CARDIOVASCULAR SURGERY

KNOW PRO

ARTICLE-TAVI SURGERY

BY:

ANDREA VALENTINA VILLAMIZAR BLANCO

FOR:

LIDY JANNETH HIGUERA IBAÑEZ

 Reflections on Aortic valve surgery in the age TAVI

Aortic valve replacement (AVR) is the only definitive therapeutic option for patients with aortic
valve stenosis (AS). Everyone knows that the life expectancy of patients with symptomatic AD is
very limited and is around 2 years of life. One of the possible negative aspects of TAVI is its high
cost. In a patient-based system, the decision to operate or not on a patient must be based not only
on the technical possibility of carrying out an intervention, even if it has a high risk and cost, but
also on the patient's situation. This includes clinical, social aspects and their individual
preferences. It may seem "politically incorrect" to talk about the economy when we treat patients,
but the reality is that our obligation as doctors also contemplates the fair use of public resources
and even more so at this time when said resources are scarce. Within the group of patients
considered inoperable, a distinction must be made into 2 subtypes: those inoperable for
anatomical reasons (porcelain aorta, previous radiation, or deformities) and those inoperable for
medical reasons that give rise to an unacceptable conventional surgical risk. This last group would
fit into what we know today as a "fragile" patient.

Taken by: https://www.elsevier.es/es-revista-cirugia-cardiovascular-358-articulo-reflexiones-

sobre-cirugia-valvula-aortica-S1134009613000533

QUESTIONS

1. TAVI stands for

a) Transcatether Aortic Valve Implantation

b) Transaortic Aortic Valve Implantation
c) Transaortic Aortic Valvule Implantation
2. What would be a negative aspect of TAVI?
a) its cost
b) his ignorance
c) poorly trained doctors
3. What are the two types of inoperable patients?
a) Anatomical and for medical reasons
b) Anatomical and age
c) Medical reasons