Perioperative and Anesthetic Considerations in Pediatric Valvar and Subvalvar Aortic Stenosis.
Faith J RossKelly EverhartGregory J LathamDenise C JoffePublished in: Seminars in cardiothoracic and vascular anesthesia (2023)
Aortic stenosis (AS) is a common form of left ventricular outflow tract obstruction (LVOTO) in children with congenital heart disease. This review specifically considers the perioperative features of valvar (VAS) and subvalvar AS (subAS) in the pediatric patient. Although VAS and subAS share some clinical features and diagnostic approaches, they are distinct clinical entities with separate therapeutic options, which range from transcatheter intervention to surgical repair. We detail the pathophysiology of AS and highlight the range of treatment strategies with a focus on anesthetic considerations for the care of these patients before, during, and after intervention.
Keyphrases
- aortic stenosis
- ejection fraction
- left ventricular
- aortic valve replacement
- transcatheter aortic valve replacement
- transcatheter aortic valve implantation
- aortic valve
- randomized controlled trial
- cardiac surgery
- patients undergoing
- coronary artery disease
- healthcare
- young adults
- heart failure
- mitral valve
- newly diagnosed
- acute myocardial infarction
- prognostic factors
- left atrial
- pain management
- acute kidney injury
- patient reported outcomes