59
Table 39. Noncardiac Surgery in Patients With VHD
Recommendations COR LOE
Noncardiac Surgery in Patients With VHD
Moderate-risk elective noncardiac surgery with appropriate
intraoperative and postoperative hemodynamic monitoring
is reasonable to perform in patients with asymptomatic
severe AS.
IIa B
Moderate-risk elective noncardiac surgery with appropriate
intraoperative and postoperative hemodynamic monitoring
is reasonable to perform in patients with asymptomatic
severe MR.
IIa C
Moderate-risk elective noncardiac surgery with appropriate
intraoperative and postoperative hemodynamic monitoring
is reasonable to perform in patients with asymptomatic
severe AR and a normal LVEF.
IIa C
Moderate-risk elective noncardiac surgery in patients with
appropriate intraoperative and postoperative hemodynamic
monitoring may be reasonable to perform in asymptomatic
patients with severe MS if valve morpholog y is not favorable
for PMBC.
IIb C
