Part 3: How TAVI and Surgery Differ for Aortic Valve Disease | Dr. Vikram Reddy

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Published Jul 10, 2025

In the concluding session, Dr. Vikram Reddy addresses the anatomical and technical considerations that still tip the balance toward SAVR over TAVI in certain cases. He discusses challenges like narrow sinuses, low coronary heights, significant root disease, and bicuspid valve anatomies that can complicate TAVI procedures. Emphasizing the vital role of CT imaging, he explains how annulus measurements, coronary ostial heights, and peripheral vascular access shape procedural planning. Dr. Reddy underscores the importance of individualizing therapy for younger patients, integrating lifetime valve strategy, and the crucial role of the Heart Team in ensuring optimal outcomes. His core message: modern valve therapy must balance anatomy, risk, and the patient’s future needs, with CT imaging and shared decision-making as essential tools.

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