Anesthetic considerations for patients with advanced valvular heart disease undergoing noncardiac surgery.
Patients with valvular heart disease represent a growing segment of the population and can present major challenges to clinical anesthesiologists. This review focuses on patients with advanced left-sided valvular disease undergoing noncardiac surgery. The pathophysiology and anesthetic implications of aortic stenosis and insufficiency and mitral stenosis and insufficiency are discussed, with a focus on optimizing perioperative management and decision making for patients with these conditions.
Frogel
Jonathan
J
Department of Anesthesiology, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA. jfrogel1@hfhs.org
Galusca
Dragos
D
D000758:Anesthesia; D001024:Aortic Valve Stenosis / Q000150:complications / Q000628:therapy; D006349:Heart Valve Diseases / Q000150:complications* / Q000628:therapy; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000150:complications; D008946:Mitral Valve Stenosis / Q000150:complications / Q000628:therapy; D019990:Perioperative Care; D013514:Surgical Procedures, Operative