Acute valvular emergencies
Samuel Bernard, Sébastien Deferm, Philippe B. Bertrand
Abstract
Acute valvular emergencies represent an important cause of cardiogenic shock. However, their clinical presentation and initial diagnostic testing are often non-specific, resulting in delayed diagnosis. Moreover, metabolic disarray or haemodynamic instability may result in too great a risk for emergent surgery. This review will focus on the aetiology, clinical presentation, diagnostic findings, and treatment options for patients presenting with native acute left-sided valvular emergencies. In addition to surgery, options for medical therapy, mechanical circulatory support, and novel percutaneous interventions are discussed.
Topics & Concepts
Cardiogenic shockPresentation (obstetrics)MedicineIntensive care medicineEtiologyPercutaneousDiagnostic testShock (circulatory)Psychological interventionCardiologySurgeryInternal medicineMyocardial infarctionEmergency medicinePsychiatryCardiac Valve Diseases and TreatmentsCardiac Structural Anomalies and RepairInfective Endocarditis Diagnosis and Management