Perioperative Management of Patients with Valvular Heart Disease

I.B. Zabolotskikh1, A.Zh. Bayalieva2, S.V. Grigor’ev1, M.Yu. Kirov3, K.M. Lebedinskiy4

1 Federal State Budgetary educational institution of higher education Kuban State Medical University of the Ministry of

Healthcare of the Russian Federation, Krasnodar

2 Kazan State Medical University, Kazan

3 Northern State Medical University, Arkhangelsk

4 Ilya I. Mechinkov North-Western State Medical University, Saint-Petersburg

For correspondence: Igor B. Zabolotskikh — MD, PhD, DSc, professor, head of the Department of Anaesthesiology, Reanimatology and Transfusiology of Kuban State Medical University; e-mail: pobeda_zib@mail.ru

For citation: Zabolotskikh IB, Bayalieva AZh, Grigor’ev SV, Kirov MYu, Lebedinskiy KM. Perioperative Management of Patients with Valvular Heart Disease. Intensive Care Herald. 2016;3:55–69.


Perioperative management of patients with valvular heart disease is a serious problem, considering different hemodynamic changes depend on lesion of valves. Features of clinical and instrumental preoperative assessment of those patients reviewed. Recommendations on thrombosis prophylaxis, infectious endocarditis, intraoperative monitoring are given. Details on perioperative management of different frequent valvular diseases was described, include preoperative preparation, main anesthesia goals, choice of optimal anesthesia technique and drug.

Keywords: valvular heart disease, perioperative management, anesthesia


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