How to Select the Right Aortic Valve

How to Select the Right Aortic Valve Guest: Rick A. Nishimura, M.D. Host: Kyle W. Klarich, M.D. (@KyleWKlarich) Although choosing the right aortic valve for patients with aortic stenosis or aortic regurgitation is ultimately a shared decision-making process, there is now enough clinical trial data available to allow specialists to offer fully informed recommendations for the type of valve they'd recommend. Joining us today to discuss how to select the right aortic valve is Rick A. Nishimura, M.D., a cardiologist at Mayo Clinic in Rochester, Minnesota, and recent co-chair of the writing committee updating the American College of Cardiology and American Heart Association guidelines on the management of valvular heart disease. Specific topics discussed: Recommendations for patients at high risk for surgery and transcatheter aortic valve implantation (TAVI) Recommendations for patients at acceptable risk for surgery Impact of the patient's age Mechanical vs. tissue prostheses Older patients and the importance of shared decision making Younger patients should not receive TAVI Anatomic abnormalities that may prevent TAVI Valvular heart disease centers of excellence low rate of morbidity and mortality Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV. No CME credit offered for this episode. Podcast episode transcript found here.