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Current Challenges and Perspectives in Aortic Valve Replacement

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiovascular Medicine".

Deadline for manuscript submissions: 10 August 2026 | Viewed by 1259

Editors


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Guest Editor
Hospital do Coração (HCor), São Paulo, Brazil
Interests: TAVR; structural heart disease; prosthesis–patient mismatch; valve-in-valve; multimodality imaging

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Guest Editor
Cochin Hospital, Paris Cité University, Paris, France
Interests: TAVR; structural heart disease; prosthesis–patient mismatch; valve-in-valve; multimodality imaging

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Guest Editor
Quebec Heart and Lung Institute, Laval University, Quebec, QC, Canada
Interests: TAVR; structural heart disease; prosthesis–patient mismatch; valve-in-valve; multimodality imaging
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Special Issue Information

Dear Colleagues,

Aortic valve replacement (AVR) has undergone a profound transformation over the past two decades, driven by rapid advances in transcatheter technologies, imaging, procedural techniques, and patient selection strategies. What was once a treatment reserved for high-risk or inoperable patients has evolved into a first-line therapy for a broad spectrum of risk profiles, ages, and anatomical scenarios.

Despite these advances, several important clinical, anatomical, and technological challenges remain. Issues such as prosthesis–patient mismatch, the durability of transcatheter valves, coronary access after TAVI, optimal treatment of bicuspid valves, management of small annuli, and valve-in-valve strategies continue to generate intense scientific debate. In parallel, surgical aortic valve replacement (SAVR) remains an essential benchmark, particularly for younger patients and complex anatomies, and its integration with transcatheter approaches is reshaping contemporary Heart Team decision-making.

This Special Issue will provide a comprehensive and state-of-the-art overview of current challenges, emerging evidence, and future perspectives in aortic valve replacement, encompassing both surgical and transcatheter therapies. The scope of this Special Issue is fully aligned with the mission of the Journal of Clinical Medicine, which emphasizes clinically relevant research and multidisciplinary cardiovascular care.

In this Special Issue, we welcome original research articles and narrative reviews addressing topics including, but not limited to, transcatheter and surgical valve technologies, patient selection, procedural planning, imaging, complications, long-term outcomes, and implications of AVR for health systems.

We look forward to receiving your valuable contributions.

Dr. Leonardo Guimaraes
Dr. Quentin Fischer
Dr. David Del Val
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • aortic valve replacement
  • transcatheter aortic valve implantation (TAVI)
  • surgical aortic valve replacement
  • prosthesis–patient mismatch
  • structural heart disease
  • heart team
  • valve durability
  • coronary access
  • valve-in-valve

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Published Papers (1 paper)

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Review

19 pages, 1948 KB  
Review
New-Onset Left Bundle Branch Block After TAVI: An Updated Review
by Juan Ignacio Mayol, Guillem Muntané-Carol, Montserrat Gracida, Andrea Ruberti, Ana Marcano, Gerard Roura, Neus Salvatella, Luis Teruel, Lara Fuentes, Josep Gómez-Lara, Rafael Romaguera, Josep Comín-Colet and Joan Antoni Gómez-Hospital
J. Clin. Med. 2026, 15(8), 3016; https://doi.org/10.3390/jcm15083016 - 15 Apr 2026
Viewed by 943
Abstract
Transcatheter aortic valve implantation (TAVI) has become the preferred treatment for patients with symptomatic severe aortic valve stenosis. Newer-generation devices, increased operator experience, and improved patient selection have contributed to a reduction in complication rates. However, the occurrence of new-onset left bundle branch [...] Read more.
Transcatheter aortic valve implantation (TAVI) has become the preferred treatment for patients with symptomatic severe aortic valve stenosis. Newer-generation devices, increased operator experience, and improved patient selection have contributed to a reduction in complication rates. However, the occurrence of new-onset left bundle branch block (LBBB) after TAVI remains high, and currently it is the most common complication associated with the procedure. This review discusses the current understanding of new-onset LBBB, including its causes, incidence, clinical outcomes, and management strategies. Full article
(This article belongs to the Special Issue Current Challenges and Perspectives in Aortic Valve Replacement)
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