It was recently reported in a survey of European centers that 31.8% of patients with severe, isolated, symptomatic aortic stenosis were not offered surgical therapy due to risk level, comorbidities, or patient refusal.5 A large academic medical center in the United States reported a review of echocardiographic results from their institution that showed only 453 out of 740 patients (61%) with severe aortic stenosis — defined as aortic valve area (AVA) of 0.8 cm2 or less — received surgery.6 In the United States, it is estimated that about 749,000 patients have aortic stenosis and, of these, 125,000 have severe stenosis. This can be compared to the estimated number of AVR operations done in the United States annually of 70,000. It is clear that there is a substantial population with severe, life-threatening aortic stenosis that is underserved. This has led to the search for less morbid treatment options for aortic stenosis.

" /> It was recently reported in a survey of European centers that 31.8% of patients with severe, isolated, symptomatic aortic stenosis were not offered surgical therapy due to risk level, comorbidities, or patient refusal.5 A large academic medical center in the United States reported a review of echocardiographic results from their institution that showed only 453 out of 740 patients (61%) with severe aortic stenosis — defined as aortic valve area (AVA) of 0.8 cm2 or less — received surgery.6 In the United States, it is estimated that about 749,000 patients have aortic stenosis and, of these, 125,000 have severe stenosis. This can be compared to the estimated number of AVR operations done in the United States annually of 70,000. It is clear that there is a substantial population with severe, life-threatening aortic stenosis that is underserved. This has led to the search for less morbid treatment options for aortic stenosis.

"> Author Profile – Methodist Journal
Methodist Journal

IN THIS ISSUE

Adult Congenital Heart Update

Vol 15, Issue 2 (2019)


FEATURED GUEST EDITOR

ISSUE INTRO

The Growing Number of Adults Surviving with Congenital Heart Disease

See More
RECOGNITIONS

Drs. MacGillivray and Lin Take the Lead in Adult Congenital Heart Disease

See More

REVIEW ARTICLES See More

Advanced Cardiac Imaging for Complex Adult Congenital Heart Diseases

149 Fontan Conversions

Anomalous Aortic Origin of a Coronary Artery

Pulmonary Valve Replacement for Tetralogy of Fallot

Management of the Adult with Arterial Switch

Ebstein’s Anomaly

Heart Transplantation in Adults with Congenital Heart Disease

Cholesterol: Can’t Live With It, Can’t Live Without It

CASE REPORTS See More

Simultaneous Transfemoral Mitral and Tricuspid Valve in Ring Implantation: First Case Report with Edwards Sapien 3 Valve

Uneventful Follow-Up 2 Years after Endovascular Treatment of a High Flow Iatrogenic Aortocaval Fistula Causing Pulmonary Hypertension and Right Heart Failure

Device-Related Thrombus: A Reason for Concern?

Retained Coronary Balloon Requiring Emergent Open Surgical Retrieval: An Uncommon Complication Requiring Individualized Management Strategies

MUSEUM OF HMH MULTIMODALITY IMAGING CENTER See More

Do I Look Fat in This? Multimodality Imaging Findings of a Cardiac Lipoma

CLINICAL PERSPECTIVES See More

POINTS TO REMEMBER

The Kidney in Congenital Cyanotic Heart Disease

EXCERPTA

Talking Statins with Antonio Gotto

POINTS TO REMEMBER

Lipids and Renal Disease

EXCERPTA

Addressing the Feedback Loop Between Depression, Diabetes, and Cardiovascular Disease

EDITORIALS

Letter to the Editor in Response to “Cardiac Autonomic Neuropathy in Diabetes Mellitus”