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Valvular heart disease: state of the art and treatment perspectives 

Valvular heart disease: state of the art and treatment perspectives
Chapter:
Valvular heart disease: state of the art and treatment perspectives
Author(s):

Alain Cribier

and Helene Eltchaninoff

DOI:
10.1093/med/9780198701590.003.0107
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date: 22 August 2019

Decision-making for the management of valvular disease (VHD) is rapidly evolving with advances in surgical and interventional techniques. The main causes of VHD has moved from rheumatic to degenerative, more particularly in industrial countries. In this chapter will be briefly discuss the aetiologies, presentation, and natural history of VHD in adults. The medical and surgical options available to date and the threshold for intervention will be then described. The role of a multidisciplinary Heart Valve Team working together with a geriatrician has become crucial to determine the optimal therapeutic option for VHD in older adults. Surgical valve replacement has been for decades the only possible option for the three leading VHDs in developed countries: aortic stenosis (AS), aortic regurgitation (AR) and mitral regurgitation (MR). Mitral stenosis (MS) has almost disappeared in Western countries while its prevalence remains high in the developing world.

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