title: Critical care of patients with paediatric valvar cardiac disease.
abstract: Valvar cardiac disease accounts for a large percentage of heart lesions in the paediatric population. There are a variety of congenital and acquired valvar lesions produced by different mechanisms that produce unique physiologies. With the development of more advanced cardiac interventional procedures and congenital cardiac surgery techniques, most of these lesions can be repaired in a single or multi-stage approach. Given the potential for significant symptomatology before intervention, it is imperative to review the critical care management of paediatric valvar heart disease. The purpose of this article is to provide an overview of the current critical care management of valvar cardiac disease. We approach each cardiac valve individually in order to review the pathophysiology caused by valve dysfunction (obstruction and incompetence) and elaborate on the most frequent diagnoses, specific cardiac physiology, potential for other organ system associations, and perioperative management.
authors: The Heart Institute,Cincinnati Children's Hospital Medical Center,University of Cincinnati College of Medicine,Cincinnati,Ohio,United States of America.
authors: Ryan A
authors: RA
authors: Moore
authors: The Heart Institute,Cincinnati Children's Hospital Medical Center,University of Cincinnati College of Medicine,Cincinnati,Ohio,United States of America.
authors: Saul
authors: S
authors: Flores
authors: The Heart Institute,Cincinnati Children's Hospital Medical Center,University of Cincinnati College of Medicine,Cincinnati,Ohio,United States of America.
authors: David S
authors: DS
authors: Cooper
mesh_terms: D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D002316:Cardiotonic Agents / Q000627:therapeutic use*; D003422:Critical Care / Q000379:methods*; D004232:Diuretics / Q000627:therapeutic use*; D006349:Heart Valve Diseases / Q000151:congenital / Q000628:therapy*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007223:Infant; D007231:Infant, Newborn
chemical_list: D000889:Anti-Arrhythmia Agents; D002316:Cardiotonic Agents; D004232:Diuretics
keywords: and pulmonary regurgitation