Operative risk stratification and predictors for long-term outcome in low-gradient aortic stenosis.

@article{Tunick2004OperativeRS,
  title={Operative risk stratification and predictors for long-term outcome in low-gradient aortic stenosis.},
  author={Paul A. Tunick and Itzhak Kronzon},
  journal={Circulation},
  year={2004},
  volume={109 5},
  pages={
          e33; author reply e33
        }
}
To the Editor: We would like to congratulate Monin et al1 for their important multicenter study concerning risk stratification for valve replacement in low-gradient aortic stenosis using dobutamine echocardiography. It is possible that the lack of correlation in their study between the presence of previous myocardial infarction (MI) and perioperative mortality (a correlation that we did find in our study2) occurred because of a difference in our patient populations (the average ejection… 
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48 Citations

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References

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Low‐Gradient Aortic Stenosis Operative Risk Stratification and Predictors for Long‐Term Outcome: A Multicenter Study Using Dobutamine Stress Hemodynamics
TLDR
In the setting of low‐gradient aortic stenosis, surgery seems beneficial for most of the patients with left ventricular contractile reserve, and the postoperative outcome of patients without reserve is compromised by a high operative mortality.
Aortic valve replacement in patients with aortic stenosis and severe left ventricular dysfunction.
TLDR
The risk of aortic valve replacement in patients with severe aorti stenosis and severely reduced left ventricular systolic function is extremely high if the patients have had a prior myocardial infarction.
Outcome of aortic valve replacement in patients with severe aortic stenosis and severe left ventricular dysfunction
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