Evolving Concept of Aortic Valve Replacement in Asymptomatic Patients With Severe Aortic Stenosis

In asymptomatic AS patients, SAVR restores survival and improves LVH, but patients with diastolic dysfunction are left with persistent dysfunction. Presentation with moderate/severe LVH at the time of surgery translated to survival penalty. This observational study supports early SAVR in this population before development of LVH, although further investigation is needed.