Treatment of degenerative aortic valve disease: who will need an operation and when?
Faculty of Medicine and Health Sciences
The journal of cardiovascular diseases
, p. 158-163
University of Antwerp
The incidence of degenerative aortic valve disease in the geriatric population is increasing. Once the disease aortic valve stenosis is symptomatic, aortic valve replacement is mandatory for relief of symptoms and prolongation of life. Even with the use a tissue valve, increased postoperative mortality and postoperative valve related complications, such as thrombo-embolism and bleeding or other cardiac complications such as congestive heart failure occur. Composition of a risk profile for such events can identify patients who need prompt surgery. This profile is mostly related to an advanced stage of the valvular disease. The risk factors often interrelate to one another, complicating matters. Nevertheless, simple diagnostic means can already give a sound indication. Hence, early operation, which can be related to a favorable risk profile is necessary to obtain good postoperative results.