Why the study?
Perioperative management of patients with concomitant heart valve disease poses clinical challenges due to diverse hemodynamic changes, necessitating updated guidance based on modern data.
This document provides updated clinical guidelines for the perioperative management of patients with concomitant heart valve disease, focusing on preoperative assessment, anesthesia choice, and complication prevention.
Guides updated perioperative standards for valve disease; extends prior recommendations with synthesized evidence.
Perioperative management of patients with concomitant heart valve disease is a serious problem considering different hemodynamic changes following valvular lesions. Considering modern data, we updated features of clinical and instrumental preoperative assessment of these patients. Guidelines on prevention of thrombosis, infectious endocarditis and intraoperative monitoring are given. Details on perioperative management of different frequent valvular diseases including preoperative management, goals of anesthesia, choice of optimal anesthesia technique and drugs are presented.
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Заболотских et al. (2025) studied this question.
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