Valvular heart diseases.

Anesthesiol Clin

Department of Anesthesiology, Yale University School of Medicine, 333 Cedar Street, P.O. Box 208051, New Haven, CT 06510-8051, USA.

Published: September 2006

AI Article Synopsis

  • Valvular heart disease patients pose challenges for anesthesiologists, emphasizing the importance of understanding their condition before surgery.
  • Advancements in noninvasive cardiac monitoring, surgical methods, and prosthetic valve designs have improved surgical outcomes over the past 30 years.
  • Anesthesiologists must consider the diverse hemodynamic effects on patients with valvular disease during the perioperative period to ensure safe management.

Article Abstract

Patients who have valvular heart disease coming for surgery present many challenges to the anesthesiologist. Over the past 3 decades there has been a persistent improvement in our understanding of the pathophysiology of valvular heart disease and in the surgical techniques for correcting it. With the development of efficient and safe noninvasive monitoring of cardiac function, new surgical techniques, better designs of prosthetic valves, and the development of useful guidelines for choosing the proper timing of surgical intervention, patients who have valvular disease with varying physiology can be encountered in the perioperative period. The perioperative physician has to be aware of the varying effects of hemodynamic variables on this subpopulation of patients.

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Source
http://dx.doi.org/10.1016/j.atc.2006.05.005DOI Listing

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