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This document was approved by the American College of Cardiology Cli American Heart Association Science Advisory and Coordinating Committee i in February 2017. The American College of Cardiology requests that this document be cited a Fleisher LA, Jneid H, Mack MJ, McLeod CJ, O’Gara PT, Rigolin VH, Sundt TM guideline for the management of patients with valvular heart disease: a repo Force on Clinical Practice Guidelines. J Am Coll Cardiol 2017;70:252–89. This article has been copublished in Circulation. Copies: This document is available on the World Wide Web sites of the Association (professional.heart.org). For copies of this document, please c (reprints@elsevier.com). Permissions: Multiple copies, modification, alteration, enhancement, and permission of the American College of Cardiology. Requests may be compl author-agreement/obtaining-permission). Vera H. Rigolin, MD, FACC{ Thoralf M. Sundt III, MD, FACC*# Annemarie Thompson, MD**

circulation

2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines