Valvular disease

Question 1

When is valvuloplasty indicated for Aortic stenosis?

Answer 1

Valvuloplasty = opening up with balloon
Indicated as bridge to therapy or to buy time.
Example pregnant and severe AS, less anaesthetic risk.

Question 2

Criteria for severe aortic stenosis?

Tx options

Answer 2

AV area 40 mmHg
Peak aortic velocity > 4 m/s

Normal valve area is 3-4 cm2

First line: Aortic valve replacement if no CI
If CI then TAVI

Question 3

When is a TAVI (Transcatheter aortic valve replacement) indicated?
CI?

Answer 3

Severe AS where surgical AVR too high risk and life expectancy > 2 year

CI:
Life expectancy