2025 ESC/EACTS Guidelines for the management of valvular heart disease
The European Society of Cardiology (ESC)/European Association for Cardio-Thoracic Surgery (EACTS) Guidelines represent the views of the ESC and the EACTS and were produced after careful consideration of the scientific and medical knowledge and the evidence available at the time of their publication.The ESC and the EACTS are not responsible in the event of any contradiction, discrepancy and/or ambiguity between the ESC/EACTS Guidelines and any other official recommendations or guidelines issued by the relevant public health authorities, in particular in relation to good use of healthcare or therapeutic strategies.Health professionals are encouraged to take the ESC/EACTS Guidelines fully into account when exercising their clinical judgement, as well as in the determination and the implementation of preventive, diagnostic or therapeutic medical strategies; however, the ESC/EACTS Guidelines do not override, in any way whatsoever, the individual responsibility of health professionals to make appropriate and accurate decisions in consideration of each patient's health condition and in consultation with that patient and, where appropriate and/or necessary, the patient's caregiver.Nor do the ESC/EACTS Guidelines exempt health professionals from taking into full and careful consideration the relevant official updated recommendations or guidelines issued by the competent public health authorities, in order to manage each patient's case in light of the scientifically accepted data pursuant to their respective ethical and professional obligations.It is also the health professional's responsibility to verify the applicable rules and regulations relating to drugs and medical devices prior to making any clinical decision and to check whether a more recent version of this document exists.
Authors
- Jerry Braun (ORCID: https://orcid.org/0000-0002-4504-6235)
- Gani Bajraktari (ORCID: https://orcid.org/0000-0003-0410-968X)
- Frédéric Vanden Eynden
- Hesham Bahaa (ORCID: https://orcid.org/0000-0002-4681-9076)
- Martin Hudec (ORCID: https://orcid.org/0000-0002-3804-5082)
- Bettina Heidecker (ORCID: https://orcid.org/0000-0002-3811-7920)
- Nikolaos Bonaros (ORCID: https://orcid.org/0000-0002-7656-5812)
- Rafael Sádaba (ORCID: https://orcid.org/0000-0003-3776-4744)
- Michael Andrew Borger (ORCID: https://orcid.org/0000-0003-1046-1364)
- Christiaan J. Vrints (ORCID: https://orcid.org/0000-0002-9263-5702)
- Carl Johan Cronstedt Meurling
- Volker Rudolph (ORCID: https://orcid.org/0000-0001-5385-6839)
- Ana Abreu (ORCID: https://orcid.org/0000-0003-0786-7830)
- Aleksandar Nikolić (ORCID: https://orcid.org/0000-0002-7052-7444)
- Fabio Barili (ORCID: https://orcid.org/0000-0001-9737-6087)
- Philipp Emanuel Bartko (ORCID: https://orcid.org/0000-0001-9061-4839)
- Matjaž Bunc (ORCID: https://orcid.org/0000-0001-7269-8944)
- Ruggero De Paulis (ORCID: https://orcid.org/0000-0002-3603-2202)
- Fuad Samadov (ORCID: https://orcid.org/0000-0001-5797-4875)
- Richard Mindham (ORCID: https://orcid.org/0000-0003-1116-5284)
- Mateo Marin‐Cuartas (ORCID: https://orcid.org/0000-0003-1000-4710)
- Håvard Bergesen Dalen (ORCID: https://orcid.org/0009-0003-4000-6298)
- Christophe Michel Tribouilloy (ORCID: https://orcid.org/0000-0001-7867-3668)
- Enoch Akowuah (ORCID: https://orcid.org/0000-0002-2429-3579)
- Madina Sugralimova (ORCID: https://orcid.org/0000-0001-7388-5717)
- Alexander Wahba (ORCID: https://orcid.org/0000-0001-7838-8162)
- Volkmar Falk (ORCID: https://orcid.org/0000-0002-7911-8620)
- Narain Moorjani (ORCID: https://orcid.org/0000-0002-3025-2175)
- Thomas Pilgrim (ORCID: https://orcid.org/0000-0001-8721-4068)
- Agnès Pasquet (ORCID: https://orcid.org/0000-0002-3778-6604)
- Bernard Iung (ORCID: https://orcid.org/0000-0002-9127-348X)
- Raban Jeger (ORCID: https://orcid.org/0000-0003-1290-5491)
- Marjan Jahangiri
- Victoria Delgado (ORCID: https://orcid.org/0000-0002-9841-2737)
- Borja Ibáñez (ORCID: https://orcid.org/0000-0002-5036-254X)
- Anna Sannino (ORCID: https://orcid.org/0000-0003-4275-8066)
- Wojciech Wojakowski (ORCID: https://orcid.org/0000-0002-3681-5207)
- Esther Pérez David (ORCID: https://orcid.org/0000-0002-5331-1473)
- Erwan Donal (ORCID: https://orcid.org/0000-0003-2677-3389)
- Hjalti Guðmundsson
- Gareth Owens (ORCID: https://orcid.org/0000-0002-6665-941X)
- Margarita Brida (ORCID: https://orcid.org/0000-0001-8754-8156)
- Tomasz Kukulski (ORCID: https://orcid.org/0000-0003-1911-8159)
- Lars Køber (ORCID: https://orcid.org/0000-0002-6635-1466)
- Dorin Lîsîi
- Habib Gamra (ORCID: https://orcid.org/0000-0001-8758-5766)
- Jarkko Piuhola (ORCID: https://orcid.org/0000-0002-7672-4780)
- Vegard Skalstad Ellensen
- Christos Eftychiou (ORCID: https://orcid.org/0000-0001-7637-3434)
- Attila Kertész (ORCID: https://orcid.org/0000-0002-9457-2928)
- Jonas Lanz (ORCID: https://orcid.org/0000-0002-5035-6625)
- Folkert W. Asselbergs (ORCID: https://orcid.org/0000-0002-1692-8669)
- Igor Ivanov (ORCID: https://orcid.org/0000-0002-6648-9385)
- Muzaffer M Degertekin
- Cristina Gavina (ORCID: https://orcid.org/0000-0003-2553-8264)
- Marina Ureña (ORCID: https://orcid.org/0000-0002-4150-290X)
- Katja Zeppenfeld (ORCID: https://orcid.org/0000-0001-6645-082X)
- Slobodan Mićović (ORCID: https://orcid.org/0000-0001-7900-1361)
- Hölger Thiele (ORCID: https://orcid.org/0000-0002-0169-998X)
- Alina Kerimkulova (ORCID: https://orcid.org/0000-0002-4649-753X)
- Thomas Walther (ORCID: https://orcid.org/0000-0002-2892-8949)
- Panagiotis Dedeilias (ORCID: https://orcid.org/0000-0002-7333-8921)
- Maria I. Drakopoulou (ORCID: https://orcid.org/0000-0002-0022-0332)
- Adam Witkowski (ORCID: https://orcid.org/0000-0003-3341-3701)
- Eduard Quintana (ORCID: https://orcid.org/0000-0002-5386-7463)
- Sigita Glaveckaitė (ORCID: https://orcid.org/0000-0002-5291-9954)
- Xavier Rosselló (ORCID: https://orcid.org/0000-0001-6783-8463)
- Fabien Praz (ORCID: https://orcid.org/0000-0001-5416-165X)
- A. L. Chilingaryan (ORCID: https://orcid.org/0000-0002-9821-7114)
- Joško Bulum (ORCID: https://orcid.org/0000-0002-1482-6503)
- Emil Fosbøl
- Shalva Petriashvili
- Madalina Garbi (ORCID: https://orcid.org/0000-0001-9520-8186)
- Bianca Rocca (ORCID: https://orcid.org/0000-0001-8304-6423)
- Frédéric Lebrun
- David Messika‐Zeitoun (ORCID: https://orcid.org/0000-0002-6278-5670)
- Benoit Mores (ORCID: https://orcid.org/0000-0001-9461-9573)
- Teresa Bermejo
- Bogdan A. Popescu (ORCID: https://orcid.org/0000-0001-6122-8533)
- Bernard Prendergast (ORCID: https://orcid.org/0000-0002-6031-2124)
- Ilonca Vaartjes
- Michele De Bonis (ORCID: https://orcid.org/0000-0001-9329-7437)
- Daniela Cassar Demarco
- Martin Grabenwoeger
- Nina Ajmone Marsan (ORCID: https://orcid.org/0000-0001-7208-5769)
- Bernard Cosyns (ORCID: https://orcid.org/0000-0001-9419-8019)
- Ovidiu Chioncel (ORCID: https://orcid.org/0000-0002-3197-3628)
- Jan Vojáček (ORCID: https://orcid.org/0000-0001-7724-9734)
- André Vincentelli (ORCID: https://orcid.org/0000-0003-4081-786X)
- Sergio Buccheri (ORCID: https://orcid.org/0000-0002-7767-3073)
- Ben Cole (ORCID: https://orcid.org/0000-0003-3645-6918)
- Hana Línková (ORCID: https://orcid.org/0000-0002-2140-0682)
- Emanuele Barbato (ORCID: https://orcid.org/0000-0002-0050-5178)
- B. Kichou
- Elena Kinova (ORCID: https://orcid.org/0000-0001-9935-720X)
- E. G. Nesukay
- Anders Jeppsson (ORCID: https://orcid.org/0000-0003-2356-2295)
- Caroline M. Van De Heyning (ORCID: https://orcid.org/0000-0002-4661-4732)
- Borislava Mihaylova (ORCID: https://orcid.org/0000-0002-0951-1304)
- Robert J.M. Klautz (ORCID: https://orcid.org/0000-0002-6507-3855)
- Lenard Conradi (ORCID: https://orcid.org/0000-0003-2237-9050)
- Juan José Legarra (ORCID: https://orcid.org/0000-0003-4175-5787)
- Kristina Hermann Haugaa (ORCID: https://orcid.org/0000-0002-4900-0453)
- John W. McEvoy (ORCID: https://orcid.org/0000-0001-6530-5479)
- Elham Omran Elgdhafi (ORCID: https://orcid.org/0000-0001-9367-3949)
- Roberto Bini (ORCID: https://orcid.org/0000-0002-6746-696X)
- Suleman Aktaa (ORCID: https://orcid.org/0000-0002-9854-481X)
- Zumreta Kušljugić (ORCID: https://orcid.org/0000-0002-8565-776X)
- Tanja K. Rudolph (ORCID: https://orcid.org/0000-0001-8839-7476)
- Anna Franzone (ORCID: https://orcid.org/0000-0001-5394-0192)
- Eva Prescott (ORCID: https://orcid.org/0000-0002-4134-0349)
- Enrico Ferrari (ORCID: https://orcid.org/0000-0002-2837-3242)
- Felix Christoph Tanner (ORCID: https://orcid.org/0000-0002-4315-2667)
- Carlos A. Mestres (ORCID: https://orcid.org/0000-0001-8148-9044)
- Elena Arbelo (ORCID: https://orcid.org/0000-0003-0424-6393)
- Guzal Mullabayeva
- Alec Vahanian (ORCID: https://orcid.org/0000-0001-6239-2941)
- Konstantinos C. Koskinas (ORCID: https://orcid.org/0000-0002-5589-7762)
- Shemy Carasso
- Marianna Adamo
- Gregory Y.H. Lip (ORCID: https://orcid.org/0000-0002-7566-1626)
- Naltin Shuka (ORCID: https://orcid.org/0009-0006-7764-2396)
- Jaagup Truusalu
- Robert A Byrne
- Janine Pöss
- Alessandro Parolari
- Ulf Landmesser
- Alessandro Navazio
- Mikio Suzuki
- Gil Meltzer
- Stefan James
- Emilija Antova
- Sebastian Streukens
- Giuseppe Boriani (ORCID: https://orcid.org/0000-0002-9820-4815)
- Inge Moelgaard
Institutions
- Central Statistics Office (IE)
Publication Details
- Journal
- European Heart Journal
- Published
- 2025-08-29
- DOI
- https://doi.org/10.1093/eurheartj/ehaf194
- Citations
- 328
- Primary Topic
- Cardiac Valve Diseases and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 455.32
Funders
- British Cardiovascular Society
- Türk Kardiyoloji Derneği
- European Association of Cardiovascular Imaging