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Chapter 34 - Transcatheter Aortic Valve Replacement

from Section 2 - Cardiac, Thoracic, and Vascular Anesthesia

Published online by Cambridge University Press:  03 August 2023

By
Maninder Singh  and
Zaid H. Jumaily
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

An 83-year-old patient with hypertension, diabetes, chronic kidney disease, and coronary artery disease requiring multiple stents presents to the emergency department with worsening dyspnea and syncope. Physical exam reveals a systolic murmur and bedside echocardiogram is consistent with severe aortic stenosis. He is referred to cardiology and cardiothoracic surgery for treatment. What aortic valve interventions are options? When would a transcatheter aortic valve replacement (TAVR) procedure be indicated? What are the anesthetic considerations?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 153 - 155
Publisher: Cambridge University Press
Print publication year: 2023

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References

Brecker, SJD, Aldea, GS. Choice of intervention for severe calcific aortic stenosis. In UpToDate (accessed October 30, 2021).Google Scholar
Fontes, ML. Intraoperative hemodynamic management of aortic and mitral valve disease in adults. In UpToDate (accessed October 30, 2021).Google Scholar
Miller, RD, Fleisher, LA, Johns, RA, et al. Anesthesia, 9th ed. New York: Churchill Livingstone, 2020, pp 1790–1, 2307–8).Google Scholar

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