PT - JOURNAL ARTICLE AU - Fadi Sawaya AU - James Stewart AU - Vasilis Babaliaros TI - Aortic stenosis: Who should undergo surgery, transcatheter valve replacement? AID - 10.3949/ccjm.79a.11043 DP - 2012 Jul 01 TA - Cleveland Clinic Journal of Medicine PG - 487--497 VI - 79 IP - 7 4099 - http://www.ccjm.org/content/79/7/487.short 4100 - http://www.ccjm.org/content/79/7/487.full SO - Cleve Clin J Med2012 Jul 01; 79 AB - Aortic stenosis, the most common valvular disease in the Western world, affects mainly people over age 60. It is characterized by years to decades of slow progression followed by rapid clinical deterioration and a high death rate once symptoms develop. Drug therapy for it remains ineffective, and surgical aortic valve replacement is the only effective long-term treatment. We discuss the indications for this surgery, with an emphasis on controversial conditions in which the indications are less well defined.