1. Bioprosthetic Aortic Valve Replacement in <50 Years Old Patients - Where is the Evidence?
- Author
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Harky A, Suen MMY, Wong CHM, Maaliki AR, and Bashir M
- Subjects
- Age Factors, Heart Valve Prosthesis Implantation adverse effects, Heart Valve Prosthesis Implantation mortality, Humans, Prosthesis Design, Risk Factors, Treatment Outcome, Young Adult, Aortic Valve surgery, Bioprosthesis adverse effects, Heart Valve Diseases surgery, Heart Valve Prosthesis, Heart Valve Prosthesis Implantation instrumentation
- Abstract
Aortic valve disease is one of the most common valvular heart diseases in the cardiovascular category. Surgical replacement of the diseased aortic valve remains the definitive intervention for most diseases. There is a clear consensus that in young patients who require aortic valve replacement, a mechanical prosthesis is the preferred choice due to its durable prosthesis without fear of wear and tear over time. However, this comes at the expense of increased risk of bleeding and thromboembolic events; in addition, there is a lack of strict evidence in using bioprosthesis in patients younger than 50 years. The objective of this review article is to assess the current evidence behind using bioprosthetic aortic valve in this young cohort.
- Published
- 2019
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