A 66-year-old man with severe aortic stenosis (valve area 0.7 cm², mean gradient 55 mmHg) and Class III heart failure requires emergent hemicolectomy for perforated diverticulitis with peritonitis. He is hemodynamically stable on pressors. Cardiology states he is high-risk for valve replacement but could undergo TAVR in 2-3 weeks. The surgeon believes he needs surgery within 6-8 hours. Evaluate the management approach.
Cardiac risk assessment
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Pulmonary risk evaluation
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Medications management perioperatively
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Preoperative laboratory testing
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Preoperative imaging selection
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Antibiotic prophylaxis principles
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DVT risk assessment
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Nutritional assessment and optimization
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Frailty assessment
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Functional capacity evaluation
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Informed consent process
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Preoperative anesthesia evaluation
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Preoperative patient education
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