Coronary Artery Disease and Aortic Stenosis


Before TAVR

Limited evidence to date

30 days and 12 months mortality similar in revascularized versus non-revascularized patients

Myocardial infarction and major stroke higher in individuals undergoing revascularization and/or presence of any stenosis >50 %, but not statistically different

At the time of TAVR

Limited evidence to date

30 days mortality similar to those undergoing percutaneous revascularization versus no revascularization

After TAVR

May be technically difficult due to value struts that may interfere with percutaneous intervention

Limited evidence to date

Observational data for percutaneous revascularization reveals no increased need for coronary artery bypass surgery with generally high survival


TAVR transcatheter aortic valve replacement







References



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2.

Rapp AH, Hillis LD, Lange RA, Cigarroa JE. Prevalence of coronary artery disease in patients with aortic stenosis with and without angina pectoris. Am J Cardiol. 2001;87:1216–7, A1217.PubMedCrossRef


3.

Pibarot P, Dumesnil JG. Improving assessment of aortic stenosis. J Am Coll Cardiol. 2012;60:169–80.PubMedCrossRef


4.

Stewart BF, Siscovick D, Lind BK, Gardin JM, Gottdiener JS, Smith VE, Kitzman DW, Otto CM. Clinical factors associated with calcific aortic valve disease. Cardiovascular Health Study. J Am Coll Cardiol. 1997;29:630–4.PubMedCrossRef


5.

Iung B. Interface between valve disease and ischaemic heart disease. Heart. 2000;84:347–52.PubMedCrossRef


6.

Adler Y, Vaturi M, Herz I, Iakobishvili Z, Toaf J, Fink N, Battler A, Sagie A. Nonobstructive aortic valve calcification: a window to significant coronary artery disease. Atherosclerosis. 2002;161:193–7.PubMedCrossRef


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Roberts WC. Morphologic features of the normal and abnormal mitral valve. Am J Cardiol. 1983;51:1005–28.PubMedCrossRef


8.

Thubrikar MJ, Deck JD, Aouad J, Chen JM. Intramural stress as a causative factor in atherosclerotic lesions of the aortic valve. Atherosclerosis. 1985;55:299–311.PubMedCrossRef

Aug 24, 2016 | Posted by in GENERAL RADIOLOGY | Comments Off on Coronary Artery Disease and Aortic Stenosis

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