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TAVI or SAVR

TAVI or SAVR?

The ESC guidelines advise:

Characteristics that favour TAVI

•STS/EuroSCORE II >8%  (http://euroscore.org/calc.html)
•Age ≥ 75 yrs
•Previous cardiac surgery
•Severe frailty
•Sequalae of chest radiation
•Severe chest deformity or scoliosis
•Porcelain aorta

Characteristics that favour SAVR

•STS/EuroSCORE II  <4%  (http://euroscore.org/calc.html)
•Age <75 years
•Suspicion of endocarditis
•Anatomically unfavourable for TAVI
•Other concurrent cardiac surgery indicated (other valve, ascending aorta, severe CAD requiring CABG)
•Presence of thrombi in aorta or LV