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Chapter 9 - Aortic Valve Surgery

from Section 2 - Anaesthesia for Specific Procedures

Published online by Cambridge University Press:  12 May 2020

By
Pedro Catarino  and
Joseph E. Arrowsmith
Edited by
Joseph Arrowsmith ,
Andrew Roscoe  and
Jonathan Mackay
Joseph Arrowsmith
Affiliation:
Royal Papworth Hospital, Cambridge
Andrew Roscoe
Affiliation:
Singapore General Hospital
Jonathan Mackay
Affiliation:
Royal Papworth Hospital, Cambridge
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Summary

The AV is composed of three semilunar cusps left (posterior), right (anterior) and non-coronary cusp, which are related to the three sinuses of Valsalva. The main functions of the AV are to permit unimpeded LV systolic ejection and to prevent regurgitation of the LV stroke volume during diastole. The normal adult AV orifice area is 2-4 cm2.

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Chapter
Information
Core Topics in Cardiac Anaesthesia , pp. 69 - 74
Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

Bonow, RO, Brown, AS, Gillam, LD, et al. Appropriate use criteria for the treatment of patients with severe aortic stenosis: a report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, European Association for Cardio-Thoracic Surgery, Heart Valve Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons. J Am Soc Echocardiogr 2018; 31: 117–47.Google Scholar
Nair, SK, Sudarshan, CD, Thorpe, BS, et al. Mini-Stern trial: a randomized trial comparing mini-sternotomy to full median sternotomy for aortic valve replacement. J Thorac Cardiovasc Surg 2018; 156: 2124–32.CrossRefGoogle Scholar
Nishimura, RA, Otto, CM, Bonow, RO, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: executive summary. A report of the American College of Cardiology/American Heart Association task force on practice guidelines. J Am Coll Cardiol 2014; 63: 2438–88.Google Scholar

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