Monthly Archives: September 2009

AVBG References

I just added a new section to our website called Reference Materials.  I have posted a few of the hundreds of references I have collected over the past few years on AVBG. Dr. Gammie and group at the University of Maryland have a good paper summarizing the current state of the art. Dr.  Kerut and [...]

Will Transcatheter Implants Send Coronaries to Stent Jail?

In my last post, I argued that 40% of patients over age 70 presenting for AVR surgery  with a stenotic aortic valve will have a bicuspid shaped valve and therefore will not be eligible for a transcatheter device.  What about the 60% that have a tricuspid valve?  Are all of these candidates for a transcatheter [...]

When does 2% equal 55%?

In my last post, I said that 40% of patients over age 70 presenting for stenotic AVR (Aortic Valve Replacement) have a bicuspid shaped valve and that a bicuspid shaped aortic valve is a major contraindication to transcatheter valve implantation (reference PARTNER Trial and European Guidelines).  Rationale for this contraindication can be found in a [...]