Moderate Aortic Stenosis and Coronary Artery Bypass Grafting: Clinical Update for the Perioperative Echocardiographer

Yasdet Maldonado; Saket Singh; John G. Augoustides; Brenda Macknight; Elizabeth Zhou; Jacob T. Gutsche; Harish Ramakrishna

doi:10.1053/j.jvca.2015.04.007

Moderate Aortic Stenosis and Coronary Artery Bypass Grafting: Clinical Update for the Perioperative Echocardiographer

Yasdet Maldonado, Saket Singh, John G. Augoustides, Brenda Macknight, Elizabeth Zhou, Jacob T. Gutsche, Harish Ramakrishna

Anesthesiology

Research output: Contribution to journal › Review article › peer-review

Abstract

Incidental aortic stenosis in the setting of coronary artery bypass surgery may be a perioperative challenge. The accurate assessment of the degree of aortic stenosis remains an important determinant. Although severe aortic stenosis is an indication for valve replacement, current guidelines advise a balanced approach to the management of moderate aortic stenosis in this setting. Multiple factors should be considered in a team discussion to balance risks versus benefits for the various management options in the given patient. The rapid progress in aortic valve technologies also offer alternatives for definitive management of moderate aortic stenosis in this setting that will likely become even safer in the near future.

Original language	English (US)
Pages (from-to)	1384-1390
Number of pages	7
Journal	Journal of Cardiothoracic and Vascular Anesthesia
Volume	29
Issue number	5
DOIs	https://doi.org/10.1053/j.jvca.2015.04.007
State	Published - Oct 1 2015

Keywords

Gorlin area
aortic stenosis
aortic valve area
continuity equation
coronary artery bypass grafting
effective orifice area
ellipse
geometric orifice area
minimally invasive
port access
pressure recovery
risk stratification
sutureless
three-dimensional imaging
transcatheter aortic valve replacement
transesophageal echocardiography

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Anesthesiology and Pain Medicine

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10.1053/j.jvca.2015.04.007

Cite this

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title = "Moderate Aortic Stenosis and Coronary Artery Bypass Grafting: Clinical Update for the Perioperative Echocardiographer",

abstract = "Incidental aortic stenosis in the setting of coronary artery bypass surgery may be a perioperative challenge. The accurate assessment of the degree of aortic stenosis remains an important determinant. Although severe aortic stenosis is an indication for valve replacement, current guidelines advise a balanced approach to the management of moderate aortic stenosis in this setting. Multiple factors should be considered in a team discussion to balance risks versus benefits for the various management options in the given patient. The rapid progress in aortic valve technologies also offer alternatives for definitive management of moderate aortic stenosis in this setting that will likely become even safer in the near future.",

keywords = "Gorlin area, aortic stenosis, aortic valve area, continuity equation, coronary artery bypass grafting, effective orifice area, ellipse, geometric orifice area, minimally invasive, port access, pressure recovery, risk stratification, sutureless, three-dimensional imaging, transcatheter aortic valve replacement, transesophageal echocardiography",

author = "Yasdet Maldonado and Saket Singh and Augoustides, {John G.} and Brenda Macknight and Elizabeth Zhou and Gutsche, {Jacob T.} and Harish Ramakrishna",

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AU - Singh, Saket

AU - Augoustides, John G.

AU - Macknight, Brenda

AU - Zhou, Elizabeth

AU - Gutsche, Jacob T.

AU - Ramakrishna, Harish

PY - 2015/10/1

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N2 - Incidental aortic stenosis in the setting of coronary artery bypass surgery may be a perioperative challenge. The accurate assessment of the degree of aortic stenosis remains an important determinant. Although severe aortic stenosis is an indication for valve replacement, current guidelines advise a balanced approach to the management of moderate aortic stenosis in this setting. Multiple factors should be considered in a team discussion to balance risks versus benefits for the various management options in the given patient. The rapid progress in aortic valve technologies also offer alternatives for definitive management of moderate aortic stenosis in this setting that will likely become even safer in the near future.

AB - Incidental aortic stenosis in the setting of coronary artery bypass surgery may be a perioperative challenge. The accurate assessment of the degree of aortic stenosis remains an important determinant. Although severe aortic stenosis is an indication for valve replacement, current guidelines advise a balanced approach to the management of moderate aortic stenosis in this setting. Multiple factors should be considered in a team discussion to balance risks versus benefits for the various management options in the given patient. The rapid progress in aortic valve technologies also offer alternatives for definitive management of moderate aortic stenosis in this setting that will likely become even safer in the near future.

KW - Gorlin area

KW - aortic stenosis

KW - aortic valve area

KW - continuity equation

KW - coronary artery bypass grafting

KW - effective orifice area

KW - ellipse

KW - geometric orifice area

KW - minimally invasive

KW - port access

KW - pressure recovery

KW - risk stratification

KW - sutureless

KW - three-dimensional imaging

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KW - transesophageal echocardiography

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Moderate Aortic Stenosis and Coronary Artery Bypass Grafting: Clinical Update for the Perioperative Echocardiographer

Abstract

Keywords

ASJC Scopus subject areas

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