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CardiologyπŸ’¬ Generalaortic-stenosisTAVRvalvular

Severe aortic stenosis with low gradient and preserved EF β€” when to proceed with TAVR vs SAVR?

Prabhu Kvn
Prabhu Kvn
Other
πŸ‘ 16 viewsπŸ’¬ 0 answersπŸ• Apr 14, 2026
⚠For peer discussion only β€” not a substitute for clinical judgment. Always verify with authoritative sources.

78M with exertional dyspnea and syncope. Echo shows AVA 0.7 cm2, mean gradient 28 mmHg (low-gradient pattern), EF 60%. CT calcium score of aortic valve is 3200 AU. STS score is 4.5%. Cardiology team is split between TAVR and SAVR. Is this paradoxical low-flow low-gradient severe AS? Does he need dobutamine stress echo? What factors help determine TAVR vs SAVR in intermediate surgical risk?

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πŸ‘ Views16
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πŸ• Asked Apr 14, 2026
Asked by
Prabhu Kvn
Prabhu Kvn
Other
⭐ 48 reputation
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