Selection of Patients with Aortic Stenosis for Operation: The Asymptomatic Patient and the Patient with Poor LV Function

Author(s):  
B.A. Carabello
1962 ◽  
Vol 64 (5) ◽  
pp. 625-630 ◽  
Author(s):  
Patrick A. Gorman ◽  
Juan B. Calatayud ◽  
R.F. Patrick Cronin ◽  
E.A. Stewart Reid ◽  
Harold J. Scott

2012 ◽  
Vol 8 (2) ◽  
pp. 120 ◽  
Author(s):  
Raluca Dulgheru ◽  
Sara Hana Weisz ◽  
Julien Magne ◽  
Patrizio Lancellotti ◽  
◽  
...  

Aortic stenosis is now the most frequent valvular heart disease in developed countries with a steadily increase in prevalence. The necessity of surgery in symptomatic patients is well established. However, the need for surgery in asymptomatic patients remains controversial. The identification of several factors (predictors of outcome) that may help selection of patients who are most likely to benefit from early elective surgery is challenging and of clinical importance.


JAMA ◽  
1966 ◽  
Vol 196 (12) ◽  
pp. 1039-1044 ◽  
Author(s):  
R. E. Hermann

2020 ◽  
Vol 99 (3) ◽  
pp. 136-140

Introduction: The average incidence of perioperative stroke during major non-cardiac surgery is less than 1%, suggesting that it is rarely a major problem for the vast majority of patients. Methods: In our paper we present a 46-year-old patient undergoing acute right hemicolectomy who developed right-sided hemiparesis in the perioperative setting. Immediate CTAg examination showed an ischemic stroke in the left hemisphere as a result of left internal carotid thrombosis. A surgical procedure to recanalize the left carotid artery was performed 14 hours from the onset of neurological symptomatology and the neurological deficit gradually recovered fully. Conclusion: Our case report supports studies showing that a thorough diagnostic assessment allows the selection of patients who may benefit from urgent revascularization of acute internal carotid occlusion during the phase of acute brain ischemia.


Author(s):  
James L. Liu ◽  
Hiten D. Patel ◽  
Nora M. Haney ◽  
Jonathan I. Epstein ◽  
Alan W. Partin

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