This chapter is intended for cardiologists and all health care professionals involved in the evaluation, diagnosis, or management of patients with severe symptomatic aortic stenosis (AS). Risk factors, etiology, pathophysiological changes, symptoms due to severe AS, diagnosis, and natural history of severe symptomatic AS are discussed. The management of patients with aortic valve disease is constantly evolving by innovations in imaging and transcatheter and surgical implanted devices. Guidelines, research studies, and clinical trials are continually expanding related to severe symptomatic AS. The role of basic and advanced imaging techniques in the assessment and management of patients with severe symptomatic AS is discussed. Options to assess accurately for treating difficult scenarios associated with severe symptomatic AS disease, including medical and transcatheter, and surgical risks factors are discussed. A review of the management of potential complications along with results in clinical practice is summarized. This chapter is designed with case-based severe symptomatic AS and critical decision-making for this condition.
Part of the book: Aortic Stenosis