한빛사 논문
Seung-Ah Lee MD, Sung-Ji Park MD, PhD, Sahmin Lee MD, PhD, Dae-Hee Kim MD, PhD, Jong-Min Song MD, PhD, Seung Woo Park MD, PhD, Cheol-Hyun Chung MD, PhD, Jae-Kwan Song MD, PhD, Jae-Won Lee MD, PhD, Duk-Hyun Kang MD, PhD*
Division of Cardiology, Asan Medical Center, College of Medicine, University of Ulsan, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea
*Corresponding author
Abstract
Aortic valve replacement (AVR) is generally not indicated for asymptomatic patients with severe aortic stenosis (AS) (1), but early surgical AVR, as compared with conservative management, significantly reduced the rates of cardiovascular death and death from any cause among 145 asymptomatic patients with very severe AS during median follow-up of 6.2 years in our recent randomized trial (2). The aims of the present study were to evaluate whether the survival benefit of early AVR for asymptomatic very severe AS is sustained during longer-term follow-up of up to 20 years in a propensity analysis of larger registry data that were prospectively collected.
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