Post-operative Management of Aortic Valve Disease

  • Susanna PriceEmail author


Provided a systematic approach to assessment and management of patients immediately following aortic valve (AV) surgery is used, the post-operative course is usually straightforward. However, as the patient population ages and concomitantly the number of co-morbidities (cardiac and noncardiac) rises, increasingly complex patients will require post-operative management on the intensive care unit (ICU).


Intensive care unit Management Aortic valve Ventricular function Complications 


  1. 1.
    Vahanian A, Alfieri O, Andreotti F, Antunes MJ, Barón-Esquivias G, Baumgartner H, et al. Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC); European Association for Cardio-Thoracic Surgery (EACTS). Guidelines on the management of valvular heart disease (version 2012). Eur Heart J. 2012;33:2451–96.CrossRefGoogle Scholar
  2. 2.
    Vincent JL. Give your patient a fast hug (at least) once a day. Crit Care Med. 2005;33:1225–9.CrossRefGoogle Scholar
  3. 3.
    Tavazzi G, Kontogeorgis A, Guarracino F, Bergsland N, Martinez-Naharro A, Pepper J, Price S. Heart rate modification of cardiac output following cardiac surgery: the importance of cardiac time intervals. Crit Care Med. 2017;45:e782–8.CrossRefGoogle Scholar
  4. 4.
    Tavazzi G, Kontogeorgis A, Bergsland NP, Price S. Resolution of cardiogenic shock using echocardiography-guided pacing optimization in intensive care: a case series. Crit Care Med. 2016;44:e755–61.CrossRefGoogle Scholar
  5. 5.
    Walsh M, Devereaux PJ, Garg AX, Kurz A, Turan A, Rodseth RN, Cywinski J, Thabane L, Sessler DI. Relationship between intraoperative mean arterial pressure and clinical outcomes after noncardiac surgery: toward an empirical definition of hypotension. Anesthesiology. 2013;119:507–15.CrossRefGoogle Scholar
  6. 6.
    POISE Study Group, Devereaux PJ, Yang H, Yusuf S, Guyatt G, Leslie K, Villar JC, Xavier D, et al. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial. Lancet. 2008;371:1839–47.CrossRefGoogle Scholar
  7. 7.
    Cullen S, Shore D, Redington A. Characterization of right ventricular diastolic performance after complete repair of tetralogy of Fallot. Restrictive physiology predicts slow postoperative recovery. Circulation. 1995;91:1782–9.CrossRefGoogle Scholar
  8. 8.
    Kay PH, Brass T, Lincoln C. The pathophysiology of atypical tamponade in infants undergoing cardiac surgery. Eur J Cardiothorac Surg. 1989;3:255–60.CrossRefGoogle Scholar
  9. 9.
    Price S, Jaggar SI, Jordan S, Trenfield S, Khan M, Sethia B, Shore D, Evans TW. Adult congenital heart disease: intensive care management and outcome prediction. Intensive Care Med. 2007;33:652–9.CrossRefGoogle Scholar
  10. 10.
    Price LC, Wort SJ, Finney SJ, Marino PS, Brett SJ. Pulmonary vascular and right ventricular dysfunction in adult critical care: current and emerging options for management: a systematic literature review. Crit Care. 2010;14:R169.CrossRefGoogle Scholar
  11. 11.
    Harjola VP, Mebazaa A, Čelutkienė J, Bettex D, Bueno H, Chioncel O, Crespo-Leiro MG, Falk V, et al. Contemporary management of acute right ventricular failure: a statement from the heart failure association and the working group on pulmonary circulation and right ventricular function of the European Society of Cardiology. Eur J Heart Fail. 2016;18:226–41.CrossRefGoogle Scholar
  12. 12.
    Anderson MB, Goldstein J, Milano C, Morris LD, Kormos RL, Bhama J, et al. Benefits of a novel percutaneous ventricular assist device for right heart failure: the prospective RECOVER RIGHT study of the Impella RP device. J Heart Lung Transplant. 2015;34:1549–60.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.National Heart and Lung InstituteImperial CollegeLondonUK
  2. 2.Adult Intensive Care UnitRoyal Brompton HospitalLondonUK

Personalised recommendations