Aortic stenosis historical perspective

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Aortic Stenosis Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Aortic Stenosis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

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Cardiac Catheterization

Aortic Valve Area

Aortic Valve Area Calculation

Treatment

General Approach

Medical Therapy

Surgery

Percutaneous Aortic Balloon Valvotomy (PABV) or Aortic Valvuloplasty

Transcatheter Aortic Valve Replacement (TAVR)

TAVR vs SAVR
Critical Pathway
Patient Selection
Imaging
Evaluation
Valve Types
TAVR Procedure
Post TAVR management
AHA/ACC Guideline Recommendations

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Prevention

Precautions and Prophylaxis

Cost-Effectiveness of Therapy

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mandana Chitsazan, M.D. [2]

Overview

Aortic stenosis was probably first described by Lazare Riviere, a French physician in 1663.

Historical Perspective

  • In 1663, the earliest description of calcific aortic stenosis was made by a french physician named Lazare Rivière. He identified left ventricular hypertrophy and large caruncle-like masses obstructing the left ventricular outflow in an autopsy report from a patient with palpitations, progressive dyspnea, and loss of peripheral pulses.[1][2]
  • The first transcatheter aortic valve replacement procedure in the world was performed on 16 April 2002 in a 57-year-old inoperable patient with severe aortic stenosis. The procedure was done by the Interventional Cardiologist Professor Alain Cribier at the Charles Nicolle University Hospital in Rouen, France. [3] [4]

References

  1. Leopold, Jane A. (2012). "Cellular Mechanisms of Aortic Valve Calcification". Circulation: Cardiovascular Interventions. 5 (4): 605–614. doi:10.1161/CIRCINTERVENTIONS.112.971028. ISSN 1941-7640.
  2. Lerman DA, Prasad S, Alotti N (2015). "Calcific Aortic Valve Disease: Molecular Mechanisms and Therapeutic Approaches". Eur Cardiol. 10 (2): 108–112. doi:10.15420/ecr.2015.10.2.108. PMC 4888946. PMID 27274771.
  3. "15 Years in TAVI".
  4. "Harold on History: The Evolution of Transcatheter Aortic Valve Replacement - American College of Cardiology".

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