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Functional assessment of coronary artery disease in patients with severe aortic stenosis: a review

Heart BMJ

A significant proportion of patients with severe aortic stenosis (AS) undergoing transcatheter aortic valve implantation (TAVI) have concomitant coronary artery disease (CAD). The best way to treat these patients is contentious.

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A NOTIONal truth : Surgical AVR deteriorates faster than TAVI, for some mysterious reasons!

Dr. S. Venkatesan MD

Did the trial compared best practices of TAVI & SAVR ? Flow is physiology. Sub physiological valve destruction very much possible without affecting gradient. As a cardiologist, very soon we will be allowed legally to choose TAVI even in more younger , low risk cohort of Aortic stenosis without co-morbid conditions.