医学
心脏骨骼
狭窄
心脏病学
主动脉瓣置换术
主动脉瓣狭窄
放射科
阀门更换
多探测器计算机断层扫描
内科学
主动脉瓣
外科
计算机断层摄影术
作者
Alicia Prieto-Lobato,Jorge Nuche,Marisa Avvedimento,Jean‐Michel Paradis,Éric Dumont,D. Kalavrouziotis,Siamak Mohammadi,Josep Rodés‐Cabau
标识
DOI:10.1080/14779072.2023.2271395
摘要
Small aortic annulus (SAA) poses a challenge in the management of patients with severe aortic stenosis requiring aortic valve replacement - both surgical and transcatheter - since it has been associated with worse clinical outcomes.This review aims to comprehensively summarize the available evidence regarding the management of aortic stenosis in patients with SAA and discuss the current controversies as well as future perspectives in this field.It is paramount to agree in a common definition for diagnosing and properly treating SAA patients, and for that purpose, multidetector computer tomography is essential. The results of recent trials led to the expansion of transcatheter aortic valve replacement among patients of all the surgical-risk spectrum, and the choice of treatment (transcatheter, surgical) should be based on patient comorbidities, anatomical characteristics, and patient preferences.
科研通智能强力驱动
Strongly Powered by AbleSci AI