Valvular Heart Disease in the Cardiac Intensive Care Unit

Crit Care Clin. 2024 Jan;40(1):105-120. doi: 10.1016/j.ccc.2023.05.002. Epub 2023 Sep 7.

Abstract

Valvular heart disease pathologies are commonly encountered in the cardiac intensive care unit (CICU). Clinical presentations may range from an acute pathology of the aortic or mitral valve necessitating emergency intervention to a more subtle decompensation of longstanding valvular disease. With growing numbers of transcatheter valvular interventions, CICU providers must recognize and manage common complications after transcatheter aortic, mitral, and tricuspid interventions. In addition, prosthetic valve dysfunction should always be excluded in a CICU patient presenting with an acute cardiopulmonary decompensation. Multidisciplinary valve teams can assist with challenging valvular pathologies to determine candidacy for potential interventions.

Keywords: Transcatheter heart valve procedure complications; Transcatheter valves; Valvular heart disease.

Publication types

  • Review

MeSH terms

  • Heart Valve Diseases* / surgery
  • Heart Valve Diseases* / therapy
  • Heart Valve Prosthesis Implantation*
  • Humans
  • Intensive Care Units
  • Mitral Valve / surgery