Up to date concepts in valvular heart disease
Abstract: The prevalence of valvular heart diseases (VHD) has evolved over time. While industrialized countries have reduced the rheumatic fever-related VHD, developing countries still have a substantial number of cases due to this reason. Nevertheless, rheumatic fever is still the main cause of VHD around the world. Regardless of rheumatic or degenerative etiology, it is essential to highlight that left-sided valves still represent the surgery’s main indication for valve replacement. The European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) joined forces to write the VHD Guidelines for the first time in 2012 and updated them in 2017. From our perspective, guidelines are useful in guiding the decision-making of health professionals in daily practice. However, patient’s options must be individualized and taken carefully by caregiver and physician according to the specific case. Currently, in VHD management, the medical option is still an indication in specific cases, percutaneous procedures and its indications have dramatically increased, and the surgical approach of repair versus replace is dependent upon a variety of factors. We focus this review on the indications of valve replacement and the grafts available when the surgery is indicated.
| Main Authors: | , , , |
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| Format: | Digital revista |
| Language: | English |
| Published: |
Asociación Nacional de Cardiólogos de México A.C.
2021
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| Online Access: | http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2954-38352021000300144 |
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| Summary: | Abstract: The prevalence of valvular heart diseases (VHD) has evolved over time. While industrialized countries have reduced the rheumatic fever-related VHD, developing countries still have a substantial number of cases due to this reason. Nevertheless, rheumatic fever is still the main cause of VHD around the world. Regardless of rheumatic or degenerative etiology, it is essential to highlight that left-sided valves still represent the surgery’s main indication for valve replacement. The European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) joined forces to write the VHD Guidelines for the first time in 2012 and updated them in 2017. From our perspective, guidelines are useful in guiding the decision-making of health professionals in daily practice. However, patient’s options must be individualized and taken carefully by caregiver and physician according to the specific case. Currently, in VHD management, the medical option is still an indication in specific cases, percutaneous procedures and its indications have dramatically increased, and the surgical approach of repair versus replace is dependent upon a variety of factors. We focus this review on the indications of valve replacement and the grafts available when the surgery is indicated. |
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