Abstract
There is an increasing prevalence of patients who have both liver cirrhosis (LC) and severe valvular heart disease. This combination typically poses prohibitive risk for liver transplantation. LC related malnourishment, hypoalbuminemia and hyperdynamic circulation places patients with severe LC at higher rates for significant bleeding and/or thrombosis, as well as infectious and renal complications, after either surgical or transcatheter valvular interventions. Although there remains scarce comparative evidence, the preponderance of data suggest that percutaneous strategies are preferred over surgical ones. A multidisciplinary team is ideal for identifying those patients with LC who would benefit from transcatheter valvular heart interventions.
| Original language | English |
|---|---|
| Pages (from-to) | 242-249 |
| Number of pages | 8 |
| Journal | Trends in Cardiovascular Medicine |
| Volume | 33 |
| Issue number | 4 |
| DOIs | |
| State | Published - May 2023 |
Bibliographical note
Publisher Copyright:© 2021
Funding
We assure that, 1. That the corresponding author has the approval of all other listed authors for the submission and publication of all versions of the manuscript, that all authors have made a significant independent contribution and that no one who justifies being an author has been omitted from authorship, 2. That the work has not been published nor is under consideration for publication elsewhere other than in oral, poster or abstract format, and that appropriate attribution and citation is given for any material reproduced from any other source including the authors' prior publications, 3. That the material in the manuscript has been acquired according to modern ethical standards, 4. That all material conflicts of interest have been declared including the use of paid medical writers and their funding source, 5. That the manuscript will be maintained on the servers of the journals and held to be a valid publication by the journals only as long as all statements in these principles remain true, and that the authors have a duty to notify the journal editors immediately if any of the statements above ceases to be true withdrawn, The authors would like to acknowledge Matthew Hazzard, medical illustrator at the University of Kentucky for helping with the illustrations for this paper
Keywords
- aortic stenosis
- Balloon aortic valvuloplasty
- liver cirrhosis
- SAVR
- surgical aortic valve replacement
- TAVR
- transcatheter aortic valve replacement
- Transcatheter interventions
- Transcatheter mitral valve repair
- Transcatheter tricuspid valve repair
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
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