Aortic Stenosis in the Low-Risk Patient: Overview of the Management Options and Possible Permutations

Aortic valve intervention can take several forms: surgical valve replacement with a stented or stentless bioprosthesis or with a mechanical prosthesis, transcatheter aortic valve implantation (TAVI), and the Ross procedure.(1) Although the choice of strategy is often straightforward in the elderly and high-risk population, young and low-risk patients with aortic stenosis are challenging to the heart team, namely because of their longer life expectancy, and higher cumulative lifetime risk of valve-related complications.(1) Herein, we review the currently available options for first and subsequent interventions for managing aortic stenosis in low-risk patients.