Good enough…isn't

Key Points

• Mild PVR has been shown to increase all-cause and cardiovascular mortality after TAVR, especially in high surgical risk patients.
• Mechanistic and associative causes, as well imprecise ascertainment have been suggested as underlying etiologies of this association.
• Ongoing trials with newer valve technologies, broader patient inclusion and more systematic assessment of PVR may provide further insight into the prevalence, causality, and outcome of PVR.

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