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1. 弁置換術や弁修復術を受けた患者への抗血栓療法：適応antithrombotic therapy for surgical prosthetic heart valves and surgical valve repair indications [show details]
… (eg, atrial fibrillation), either VKA or direct oral anticoagulants (DOACs) may be used. Antithrombotic therapy following transcatheter aortic valve replacement is discussed separately. Similar recommendations …
2. 大動脈弁や僧帽弁の置換術に用いる人工弁の選択choice of prosthetic heart valve for surgical aortic or mitral valve replacement [show details]
… heart valve replacement is warranted, a choice is made between transcatheter valve replacement and surgical valve replacement with a mechanical or bioprosthetic valve.… or is not desired by the patient Newer oral antithrombotic agents such as the direct thrombin inhibitor dabigatran and factor Xa inhibitors (eg,…
3. 成人の大動脈弁狭窄症における弁置換術の適応indications for valve replacement in aortic stenosis in adults [show details]
…aortic valve replacement (AVR) and transcatheter aortic valve implantation (TAVI) are the only effective treatments for severe aortic stenosis (AS). Recommendations for surgical valve replacement for AS …
4. 僧帽弁狭窄症に行われている手術と研究段階の術式surgical and investigational approaches to management of mitral stenosis [show details]
… The following clinical features favor MV surgery (open commissurotomy and repair or valve replacement) as the preferred procedure for MS : Suboptimal… The repair may include both open commissurotomy and placement of an annuloplasty ring after direct visualization of the valve .…
5. 三尖弁閉鎖不全症のマネージメントおよび予後management and prognosis of tricuspid regurgitation [show details]
… tricuspid valve repair is generally preferred to tricuspid valve replacement, with valve replacement performed only when repair is not feasible… Most adults with TR have significant left-sided heart disease and treatment should be directed at the primary disease process.…