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Acute valve disease and endocarditis 

Acute valve disease and endocarditis
Chapter:
Acute valve disease and endocarditis
Author(s):

Gregory Ducrocq

, Franck Thuny

, Bernard Iung

, and Alec Vahanian

DOI:
10.1093/med/9780199687039.003.0059_update_001

February 22, 2018: This chapter has been re-evaluated and remains up-to-date. No changes have been necessary.

Update:

Acute infective endocarditis management updated following 2015 ESC guidelines.

Percutaneous management of emergency acute valvular diseases updated.

Updated on 27 July 2017. The previous version of this content can be found here.
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date: 15 October 2019

The management of patients with acute valve disease is now a rare, but challenging, event, as valvular patients are often elderly with severe comorbidities. Furthermore, a proportion of previously operated patients present with acute valve dysfunction. The aim, in this situation, is to establish a rapid diagnosis, based on clinical examination and echocardiography, followed by early intervention. The primary treatment remains surgical valve replacement. However, a more conservative surgical approach is under development, and, more recently, percutaneous interventional techniques have been introduced. In the future, every effort should be made to avoid performing interventions in an acute situation, as it is always at high risk.

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