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September 2023 Br J Cardiol 2023;30:105 doi:10.5837/bjc.2023.026

Where are we getting it wrong? Prevalence and causes of unplanned SAVR in a UK regional cardiac centre

Montasir H Ali, Amir Mushtaq, Abdul R A Bakhsh, Ahmed Salem, Kawan Abdulwahid, Adrian Ionescu

Abstract

Introduction Surgical aortic valve replacement (SAVR) is the best established treatment for severe, symptomatic aortic valve stenosis (AS), where it restores life-expectancy to levels seen in the general population.1 Ideally, patients with AS should be followed-up in a valve clinic, so that the optimal timing for performing SAVR can be determined, based on a combination of periodically assessed symptoms, signs, imaging and laboratory tests.2,3 Operating too late carries an increased risk of death and of peri-operative complications, related to (potentially irreversible) deterioration of left ventricular (LV) function from afterload mismatch.

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