Do all critical aortic stenosis with chest pain need aortic valve replacement? A case report

  • Munish Sharma | Department of Internal Medicine, Easton Hospital, Easton, PA, United States.
  • Daniel A.N. Mascarenhas Drexel University College of Medicine, Philadelphia, PA; and Interventional Cardiologist, Easton Hospital, Easton, PA, United States.


Aortic valve replacement (AVR) remains the cornerstone of treatment for symptomatic critical aortic stenosis (AS). It is a Class I indication that symptomatic patients with critical AS undergo either surgical or transcatheter aortic valve replacement (TAVR). We present a patient with critical AS and new angina that was managed successfully with percutaneous coronary intervention (PCI) of the Right coronary artery. Physicians should consider that not all patients with critical AS and angina necessarily require AVR. Concomitant pathology leading to the symptoms should be carefully ruled out. This leads to a less invasive, cost effective care plan especially in patients with advanced age and comorbidities for which any type of surgical valvular intervention may pose high risk.


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Case Reports
Aortic valve replacement, aortic stenosis.
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How to Cite
Sharma, M., & Mascarenhas, D. A. (2016). Do all critical aortic stenosis with chest pain need aortic valve replacement? A case report. Clinics and Practice, 6(4).

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