Table 2

Clinical and anatomical considerations that favour sAVR over TAVI

Clinical considerationsAnatomical considerations

  • Young age with low surgical risk.

  • Presence of severe ‘surgical’ coronary artery disease.

  • Possible infective endocarditis.

  • Concomitant severe mitral valve disease.

  • Concomitant severe tricupsid regurgitation.

  • Large annulus (outside the range for current devices).

  • Presence of aortic root disease/dilatation.

  • High-risk anatomy for coronary obstruction.

  • Congenitally bicuspid anatomy.

  • Unfavourable access for trans-femoral approach.

  • sAVR, surgical aortic valve replacement; TAVI, transcatheter aortic valve implantation.