Aortic Valve Stenosis - Mitral Valve Regurgitation

Author: Alison F. Ward, MD
Institution: Emory University
Date Reviewed: 2022
Original Case: Shalin Patel, MD; Edward Verrier, MD / University of Washington
Learning Domain: Adult Cardiac Surgery
Learning Objective: Aortic Stenosis, Mitral Regurgitation
PowerPoint File: File ASMR_Updated3.6.pptx

 

Discussion Points for Conference

  • Risk stratification
  • Heart team discussion
    • Continued medical management
    • TAVR +PCI + staged Mitraclip
    • Open surgery: double valve replacement, single vessel bypass

 

Learning Points

  • Decision making in patients with complex valvular heart disease should involve a heart team approach, with decision making tailored to the patient
    • SAVR vs TAVR
    • MVR vs MVr vs TEER 
    • CABG vs PCI
    • Staged approach 
  • Surgery can still be successful in well selected patients
  • Elderly patients undergoing complex operations should be mobilized quickly to avoid perioperative complications