Certain aspects of cardiology are essential to the proper management of haemodynamics in the various types of valvular disease. In the absence of recipes, this chapter has attempted to provide recent data on a number of important points.
- The pathophysiology of each valve disease;
- The ideal haemodynamic conditions to aim for in clinic;
- The various operations, repair surgeries and prostheses commonly performed in cardiac surgery, their indications and results;
- The most appropriate anaesthetic technique for each pathology;
- Differences in treatment before and after surgical correction;
- Valve assessment using intraoperative transesophageal echocardiography.
A separate document (Appendix C) summarises these various data in a way that is specific to the management of non-cardiac surgery patients. Finally, Tables 11.16 and 11.17 summarise the characteristics and haemodynamics to look for in major valvulopathies.
© CHASSOT PG, BETTEX D, August 2011, last update November 2019