Key result
Tailored perioperative care enables successful aortic valve replacement in systemic lupus erythematosus.
Why the study?
Valvular heart disease in systemic lupus erythematosus is associated with substantial morbidity and mortality and presents major peri-operative management challenges.
Case Report (n=1)
Aortic valve replacement in patients with systemic lupus erythematosus requires careful peri-operative management to address accrued organ damage and coagulation defects.
Valvular heart disease in systemic lupus erythematosus (SLE) is associated with substantial morbidity and mortality. Current therapy includes symptomatic measures and valve replacement. SLE can present major challenges because of accrued organ damage, coagulation defects and complex management regimes. The peri-operative goals are to maintain strict asepsis, avoid use of nephrotoxic drugs and thereby renal insult, and to promote early ambulation post-operatively.
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Kansara et al. (2013) conducted a case report in Systemic lupus erythematosus with valvular heart disease (n=1). Aortic valve replacement was evaluated. Aortic valve replacement in a patient with systemic lupus erythematosus requires strict asepsis, avoidance of nephrotoxic drugs, and early post-operative ambulation.
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