Abstract
2/m 2 ) may be quite frequent (20-70%) following surgical aortic valve replacement (SAVR), whereas the prevalence of severe PPM (indexed EOA<0.65 cm 2 /m 2 ) ranges from 2% to 20% 1 . PPM, and especially severe PPM, is associated with increased risk of operative mortality, less improvement in symptoms, less regression of LV hypertrophy, more adverse cardiac events, and reduced long-term survival 1 . However, the impact of PPM is not equivalent in all patients, thereby underlining the importance of individualised preventive strategies. PPM is indeed relatively well tolerated in elderly, sedentary patients with preserved LV function, whereas it has a highly detrimental impact in patients with depressed LV systolic function, severe LV hypertrophy, and/or concomitant mitral regurgitation 1
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