Fast Five Quiz: Aortic Stenosis

Yasmine S. Ali, MD

Disclosures

June 25, 2019

The American College of Cardiology recommends considering percutaneous coronary intervention in all patients with significant proximal coronary stenosis in major coronary arteries before TAVR.

Percutaneous balloon valvuloplasty is used as a palliative measure in critically ill adult patients who are not surgical candidates, or as a bridge to aortic valve replacement in critically ill patients. The high rate of restenosis and the absence of a mortality benefit preclude its use as a definitive treatment method in adults with severe aortic stenosis.

In most adults with symptomatic, severe aortic stenosis, aortic valve replacement is the surgical treatment of choice. If concomitant coronary disease is present, aortic valve replacement and coronary artery bypass graft should be performed simultaneously. Successful aortic valve replacement produces substantial clinical and hemodynamic improvement in patients with aortic stenosis, including octogenarians.

Antibiotic prophylaxis for the prevention of bacterial endocarditis is no longer recommended in patients with valvular aortic stenosis.

Read more on the treatment of aortic stenosis.

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