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J. Cardiothorac. Vasc. Anesth. · Feb 2018
ReviewAnesthetic Considerations for Transcatheter Pulmonary Valve Replacement.
- Stephen H Gregory, Jonathan K Zoller, Shabana Shahanavaz, Kelly L Chilson, and Clare H Ridley.
- Department of Anesthesiology, Washington University, St. Louis, MO. Electronic address: shgregory@wustl.edu.
- J. Cardiothorac. Vasc. Anesth. 2018 Feb 1; 32 (1): 402-411.
AbstractThe introduction of transcatheter therapy for valvular heart disease has revolutionized the care of patients with valvular disorders. Pathologic regurgitation or stenosis of the pulmonary valve, right ventricular outflow tract, or a right ventricle-to-pulmonary artery conduit represent emerging indications for transcatheter therapy. To date, minimal literature exists detailing the anesthetic management of patients undergoing transcatheter pulmonary valve replacement. In this review, the pathophysiology and indications for transcatheter pulmonary valve replacement and possible complications unique to this procedure are reviewed. Anesthetic management, including preoperative assessment, intraoperative considerations, and early postoperative monitoring, are discussed.Copyright © 2018 Elsevier Inc. All rights reserved.
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