Comprehensive recommendations for surgical intervention exist for patients with degenerative aortic or mitral vale disease who experience symptoms or left ventricular dysfunction. However, for asymptomatic individuals with valve disease, the optimum management strategy is less clear. In this opinion article, Vaishnava and colleagues present the case for performing early valve surgery in this patients and argue against the more-conventional approach of watchful waiting.
- Prashant Vaishnava
- Valentin Fuster
- Robert O. Bonow
