Aortic stenosis surgery epidemiology and demographics

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Aortic stenosis surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The number of patients undergoing aortic valve replacement surgery to treat aortic stenosis has increased progressively over the past 10 years. The surgery is usually performed in elderly patients with preserved ejection fractions. Transcatheter aortic valve implantation (TAVI) represents a new option in patients with no surgical options.

Epidemiology and Demographics

Demographics Among Patients Undergoing Aortic Valve Replacement for Aortic Stenosis

Among the 512 aortic stenosis patients who underwent valve replacement, 54.3% were elderly (more than 70 years), 80% had a preserved left ventricular systolic function (left ventricular ejection fraction >60%) and 85% had symptoms of heart failure (NYHA class II-IV).[1]

Frequency of Aortic Valve Replacement

The number of the aortic valve replacement procedures performed over the last 10 years has increased. Mitral valve surgery was constant during the same period. [2]

References

  1. Iung B, Baron G, Butchart EG, Delahaye F, Gohlke-Bärwolf C, Levang OW; et al. (2003). "A prospective survey of patients with valvular heart disease in Europe: The Euro Heart Survey on Valvular Heart Disease". Eur Heart J. 24 (13): 1231–43. PMID 12831818.
  2. Passik CS, Ackermann DM, Pluth JR, Edwards WD (1987). "Temporal changes in the causes of aortic stenosis: a surgical pathologic study of 646 cases". Mayo Clin Proc. 62 (2): 119–23. PMID 3807436.

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