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Management of multiple valve disease
  1. Philippe Unger1,
  2. Raphael Rosenhek2,
  3. Chantal Dedobbeleer1,
  4. Alain Berrebi3,
  5. Patrizio Lancellotti4
  1. 1Department of Cardiology, Université Libre de Bruxelles, Erasme Hospital, Brussels, Belgium
  2. 2Department of Cardiology, Vienna General Hospital, Medical University of Vienna, Vienna, Austria
  3. 3Department of Cardiology, Hôpital Européen Georges Pompidou, Paris, France
  4. 4Department of Cardiology, Université de Liège, Centre Hospitalier Universitaire Sart Tilman, Liège, Belgium
  1. Correspondence to Professor Philippe Unger, Cardiology Department, ULB-Erasme Hospital, 808 route de Lennik, B-1070 Brussels, Belgium; philippe.unger{at}


Multivalvular heart disease is not an uncommon situation, but the paucity of data for each specific situation does not allow the proposal of a standardised, evidence-based management strategy. This paper aims at reviewing the available evidence on the management of multivalvular disease, taking into account the interactions between different valve lesions, the diagnostic pitfalls and the strategies that should be considered in the presence of multiple valvular disease.

  • Heart valve diseases
  • aortic valve
  • mitral valve
  • tricuspid valve
  • heart surgery
  • surgery-valve
  • aortic valve disease
  • mitral regurgitation
  • mitral stenosis
  • tricuspid valve disease

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  • Funding This work was supported by grants from the Fonds pour la Chirurgie Cardiaque (PU) and the Fonds Erasme (CD).

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.