Page 11 - BH-3-1

Brain & Heart TAVR in low gradient aortic stenosis

Figure 1. Assessment of valve morphology through echocardiography in suspected cases of aortic stenosis. This figure was modified from
Baumgartner et al. 2

or pLFLGAS should consider the possibility of AVR. The of 65 years. Any individual aged <65 years should receive
European guidelines stipulate that patients with NFLGAS SAVR, whereas TAVR should be performed in those aged
be treated as moderate AS and thus be administered >80 years. TAVR or SAVR is recommended for patients
medical treatment. The European guidelines recommend aged 65 – 80 years, as determined by a shared decision-
that SAVR be performed in patients aged <75 years who making process between the patient and the cardiac team.
have low surgical risk and TAVR be performed in patients SAVR is recommended in asymptomatic patients with
aged ≥75 years or those who have a high surgical risk. severe AS and an abnormal exercise test result and those
The American guidelines utilize an alternative age cutoff with very severe AS or elevated brain natriuretic peptide. 11

Volume 3 Issue 1 (2025) 5 doi: 10.36922/bh.4017