Anesthesia for Valve Replacement and Repair
Surgery on heart valves is a commonly performed cardiac procedure with decreasing morbidity and mortality (Lee et al., Ann Thorac Surg 91:677, 2011). This review will attempt to highlight the anesthetic implications of valvular pathology and how to safely navigate these types of surgery. Particular attention will be paid to surgery on the mitral and aortic valves since these are operated on more frequently in the adult population. The discussion will focus on preoperative evaluation as well as intraoperative physiologic considerations. Additionally, hemodynamic considerations for intraoperative valvular heart disease management both before and after surgical correction will be reviewed. The two tables (Tables 2.1 and 2.2) at the end of the chapter add information about the cause of common valvular lesions and hemodynamic goals for their anesthetic management.
KeywordsStenosis Regurgitation Hemodynamic monitoring Heart valve surgery Cardiopulmonary bypass Cardiac anesthesia Valvular heart disease
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