Low-risk patient management: EACTS and STS position

June 7, 2024

Prof. Patrick Myers

Aortic Highlights 2024

Prof. De Paulis

Aortic Highlights course, 2023

Prof. Borger

Aortic Highlights course, 2023

Prof. Michael Borger

MVT Intermediate 2022 Course

Prof. Siepe

Edwards Lifesciences at EACTS 2022: Aortic valve disease: Patient centric management in elderly population

Prof. Doenst

Edwards Lifesciences at EACTS 2022: State of the art in the treatment of aortic valve regurgitation in young patients

Prof. Jeroen Bax

MVT Aortic 2022, vol.2

– Valve Academic Research Consortium: created in 2010, updated in 2012, and updated again in 2021

– Get up to date regarding clinical endpoints.

– It’s not necessary to memorize it all, but to at least be familiar with all parts of the VARC-3 consensus.

Prof. Augusto D’Onofrio

MVT Aortic 2022, vol.2

– What’s less invasive than minimally-invasive surgery? Micro-invasive.

– The initial pros and cons of each approach are clear, but what about the outcomes?

– Don’t forget to implement Enhanced Recovery After cardiac Surgery (ERAS) protocols.

Prof. Marjan Jahangiri

MVT Aortic 2022, vol.2

– How do we decide between a Ross procedure or a modified Ross procedure? Who are the candidates, and what is their anatomy like?

– Perhaps most interesting, hear what she has to say about how and why we should be cautious when interpreting long-term results, even from large studies and meta-analyses.

– Advantages, disadvantages, complications, autograft failure predictors, and more!

Prof. Ruggero De Paulis

MVT Aortic 2022, vol.2

– Pros and cons of valve-sparing versus the pros and cons of biological or mechanical Bentall procedures

– Plenty of data with plenty of insights, get ready to take notes

– Experience and confidence reign supreme

– If relevant, don’t forget to plan for future valve-in-valve

Dr. Alisson Duncan

MVT Aortic 2022, vol.1

PPM can be predicted and therefore, prevented

How can we measure, normalize, and standardize various PPM-related assessments and risks?

Make sure to consider the body surface area in relation to the transvalvular gradient, especially during physical activity or exercise

Prof. Alessandro Della Corte

MVT Aortic 2022, vol.1

– New classification system and nomenclature of bicuspid aortic valve (and bicuspid aortic valve disease)

– Genes are important, but a single gene may contribute to fewer than 1% of cases

– Different valve repair techniques according to valve phenotype

Prof. Marjan Jahangiri

MVT Aortic 2022, vol.1

– Shorter time to extubation, shorter length of stay, shorter hospital stays

– Pre-operative strategies to enhance post-operative and follow-up outcomes

– Don’t forget to pay attention to the intra-operative details and work with the entire Heart Team for optimal patient outcomes

Prof. Marjan Jahangiri

MVT Aortic 2022, vol.1

– Pay attention to comorbidities, the anticoagulation choice may not as simple as it seems

– Be aware of the limitations of the currently available studies, question them in a logical manner

Prof. Joseph Bavaria

MVT Aortic 2022, vol.1

Prof. Michael Borger

MVT Aortic 2022, vol.1

-The “aortic size paradox”: an interesting paradox, indeed

-Length? Diameter? Which should we pay more attention to?

-Be sure to pay attention to genetics, biomarkers, abnormal flow, other risk factors, and more

Prof. Friedhelm Beyersdorf

MVT Aortic 2022, vol.1

Guidelines: based on scientific data, not an individual hospital’s, country’s, or region’s practices.

It’s important to truly understand the recommendations and evidence classifications.

Pay attention to the details in phrasing.

Dr. Mangino – MVT Intermediate 2021

Prof. Benussi – MVT Intermediate 2021

Dr. Farber – MVT Intermediate 2021