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Clinics and Practice
Volume 6
Issue 4
10.4081/cp.2016.887
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Do All Critical Aortic Stenosis with Chest Pain Need Aortic Valve Replacement? A Case Report

by
Munish Sharma
1,* and
Daniel A. N. Mascarenhas
2,*
1
Department of Internal Medicine, Easton Hospital, 2040 Lehigh Street, apt 506, Easton, PA 18042, USA
2
Drexel University College of Medicine, Philadelphia, PA; and Interventional Cardiologist, Easton Hospital, 250 S 21 street, Easton, PA 18042, USA
*
Authors to whom correspondence should be addressed.
Clin. Pract. 2016, 6(4), 887; https://doi.org/10.4081/cp.2016.887
Submission received: 29 August 2016 / Revised: 26 September 2016 / Accepted: 11 October 2016 / Published: 24 November 2016

Abstract

Aortic valve replacement (AVR) remains the cornerstone of treatment for symptomatic critical aortic stenosis (AS). It is a Class I indication that symptomatic patients with critical AS undergo either surgical or transcatheter aortic valve replacement (TAVR). We present a patient with critical AS and new angina that was managed successfully with percutaneous coronary intervention (PCI) of the Right coronary artery. Physicians should consider that not all patients with critical AS and angina necessarily require AVR. Concomitant pathology leading to the symptoms should be carefully ruled out. This leads to a less invasive, cost effective care plan especially in patients with advanced age and comorbidities for which any type of surgical valvular intervention may pose high risk.
Keywords: aortic valve replacement; aortic stenosis aortic valve replacement; aortic stenosis

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MDPI and ACS Style

Sharma, M.; Mascarenhas, D.A.N. Do All Critical Aortic Stenosis with Chest Pain Need Aortic Valve Replacement? A Case Report. Clin. Pract. 2016, 6, 887. https://doi.org/10.4081/cp.2016.887

AMA Style

Sharma M, Mascarenhas DAN. Do All Critical Aortic Stenosis with Chest Pain Need Aortic Valve Replacement? A Case Report. Clinics and Practice. 2016; 6(4):887. https://doi.org/10.4081/cp.2016.887

Chicago/Turabian Style

Sharma, Munish, and Daniel A. N. Mascarenhas. 2016. "Do All Critical Aortic Stenosis with Chest Pain Need Aortic Valve Replacement? A Case Report" Clinics and Practice 6, no. 4: 887. https://doi.org/10.4081/cp.2016.887

APA Style

Sharma, M., & Mascarenhas, D. A. N. (2016). Do All Critical Aortic Stenosis with Chest Pain Need Aortic Valve Replacement? A Case Report. Clinics and Practice, 6(4), 887. https://doi.org/10.4081/cp.2016.887

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