p>development of symptoms, patients may carry a mortality of</p><p>36-52%, 52-80% and 80-90% at 3, 5 and 10 years, respectively</p><p>if left untreated, with a potential high risk of sudden death <span>3</span>.</p><p>Surgical aortic valve replacement (SAVR) used to be the only</p><p>effective treatment for severe AS, being the second indication</p><p>for open heart surgery after coronary artery bypass grafting</p><p>(CABG) <span>4</span>. Trans-catheter aortic valve implantation (TAVI) is a</p><p>recently developed procedure which aims at non-surgical AVR</p><p>in patients with severe, symptomatic and calcified AS who</p><p>are at high surgical risk because of either poor left ventricular</p><p>(LV) function, ejection fraction (EF) &lt;50%, or other significant</p><p>co-morbidities e.g. age &gt;80 years, previous CABG surgery and/</p><p>or aorta or other heart valve surgery, impaired kidney function,</p><p>chronic obstructive pulmonary disease (COPD) or pulmonary</p><p>hypertension <span>5</span>. Currently, this technique is not recommended</p><p>in bicuspid AS patients due to the risk of incomplete and</p><p>suboptimal deployment of the aortic prosthesis [6]. TAVI</p><p>avoids open heart surgery and hence is likely to protect</p><p>myocardial function. The purpose of this paper is to review the</p><p>echocardiographic evaluation of LV, right ventricular (RV), and</p><p>left atrial (LA) function response to SAVR and TAVI for AS.</p>" @default.
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• W2263812681 date "2015-03-29" @default.
• W2263812681 modified "2023-09-23" @default.
• W2263812681 title "Echocardiographic evaluation of cardiac function response to removal of aortic stenosis: Surgical and trans-catheter aortic valve implantation (TAVI)" @default.
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• W2263812681 doi "https://doi.org/10.17987/icfj.v1i1.9" @default.
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