Managing Severe Aortic Stenosis in an 89-Year-Old Patient

In this provider-focused case review, cardiothoracic surgeon Dr. Clinton Kemp discusses the evaluation and treatment of an 89-year-old patient with severe aortic stenosis and multiple comorbidities

June 11, 2026

Sentara

Overview

This case review details the evaluation and treatment of an 89-year-old patient with severe aortic stenosis, highlighting the decision-making process that led to the selection of transcatheter aortic valve replacement (TAVR). The discussion emphasizes the importance of a multidisciplinary heart team in managing complex cases.

Background

Severe aortic stenosis is a critical condition that can significantly impact the quality of life and survival, particularly in elderly patients with multiple comorbidities. The management of such patients requires careful evaluation and a tailored approach to treatment, often involving advanced interventions like TAVR. Understanding the clinical considerations and procedural strategies is essential for optimizing patient outcomes.

Data Highlights

No numerical or trial data provided in the source material.

Key Findings

The patient was evaluated by a multidisciplinary heart team.
Transcatheter aortic valve replacement (TAVR) was determined to be the most suitable intervention.
Consideration of the patient's age and comorbidities was crucial in the decision-making process.
Clinical considerations included procedural strategy and potential outcomes.
Key takeaways from the case were discussed by Dr. Clinton Kemp.

Clinical Implications

The case underscores the necessity of a multidisciplinary approach in managing elderly patients with severe aortic stenosis. Clinicians should consider TAVR as a viable option for patients with significant comorbidities and limited surgical options.

Conclusion

This case highlights the importance of individualized treatment strategies for elderly patients with severe aortic stenosis, particularly the role of TAVR in enhancing patient care.