TY - JOUR
T1 - Anesthetic Considerations for Transcatheter Pulmonary Valve Replacement
AU - Gregory, Stephen H.
AU - Zoller, Jonathan K.
AU - Shahanavaz, Shabana
AU - Chilson, Kelly L.
AU - Ridley, Clare H.
N1 - Publisher Copyright:
© 2018 Elsevier Inc.
PY - 2018/2
Y1 - 2018/2
N2 - The 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.
AB - The 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.
KW - anesthesia
KW - cardiac surgical procedures
KW - heart defects, congenital
KW - pulmonary valve
KW - pulmonic regurgitation
KW - pulmonic stenosis
KW - transcatheter valve replacement
UR - http://www.scopus.com/inward/record.url?scp=85029669105&partnerID=8YFLogxK
U2 - 10.1053/j.jvca.2017.06.002
DO - 10.1053/j.jvca.2017.06.002
M3 - Review article
C2 - 28943188
AN - SCOPUS:85029669105
SN - 1053-0770
VL - 32
SP - 402
EP - 411
JO - Journal of Cardiothoracic and Vascular Anesthesia
JF - Journal of Cardiothoracic and Vascular Anesthesia
IS - 1
ER -