Current issues should be emphasized on preoperative evaluation of heart valvular disease
- VernacularTitle:心脏瓣膜病术前评估:需重视的常见问题
- Author:
Zhiyun XU
1
Author Information
1. Department of Cardiovascular Surgery, Changhai Hospital, Naval Medical University, Shanghai, 200433, P. R. China
- Publication Type:Journal Article
- Keywords:
Heart valvular disease;
preoperative evaluation;
tricuspid regurgitation
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2024;31(06):814-817
- CountryChina
- Language:Chinese
-
Abstract:
Preoperative evaluation is crucial for heart valvular surgery. This article discusses some issues that need to be emphasized: the impact of hypertension on the severity of aortic valve lesions, and how to improve the accuracy of clinical assessment; the identification of functional tricuspid regurgitation, in order to choose the appropriate surgical technique; the need for right ventricular function testing, and the use of risk scoring models, to better grasp surgical timing and indications and improve efficacy; and the importance of evaluating atrial mitral and/or tricuspid regurgitation complications in chronic atrial fibrillation, and making rational choices for interventional and surgical treatment.