Beyond the First Valve: A Longitudinal Framework for Aortic Valve Replacement Selection.
DK, A. & G, K. (2026). Beyond the First Valve: A Longitudinal Framework for Aortic Valve Replacement Selection.. Interventional cardiology clinics. https://doi.org/10.1016/j.iccl.2026.05.001
DK A, G K. Beyond the First Valve: A Longitudinal Framework for Aortic Valve Replacement Selection.. Interventional cardiology clinics. 2026; doi: 10.1016/j.iccl.2026.05.001
DK A, G K. Beyond the First Valve: A Longitudinal Framework for Aortic Valve Replacement Selection.[J]. Interventional cardiology clinics. 2026. DOI: 10.1016/j.iccl.2026.05.001.
@article{dk2026,
author = {Amponsah DK and Kang G},
title = {Beyond the First Valve: A Longitudinal Framework for Aortic Valve Replacement Selection.},
journal = {Interventional cardiology clinics},
year = {2026},
doi = {10.1016/j.iccl.2026.05.001},
note = {PMID: 42648856},
}
TY - JOUR AU - Amponsah DK AU - Kang G TI - Beyond the First Valve: A Longitudinal Framework for Aortic Valve Replacement Selection. T2 - Interventional cardiology clinics PY - 2026 DO - 10.1016/j.iccl.2026.05.001 AN - PMID:42648856 ER -
The growing population of patients expected to outlive their index aortic valve replacement (AVR) demands a fundamental shift in treatment planning to one that treats the first valve as the opening commitment in a lifetime management sequence of aortic stenosis. In this review, we propose a longitudinal framework for AVR selection that integrates age, anticipated survival, valve durability, coronary access preservation, and prosthesis-patient mismatch into a unified approach-one that evaluates the index procedure not in isolation, but by the downstream options it preserves or forecloses.