Free Access Review Article As a reflection of this wave of change, the current American College of Cardiology (ACC)/American Heart Association (AHA) guideline for the Management of Patients with Valvular Heart Disease (VHD)included important updates that will influence how clinicians diagnose and treat valvular heart disease ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Cl