What are the ESC/ESA guidelines on noncardiac surgery in patients with severe aortic stenosis (AS)?

Updated: Jul 16, 2021
  • Author: Lindsay A (Finger) Raleigh, MD; Chief Editor: Sheela Pai Cole, MD  more...
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Answer

Answer

The recommendations of the ESC/ESA guideline are similar to those of the AHA/ACC guideline, as follows [23] :

  • In patients with symptomatic severe AS, elective noncardiac surgery should be postponed, and valve replacement should be considered first
  • In patients with asymptomatic severe AS, the risk of surgery should be taken into consideration; low- to moderate-risk noncardiac surgery may be safe, but high-risk surgery may pose an increased risk, and elective surgery should be performed only if strictly necessary; otherwise, patients should first be evaluated for possible SAVR or TAVR

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