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Ann Thorac Surg 2008;86:1789-1790. doi:10.1016/j.athoracsur.2008.09.019
© 2008 The Society of Thoracic Surgeons
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Original Articles: Adult Cardiac

Invited Commentary

Jean G. Dumesnil, MD, FRCPC, Philippe Pibarot, DVM, PhD

Quebec Heart Institute, Laval Hospital, 2725 Chemin Sainte-Foy, Sainte-Foy, G1V 4G5 Canada

(Email: medjgd@hermes.ulaval.ca; philippe.pibarot@med.ulaval.ca).

The first 20% of the full text of this article appears below.

The manuscript by Pai and colleagues [1] is an important study that adds to the mounting body of evidence showing that patients with severe aortic stenosis (AS) and poor left ventricular (LV) function are most likely to benefit from an operation, even if LV ejection fraction (LVEF) is severely depressed (ie, with an LVEF <20%). This also shows that surgery is underutilized, which is likely due to the reluctance to operate on patients with very poor LV function or an underestimation of AS severity due to low gradient, or both of . . . [Full Text of this Article]


Related Article

Survival Benefit of Aortic Valve Replacement in Patients With Severe Aortic Stenosis With Low Ejection Fraction And Low Gradient With Normal Ejection Fraction
Ramdas G. Pai, Padmini Varadarajan, and Anees Razzouk
Ann. Thorac. Surg. 2008 86: 1781-1789. [Abstract] [Full Text] [PDF]





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