Current surgical treatment of valvular heart disease

N. M. Katz

Research output: Contribution to journalArticle

Abstract

Surgery for valvular heart disease has undergone important refinements during the past several years. The general indications for valvular surgery are the presence of symptoms that interfere with the patient's lifestyle and that cannot be controlled with medical therapy, and indications of a throat to continued survival, such as engine, dyspnea, effort syncope or progressive impairment of ventricular contractility. Infective endocarditis may also be an indication for valvular surgery in patients with congestive head failure, recurrent embolism, persistent infection despite antibiotic therapy, large vegetations or progressive conduction defects. Surgical procedures for the treatment of valvular heart disease include reconstruction techniques and valve replacement procedures. Reconstructive surgery minimizes the amount of materials that must be implanted. Advances in myocardial preservation have reduced the risk of such complex cardiac surgical procedures as multiple valve replacements and valve replacements combined with coronary artery bypass surgery. Follow-up care is important to monitor valve function, fluid balance and anticoagulation.

Original languageEnglish (US)
Pages (from-to)559-568
Number of pages10
JournalAmerican Family Physician
Volume52
Issue number2
Publication statusPublished - 1995
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

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