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Considering that early and midterm outcomes are similar with both the interventions, TAVR appears to be an attractive option in these patients. However, decision\u2010making should consider other factors like presence of porcelain aorta, or severe primary mitral regurgitation among others that may influence the strategy to be adopted. The philosophy of shared decision making, and heart team consultation is, therefore, ever most relevant in these high\u2010risk and vulnerable groups of patients. The recommendations rather than being universal must be individualized based on the type of previous surgery carried out, need for isolated AVR or concomitant surgery, co\u2010morbid conditions, available expertise, and patient choice.<\/jats:p>","DOI":"10.1111\/jocs.16343","type":"journal-article","created":{"date-parts":[[2022,2,13]],"date-time":"2022-02-13T05:29:30Z","timestamp":1644730170000},"page":"1272-1274","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Octogenarians needing reoperative aortic valve surgery\u2014Does one size fit all?"],"prefix":"10.1155","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3843-1338","authenticated-orcid":false,"given":"Pradeep","family":"Narayan","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery Rabindranath Tagore International Institute of Cardiac Sciences, Narayana Health Kolkata India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0055-8656","authenticated-orcid":false,"given":"Arnaldo","family":"Dimagli","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Bristol Heart Institute, Bristol University Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1753-3730","authenticated-orcid":false,"given":"Gianni D.","family":"Angelini","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Bristol Heart Institute, Bristol University Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,13]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-007-0615-8"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivaa189"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.06.067"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.08.023"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2015.01.052"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.16335"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1103510"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1514616"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2017.08.01"},{"key":"e_1_2_2_11_1","unstructured":"2020 ACC\/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines | Circulation [Internet]. 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