Outcomes of Surgical Versus Transcatheter Aortic Valve Replacement in Patients With Low-Flow, Low-Gradient Aortic Stenosis

Thursday, May 29, 2025

Submitted by

Mujtaba Mubashir

Source

Source Name: The Journal of Thoracic and Cardiovascular Surgery

Source URL: https://www.jtcvs.org/article/S0022-5223(25)00333-2/abstract

Author(s)

James A. Brown, Eishan Ashwat, Nav Warraich, Nidhi Iyanna, Derek Serna-Gallegos, Dustin Kliner, Catalin Toma, David West, Amber Makani, Irsa Hasan, Takuya Ogami, Danial Ahmad, Floyd Thoma, Yisi Wang, Ibrahim Sultan

This article studied the use of both surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR) in patients with low-flow, low-gradient aortic stenosis, including both classical and paradoxical variants of the condition. A total of 131 patients (52 percent) underwent SAVR, while 117 patients (47 percent) underwent TAVR. The outcomes showed comparable results in terms of 20-day mortality, stroke, and the need for pacemaker, suggesting similarities between the two techniques.

Comments

Submitted by Giuseppe Rescigno on Sat, 2025-05-31 13:16

Thank you for sharing the summary of the article (I have not access from home, hence I have read the abstract only). However, the conclusion seems somehow excessive "For patients with low-flow, low-gradient aortic stenosis, surgical and transcatheter approaches to aortic valve replacement may be equally as advantageous with respect to long-term outcomes." Is one year follow-up a long term? In particular considering the higher PVL incidence present in the transcatheter group...