Home > Journals > Minerva Cardioangiologica > Past Issues > Minerva Cardioangiologica 2004 August;52(4) > Minerva Cardioangiologica 2004 August;52(4):255-62

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

REVIEWS   

Minerva Cardioangiologica 2004 August;52(4):255-62

Copyright © 2004 EDIZIONI MINERVA MEDICA

language: English

Perioperative assessment and management of patients with valvular heart disease undergoing noncardiac surgery

Bach D. S., Eagle K. A.


PDF


Valvular heart disease in a variety of forms is not uncommon, especially among older patients undergoing noncardiac surgery, and can be associated with increased perioperative cardiac risk. Patients with aortic stenosis are at greatest risk, although other valve lesions also can pose the risk of increased perioperative morbidity. During preoperative evaluation, attention to the presence, nature and severity of valvular heart disease allows appropriate perioperative monitoring and therapy with a goal to minimize the risk of perioperative cardiac morbidity and mortality associated with noncardiac surgery. Appropriate antibiotic prophylaxis reduces the risk of infective endocarditis. Finally, some patients with valvular heart disease and all patients with a mechanical valve prosthesis require long-term anticoagulation, which must be managed during the perioperative period.

top of page