Contemporary Issues in Cardiology Practice Aortic Stenosis in the Low-Risk Patient: Overview of the Management Options and Possible Permutations

Aortic valve intervention can take several forms: surgical valve replacement with a stented or stentless bioprosthesis or with a mechanical prosthesis, transcatheter aortic valve implantation (TAVI), and the Ross procedure.(1) Although the choice of strategy is often straightforward in the elderly and high-risk population, young and low-risk patients with aortic stenosis are challenging to the heart team, namely because of their longer life expectancy, and higher cumulative lifetime risk of valve-related complications.(1) Herein, we review the currently available options for first and subsequent interventions for managing aortic stenosis in low-risk patients.

Automated summary

This article reviews the options for initial and subsequent interventions for managing aortic stenosis in low-risk patients, including surgical valve replacement, transcatheter aortic valve implantation (TAVI), and the Ross procedure. Choosing the appropriate treatment strategy is challenging for young, low-risk patients due to their longer life expectancy and higher risk of valve-related complications.