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
Official Publication of Houston Methodist DeBakey Heart & Vascular Center
Uneventful Follow-Up 2 Years after Endovascular Treatment of a High Flow Iatrogenic Aortocaval Fistula Causing Pulmonary Hypertension and Right Heart Failure
