What factors are weighed in the triage of patients with aortic stenosis (AS) before noncardiac surgery?

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

Answer

In view of the morbidity and mortality associated with AVR procedures, replacing the valve may not be a viable option in every patient. Each patient must be evaluated carefully before the decision is made to proceed with either AVR or noncardiac surgery. The risks and benefits of both AVR and noncardiac surgery, as well as the patient’s preferences, should be considered.

Proper triaging of AS patients before noncardiac surgery is dependent on the urgency of surgery, the degree of stenosis, the presence of symptoms related to valve pathology, and LV function.


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