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Purpose: Studies have showed sleep apnea (SA) increase risks of ambulatory surgery, coronary artery bypass surgery, and colectomy.Despite the high prevalence of SA among patients referred to heart surgery, whether the present of SA increase the perioperative risks of cardiac valve replacement (CVR) surgery is not well established.Therefore, in the present study, we aimed to explore the potential impact of obstructive sleep apnea (OSA) and central sleep apnea (CSA) on postoperative events post-CVR surgery in rheumatic valvular heart disease (RVHD)patients.