2025 ESC/EACTS Guidelines for the management of valvular heart disease: Developed by the task force for the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)
Praz F. Borger M.A. Lanz J. Marin-Cuartas M. Abreu A. Adamo M. Ajmone Marsan N. Barili F. Bonaros N. Cosyns B. De Paulis R. Gamra H. Jahangiri M. Jeppsson A. Klautz R.J.M. Mores B. Pérez-David E. Pöss J. Prendergast B.D. Rocca B. Rossello X. Suzuki M. Thiele H. Tribouilloy C.M. Wojakowski W. Vahanian A. Mestres C.-A. Abid L. Aktaa S. Akowuah E.F. Arbelo E. Asselbergs F.W. Barbato E. Boriani G. Brida M. Buccheri S. Byrne R.A. Chioncel O. Conradi L. De Bonis M. Delgado V. Franzone A. Haugaa K.H. Heidecker B. Ibanez B. Iung B. James S. Køber L. Koskinas K.C. Landmesser U. Lip G.Y.H. Mcevoy J.W. Meltzer G. Messika-Zeitoun D. Mihaylova B. Mindham R. Moelgaard I. Nielsen J.C. Owens G. Pasquet A.A. Pilgrim T. Prescott E. Quintana E. Rudolph V. Sadaba R. Sannino A. Tanner F.C. Urena M. Vaartjes I. Vrints C. Wahba A. Walther T. Witkowski A. Zeppenfeld K. Shuka N. Kichou B. Chilingaryan A.L. Bartko P.E. Samadov F. Van de Heyning C.M. Kusljugic Z. Kinova E. Bulum J. Eftychiou C. Linkova H. Fosbøl E. Bahaa H. Truusalu J. Piuhola J. Donal E. Petriashvili S. Rudolph T.K. Drakopoulou M. Kertész A. Guomundsson H. Cole B. Carasso S. Navazio A. Sugralimova M. Bajraktari G. Kerimkulova A. Elgdhafi E.O. Glaveckaite S. Lebrun F. Demarco D.C. Lisii D.M. Streukens S. Antova E. Dalen H. Kukulski T. Gavina C. Popescu B.A. Bini R. Ivanov I. Hudec M. Bunc M. Bermejo T.J. Meurling C.J.C. Jeger R. Degertekin M.M. Nesukay E.G. Garbi M. Mullabayeva G. Eynden F.V. Vojacek J. Vincentelli A. Grabenwoeger M. Falk V. Dedeilias P. Parolari A. Braun J. Nikolic A. Ellensen V.S. Sousa-Uva M. Micovic S. Legarra J.J. Ferrari E. Moorjani N. Warburton T. Asselbergs F.W. Baigent C. Byrne R.A. Gandjbakhch E. Hennemuth A. Jüni P. Lip G.Y.H. McEvoy J.W. Neubeck L. Tanner F.C. Katja Z. Myers P. Bavaria J. Bostanci K. Casselman F. Gaudino M. Hoerer J. Hussein N. Litle V. Melfi F. Schoenhoff F. Siepe M.
21 November 2025Oxford University Press
European Heart Journal
2025#46Issue 444635 - 4736 pp.
Aortic regurgitation , Aortic stenosis , European Association for Cardio-Thoracic Surgery (EACTS) , European Society of Cardiology (ESC) , Guidelines , Heart surgery , Mitral regurgitation , Mitral stenosis , Multivalvular disease , SAVR , TAVI , Transcatheter edge-to-edge repair , Transcatheter valve replacement , Tricuspid regurgitation , Tricuspid stenosis , Valvular heart disease
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Switzerland
Germany
Division of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland
Italy
Netherlands
Cardiology Department, Amiens University Hospital, Amiens, France
Belgium
Tunisia
United Kingdom
Sweden
Spain
Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
France
Poland
South Africa
Croatia
Ireland
Romania
Norway
Denmark
Leipzig Heart Science, Leipzig, Germany
Israel
Canada
Albanian Society of Cardiology, Albania
Algerian Society of Cardiology, Algeria
Armenian Cardiologists Association, Armenia
Austrian Society of Cardiology, Austria
Azerbaijan Society of Cardiology, Azerbaijan
Belgian Society of Cardiology, Belgium
Association of Cardiologists of Bosnia and Herzegovina, Bosnia and Herzegovina
Bulgarian Society of Cardiology, Bulgaria
Croatian Cardiac Society, Croatia
Cyprus Society of Cardiology, Cyprus
Czech Society of Cardiology, Czech Republic
Danish Society of Cardiology, Denmark
Egyptian Society of Cardiology, Egypt
Estonian Society of Cardiology, Estonia
Finnish Cardiac Society, Finland
French Society of Cardiology, France
Georgian Society of Cardiology, Georgia
German Cardiac Society, Germany
Hellenic Society of Cardiology, Greece
Hungarian Society of Cardiology, Hungary
Icelandic Society of Cardiology, Iceland
Irish Cardiac Society, Ireland
Israel Heart Society, Israel
Italian Federation of Cardiology, Italy
Association of Cardiologists of Kazakhstan, Kazakhstan
Kosovo Society of Cardiology, Serbia
Kyrgyz Society of Cardiology, Kyrgyzstan
Libyan Cardiac Society, Libya
Lithuanian Society of Cardiology, Lithuania
Luxembourg Society of Cardiology, Luxembourg
Maltese Cardiac Society, Malta
Moldavian Society of Cardiology, Moldova
Netherlands Society of Cardiology, Netherlands
National Society of Cardiology of North Macedonia, North Macedonia
Norwegian Society of Cardiology, Norway
Polish Cardiac Society, Poland
Portuguese Society of Cardiology, Portugal
Romanian Society of Cardiology, Romania
San Marino Society of Cardiology, San Marino
Cardiology Society of Serbia, Serbia
Slovak Society of Cardiology, Slovakia
Slovenian Society of Cardiology, Slovenia
Spanish Society of Cardiology, Spain
Swedish Society of Cardiology, Sweden
Swiss Society of Cardiology, Switzerland
Tunisian Society of Cardiology and Cardio-Vascular Surgery, Tunisia
Turkish Society of Cardiology, Turkey
Ukrainian Association of Cardiology, Ukraine
British Cardiovascular Society, United Kingdom
Association of Cardiologists of Uzbekistan, Uzbekistan
Belgian Association for Cardio-Thoracic Surgery, Belgium
The Czech Society for Cardiovascular Surgery, Czech Republic
The French Society for Thoracic and Cardiovascular Surgery, France
Austrian Society of Cardiac and Thoracic Vascular Surgery, Austria
German Society for Thoracic and Cardiovascular Surgery, Germany
Hellenic Society of Thoracic and Cardiovascular Surgeons, Greece
Italian Society for Cardiac Surgery, Italy
Netherlands Association for Cardio-thoracic surgery, Netherlands
North Macedonian Society of Cardiac Surgery, North Macedonia
Norwegian Association for Cardiothoracic Surgery, Norway
Sociedade Portuguesa de Cirurgia Cardíaca Torácica e Vascular, Portugal
Serbian Society for Cardiovascular Surgery, Serbia
Sociedad Española de Cirugía Cardiovascular y Endovascular, Spain
Swiss Society for Thoracic and Cardiovascular Surgery, Switzerland
The Society for Cardiothoracic Surgery in Great Britain and Ireland, United Kingdom
United States
Health Research Institute of the Balearic Islands (IdISBa), Universitat de les Illes Balears (UIB), Palma de Mallorca, Spain
Cardiology Department, Hospital Universitari Son Espases, Palma de Mallorca, Spain
Turkey
Department of Medicine and Surgery, LUM University Casamassima (Ba), Italy
Department of Cardiology, St Thomas Hospital, London, United Kingdom
Heart Vascular & Thoracic Institute, Cleveland Clinic London, London, United Kingdom
Department of internal medicine/cardiology, Heart Centre Leipzig at University of Leipzig, Leipzig, Germany
Cardiology Department, Hospital Universitario La Paz, IdiPaz (Hospital la Paz Research Institute), Facultad de Medicina Universidad Europea de Madrid, Madrid, Spain
ESC Patient Forum, Sophia Antipolis, France
Department of Internal Medicine/Cardiology, Heart Centre Leipzig, Leipzig University, Leipzig, Germany
Department of Cardiothoracic Surgery, Amsterdam University, Medical Center, Amsterdam, Netherlands
Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, Netherlands
Department of Cardiology, Bern University Hospital, Bern, Switzerland
University Department of Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany
Faculdade de Medicina da Universidade de Lisboa (FMUL), ISAMB, IMPSP, CCUL, CAML, Lisboa, Portugal
Serviço Cardiologia, Unidade de Reabilitação Cardiovascular, ULS Santa Maria, FMUL, Lisboa, Portugal
Institute of Cardiology, ASST Spedali Civili, Brescia, Italy
Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Italy
Department of Cardiology, Leiden University Medical Center, Leiden, Netherlands
Department of Biomedical and Clinical Sciences, Università Degli Studi Di Milano, Milan, Italy
University Cardiac Surgery Unit, IRCCS Ospedale Galeazzi - SantAmbrogio, Milan, Italy
Department of Epidemiology, Harvard T.H. Chan School of Public Health Boston, MA, United States
Department of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria
University Hospital Innsbruck, Innsbruck, Austria
Cardiology department, Universitair Ziekenhuis Brussel, Brussels, Belgium
Department of cardiac surgery, European Hospital, Rome, Italy
Unicamillus University, Rome, Italy
Cardiology University of Monastir, Monastir, Tunisia
Cardiac Surgery, St Georges Hospital, London, United Kingdom
Sahlgrenska University Hospital, Gothenburg, Sweden
Switzerland
Germany
Division of Cardiology and Structural Heart Diseases
Italy
Netherlands
Cardiology Department
Belgium
Tunisia
United Kingdom
Sweden
Spain
Institute of Medicine
France
Poland
South Africa
Croatia
Ireland
Romania
Norway
Denmark
Leipzig Heart Science
Israel
Canada
Albanian Society of Cardiology
Algerian Society of Cardiology
Armenian Cardiologists Association
Austrian Society of Cardiology
Azerbaijan Society of Cardiology
Belgian Society of Cardiology
Association of Cardiologists of Bosnia and Herzegovina
Bulgarian Society of Cardiology
Croatian Cardiac Society
Cyprus Society of Cardiology
Czech Society of Cardiology
Danish Society of Cardiology
Egyptian Society of Cardiology
Estonian Society of Cardiology
Finnish Cardiac Society
French Society of Cardiology
Georgian Society of Cardiology
German Cardiac Society
Hellenic Society of Cardiology
Hungarian Society of Cardiology
Icelandic Society of Cardiology
Irish Cardiac Society
Israel Heart Society
Italian Federation of Cardiology
Association of Cardiologists of Kazakhstan
Kosovo Society of Cardiology
Kyrgyz Society of Cardiology
Libyan Cardiac Society
Lithuanian Society of Cardiology
Luxembourg Society of Cardiology
Maltese Cardiac Society
Moldavian Society of Cardiology
Netherlands Society of Cardiology
National Society of Cardiology of North Macedonia
Norwegian Society of Cardiology
Polish Cardiac Society
Portuguese Society of Cardiology
Romanian Society of Cardiology
San Marino Society of Cardiology
Cardiology Society of Serbia
Slovak Society of Cardiology
Slovenian Society of Cardiology
Spanish Society of Cardiology
Swedish Society of Cardiology
Swiss Society of Cardiology
Tunisian Society of Cardiology and Cardio-Vascular Surgery
Turkish Society of Cardiology
Ukrainian Association of Cardiology
British Cardiovascular Society
Association of Cardiologists of Uzbekistan
Belgian Association for Cardio-Thoracic Surgery
The Czech Society for Cardiovascular Surgery
The French Society for Thoracic and Cardiovascular Surgery
Austrian Society of Cardiac and Thoracic Vascular Surgery
German Society for Thoracic and Cardiovascular Surgery
Hellenic Society of Thoracic and Cardiovascular Surgeons
Italian Society for Cardiac Surgery
Netherlands Association for Cardio-thoracic surgery
North Macedonian Society of Cardiac Surgery
Norwegian Association for Cardiothoracic Surgery
Sociedade Portuguesa de Cirurgia Cardíaca Torácica e Vascular
Serbian Society for Cardiovascular Surgery
Sociedad Española de Cirugía Cardiovascular y Endovascular
Swiss Society for Thoracic and Cardiovascular Surgery
The Society for Cardiothoracic Surgery in Great Britain and Ireland
United States
Health Research Institute of the Balearic Islands (IdISBa)
Cardiology Department
Turkey
Department of Medicine and Surgery
Department of Cardiology
Heart Vascular & Thoracic Institute
Department of internal medicine/cardiology
Cardiology Department
ESC Patient Forum
Department of Internal Medicine/Cardiology
Department of Cardiothoracic Surgery
Department of Cardiothoracic Surgery
Department of Cardiology
University Department of Cardiac Surgery
Faculdade de Medicina da Universidade de Lisboa (FMUL)
Serviço Cardiologia
Institute of Cardiology
Department of Medical and Surgical Specialties
Department of Cardiology
Department of Biomedical and Clinical Sciences
University Cardiac Surgery Unit
Department of Epidemiology
Department of Cardiac Surgery
University Hospital Innsbruck
Cardiology department
Department of cardiac surgery
Unicamillus University
Cardiology University of Monastir
Cardiac Surgery
Sahlgrenska University Hospital
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