Core competency review: aortic stenosis and noncardiac surgery.
Aortic stenosis (AS) poses a risk of adverse cardiac events for patients undergoing surgical procedures. Perioperative mortality for patients with severe AS is as high as 14%. This review examines the accuracy of the history and physical examination in detecting AS and, subsequently, in assessing severity. The utility of echocardiography is addressed, and the relevant pathophysiology of AS is summarized. We also summarize what is known about perioperative risk for patients with AS.
Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Douglas E
DE
Wright
Daniel P
DP
Hunt
D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D006801:Humans; D011300:Preoperative Care / Q000379:methods*; D011379:Prognosis; D012720:Severity of Illness Index; D013503:Surgery Department, Hospital; D013997:Time Factors