Systems of Care: A Proposal to Optimize Care for Patients with Valvular Heart Disease

Authoring Organizations

Publication Month/Year

April 19, 2019

Last Updated Month/Year

June 12, 2023

Document Type


External Publication Status


Country of Publication


Document Objectives

To propose a system of care for patients with VHD, the primary goal of which would be to optimize outcomes for all patients and ultimately improve the care of VHD at all centers

Inclusion Criteria

Female, Male, Adult, Older adult

Health Care Settings

Hospital, Operating and recovery room, Outpatient

Intended Users

Nurse, nurse practitioner, physician, physician assistant


Counseling, Diagnosis, Management, Treatment

Diseases/Conditions (MeSH)

D008943 - Mitral Valve, D001021 - Aortic Valve, D008946 - Mitral Valve Stenosis, D001024 - Aortic Valve Stenosis, D001022 - Aortic Valve Insufficiency, D008944 - Mitral Valve Insufficiency, D065467 - Transcatheter Aortic Valve Replacement


valvular heart disease, aortic stenosis, transcatheter aortic valve replacement (TAVR), mitral regurgitation, aortic repair

Source Citation

Nishimura RA, O'Gara PT, Bavaria JE, Brindis RG, Carroll JD, Kavinsky CJ, Lindman BR, Linderbaum JA, Little SH, Mack MJ, Mauri L, Miranda WR, Shahian DM, Sundt TM 3rd. 2018 AATS/ACC/ASE/SCAI/STS expert consensus systems of care document: a proposal to optimize care for patients with valvular heart disease: a joint report of the American Association for Thoracic Surgery, American College of Cardiology, American Society of Echocardiography, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Catheter Cardiovasc Interv. 2019. DOI:10.1002/ccd.28196