From minimally invasive to percutaneous aortic valve replacement

摘要: The incidence of valvular heart disease (VHD) has steadily increased over the past few decades in western communities and is expected to continuously do so face an aging population. majority lesions Europe North America are acquired origin occur fifth eighth decade life. Calcified aortic valve stenosis (AS) degenerative mitral regurgitation (MR) two most frequent forms VHD account for 70% cases [1]. In Germany, about 98 000 cardiac surgical procedures performed annually. 2008, 33 400 included with 12 300 patients receiving isolated replacement (AVR). Mortality rates have been stable around 3 4% single AVR spite ever increasing average patient age associated comorbidities. choice prosthesis position shifted diseased valves being replaced by a bioprosthesis today [2]. contrast coronary surgery where decline number operations accompanied rising procedural volume percutaneous interventions (PCI) since late 1990s, still expanding.