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57 Acute valve disease and endocarditis
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Published:February 2021
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This version:June 2023
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Abstract
The management of patients with acute valve disease is now a rare, but challenging, event, as valvular patients are often elderly with severe comorbidities. Furthermore, a proportion of previously operated patients present with acute valve dysfunction. The aim, in this situation, is to establish a rapid diagnosis, based on clinical examination and echocardiography, followed by early intervention. The primary treatment remains surgical valve replacement but more conservative surgical approaches have been developed More recently, percutaneous interventional techniques have been introduced. However, every effort should be made to avoid performing interventions in an acute situation, as it is always at high risk.
Update:
Indications of transcatheter interventions have been extended, in particular for TAVI towards patients at low risk for surgery.
Specific ...More
Update:
Indications of transcatheter interventions have been extended, in particular for TAVI towards patients at low risk for surgery.
Specific observational series report the results of transcatheter interventions in critically ill patients with aortic stenosis or mitral regurgitation.
Growing evidence supports the use of surgery in complicated infective endocarditis, in an emergency in case of acute heart failure.
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