Abstract
Aortic stenosis (AS), 1 of the most common valve diseases in developed countries,
carries a poor prognosis if left untreated. Transcatheter aortic valve replacement
(TAVR) has become the standard of care for high-risk and inoperable patients with
severe aortic stenosis (AS). Women represent a significant proportion of patients
with severe AS and demonstrate specific clinical, anatomic, and pathophysiological
features that are evident both before and after valve replacement. In this review,
we discuss these features as well as the outcomes of women undergoing TAVR for AS.
Résumé
La sténose aortique (SA), l’une des valvulopathies les plus fréquentes dans les pays
développés, engendre un pronostic défavorable s’il n’est pas traité. Le remplacement
valvulaire aortique par cathéter (RVAC) est désormais la norme de soins chez les patients
ayant une SA grave qui sont exposés à un risque élevé et qui sont inopérables. Les
femmes représentent une proportion importante des patients ayant une SA grave et démontrent
des caractéristiques cliniques, anatomiques et physiopathologiques particulières qui
sont évidentes avant et après le remplacement valvulaire. Dans cette revue, nous nous
penchons sur ces caractéristiques ainsi que sur l’évolution de l’état de santé des
femmes qui subissent le RVAC en raison d’une SA.
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Article info
Publication history
Published online: November 10, 2017
Accepted:
October 30,
2017
Received:
October 3,
2017
Footnotes
See page 426 for disclosure information.
Identification
Copyright
© 2017 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
