Symptomatic aortic and mitral valve stenosis/regurgitation increases the patient’s risk of MACE. To minimize the pt’s risk follow these steps:
1. Diagnose the type and severity of the valvular heart disease with echocardiography
2. Choose an anesthetic approach appropriate to the valvular heart disease
3. Consider a higher level of perioperative monitoring (eg, arterial pressure, pulmonary artery pressure, transesophageal echocardiography), as well as manage the patient postoperatively in an ICU setting.
4. Valvular replacement and repair before elective noncardiac surgery is effective in reducing perioperative risk.