Johannes Steiner et al. JACC 2017;70:

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Trileaflet Aortic Valve. Management strategy for patients with chronic severe aortic regurgitation. Preoperative coronary angiography should be performed.

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Johannes Steiner et al. JACC 2017;70:3026-3041 Decision Tree for Mechanical Interventions for AS in the Setting of Coexisting HFrEF Potential clinical algorithm incorporating optimal mechanical intervention for patients with aortic stenosis and concomitant systolic heart failure based on distinct patient phenotypes separated via routine echocardiography, dobutamine stress echocardiography, and multidetector computed tomography. Stages according to current American College of Cardiology/American Heart Association guidelines. AS = aortic stenosis; AVA = aortic valve area; AVR = aortic valve replacement; BAV = balloon aortic valvulopasty; HFrEF = heart failure with reduced ejection fraction; LGE-MRI = late gadolinium enhancement magnetic resonance imaging; LV = left ventricular; MDCT = multidetector computed tomography; other abbreviations as in Figure 2. Johannes Steiner et al. JACC 2017;70:3026-3041 2017 American College of Cardiology Foundation