Fast Five Quiz: Aortic Stenosis

Yasmine S. Ali, MD


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.

Follow Medscape on Facebook, Twitter, Instagram, and YouTube


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.