Perioperative management of patients with concomitant heart valve disease (2nd revision). Clinical guidelines of the All-Russian Public Organization “Federation of Anesthesiologists and Reanimatologists” (Part 2)

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Abstract
Perioperative management of patients with concomitant heart valve disease is a serious problem considering different hemodynamic changes following valvular lesions. Considering modern data, we updated features of clinical and instrumental preoperative assessment of these patients. Guidelines on prevention of thrombosis, infectious endocarditis and intraoperative monitoring are given. Details on perioperative management of different frequent valvular diseases including preoperative management, goals of anesthesia, choice of optimal anesthesia technique and drugs are presented.

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