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Management and treatment of acute valvular heart disease(mitral regurgitation/aortic regurgitation) Yasuyoshi TAKEI 1 1Department of Cardiology Tokyo Medical University pp.115-122
Published Date 2021/1/1
DOI https://doi.org/10.11477/mf.3102200839
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Acute valvular heart disease, including acute mitral regurgitation, acute aortic regurgitation and prosthetic valve insufficiency, can rapidly exacerbate systemic hemodynamic derangements. It is too late for the heart to compensate in that situation, so that it would be most important to set up mechanical support systems and to perform emergent cardiac surgery as soon as possible. It is sometimes difficult to diagnose accurately due to unstable hemodynamics in patients with acute valvular disease. Transesophageal echocardiography can be useful for diagnosis if the condition permits. Cardiac function, left ventricular wall motion abnormalities, valve abnormalities, severity of valve regurgitation, and vascular findings are subject to evaluation using echocardiography;however, the approach for these evaluations are different from patients with chronic valvular heart disease. It would be absolutely necessary to perform emergent operation and provide intensive cardiac care as soon as possible. For successful patient management, cooperation among cardiologists, intensivists, anesthesiologists, and cardiovascular surgeons is essential.


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電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

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