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KMID : 0368120180480110964
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Korean Circulation Journal
2018 Volume.48 No. 11 p.964 ~ p.973
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Early Surgery in Valvular Heart Disease
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Kim Dae-Hee
Kang Duk-Hyun
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Abstract
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The burden of valvular heart disease (VHD) is increasing with age, and the elderly patients with moderate or severe VHD are notably common. When to operate in asymptomatic patients with VHD remains controversial. The controversy is whether early surgical intervention should be preferred, or a watchful waiting approach should be followed. The beneficial effects of early surgery should be balanced against operative mortality and long-term results. Indications of early surgery in each of the VHD will be discussed in this review on the basis of the latest American and European guidelines.
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KEYWORD
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Mitral valve insufficiency, Aortic valve stenosis, Aortic valve insufficiency, Endocarditis, Cardiac surgical procedures
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