Congenital Aortic Stenosis in Children
... present, another origin of the symptom should be investigated. There are several treatment options for cases in which intervention is indicated, including PTAV, open AVP, the Ross procedure, and AVR. Procedure selection is primarily dependent upon whether the patient’s somatic size (aortic annular s ...
... present, another origin of the symptom should be investigated. There are several treatment options for cases in which intervention is indicated, including PTAV, open AVP, the Ross procedure, and AVR. Procedure selection is primarily dependent upon whether the patient’s somatic size (aortic annular s ...
Ministernotomy for aortic valve replacement
... SETTING: The Montreal Heart Institute and the Hôpital Lariboisière, Paris, France. DESIGN: A case series from 2 institutions. PATIENTS: Fifty-one patients who underwent aortic valve replacement through a ministernotomy. The sternal incision was started at the level of the sternal notch extending dow ...
... SETTING: The Montreal Heart Institute and the Hôpital Lariboisière, Paris, France. DESIGN: A case series from 2 institutions. PATIENTS: Fifty-one patients who underwent aortic valve replacement through a ministernotomy. The sternal incision was started at the level of the sternal notch extending dow ...
Echotech Reporting Guidelines
... • Ensure CW Doppler tracings recorded from 5 and 3 chamber views and right parasternal view with stand alone probe • Aortic valve area is mandatory in patients with moderate and severe aortic stenosis • Aortic valve area should always be calculated when aortic flow rate is affected by conditions suc ...
... • Ensure CW Doppler tracings recorded from 5 and 3 chamber views and right parasternal view with stand alone probe • Aortic valve area is mandatory in patients with moderate and severe aortic stenosis • Aortic valve area should always be calculated when aortic flow rate is affected by conditions suc ...
Self Assessment CME Treatment of Aortic Valve Stenosis
... 1. Patient has calcific aortic valve stenosis with echocardiographically derived criteria: mean gradient >40 mm Hg or jet velocity >4.0 m/s and an initial AVA of <0.8 cm2 or indexed EOA <0.5 cm2/m2. 2. A cardiac interventionalist and 2 experienced cardiothoracic surgeons agree that medical factors e ...
... 1. Patient has calcific aortic valve stenosis with echocardiographically derived criteria: mean gradient >40 mm Hg or jet velocity >4.0 m/s and an initial AVA of <0.8 cm2 or indexed EOA <0.5 cm2/m2. 2. A cardiac interventionalist and 2 experienced cardiothoracic surgeons agree that medical factors e ...
Transcatheter Aortic Valve Implantation, Patient Selection Process
... Pre-procedurally all patients were pre-treated with acetylsalicylic acid (100 mg/day). They were also given a 300 mg loading dose of clopidogrel. During intervention, patients received weight-adjusted intravenous heparin with a target of an activated clotting time of 250-300 s for the duration of th ...
... Pre-procedurally all patients were pre-treated with acetylsalicylic acid (100 mg/day). They were also given a 300 mg loading dose of clopidogrel. During intervention, patients received weight-adjusted intravenous heparin with a target of an activated clotting time of 250-300 s for the duration of th ...
Valve-in-Valve Transcatheter Aortic and Mitral Replacement
... ranscatheter aortic valve replacement (TAVR) has revolutionized the treatment of severe aortic stenosis (AS) in patients at high and very high surgical risk.1 Simultaneously, this technique has been increasingly used off-label for the treatment of failing aortic or mitral valve bioprostheses, with p ...
... ranscatheter aortic valve replacement (TAVR) has revolutionized the treatment of severe aortic stenosis (AS) in patients at high and very high surgical risk.1 Simultaneously, this technique has been increasingly used off-label for the treatment of failing aortic or mitral valve bioprostheses, with p ...
Heart valve disease
... abnormalities, a valve can either be exceptionally narrow or have a blockage or obstruction. Either of these conditions can limit the blood flow through the valve, which may result in a “back-up” of blood behind the valve as if behind a dam, causing the heart to pump inefficiently. Valve Regurgitati ...
... abnormalities, a valve can either be exceptionally narrow or have a blockage or obstruction. Either of these conditions can limit the blood flow through the valve, which may result in a “back-up” of blood behind the valve as if behind a dam, causing the heart to pump inefficiently. Valve Regurgitati ...
Aortic Dissection Involving the Ostium of Left Main Coronary Artery
... pain radiating to his interscapular region. Pain did not respond to IV administration of nitrates and morphine. His blood pressure was 110/70 mmHg and physical examination revealed no murmurs The ECG showed extensive ST-segment elevation in the anterior and lateral leads suggesting acute anterior my ...
... pain radiating to his interscapular region. Pain did not respond to IV administration of nitrates and morphine. His blood pressure was 110/70 mmHg and physical examination revealed no murmurs The ECG showed extensive ST-segment elevation in the anterior and lateral leads suggesting acute anterior my ...
Slide 1
... Secundum type defects are observed in 80% of cases. These are characterized by defects involving the foramen ovale and (usually) a defect in the septum primum. Sinus venosus defects are usually positioned near the entrance of the superior vena cava. These are generally associated with anomalous entr ...
... Secundum type defects are observed in 80% of cases. These are characterized by defects involving the foramen ovale and (usually) a defect in the septum primum. Sinus venosus defects are usually positioned near the entrance of the superior vena cava. These are generally associated with anomalous entr ...
Are angiotensin converting enzyme inhibitors
... with clinical end points of severity of heart failure and angina, occurrence of syncope, and time to death. Many concepts and treatments in the care of cardiovascular patients have changed in recent years. b Blockers which were previously felt to be contraindicated for patients with congestive heart ...
... with clinical end points of severity of heart failure and angina, occurrence of syncope, and time to death. Many concepts and treatments in the care of cardiovascular patients have changed in recent years. b Blockers which were previously felt to be contraindicated for patients with congestive heart ...
Your Answer - University of Florida
... B. Aortic valve C. Descending aorta D. Pleural line 4. What can pericardial effusions be mistaken for in the anterior portions of the heart? A. Chest wall tissue B. Anterior fat pad C. Rib shadows D. Pleural line 5. If a pericardial effusion is seen surrounding the heart in the parasternal short axi ...
... B. Aortic valve C. Descending aorta D. Pleural line 4. What can pericardial effusions be mistaken for in the anterior portions of the heart? A. Chest wall tissue B. Anterior fat pad C. Rib shadows D. Pleural line 5. If a pericardial effusion is seen surrounding the heart in the parasternal short axi ...
Tetralogy of Fallot NOTES
... tricuspid valve to the right ventricle. The ventricle contracts and blood is pumped through the pulmonary valve to the pulmonary arteries out to the lungs where the blood is oxygenated. Blood returns from the lungs by the pulmonary veins to the left atrium. It then travels from the left atrium throu ...
... tricuspid valve to the right ventricle. The ventricle contracts and blood is pumped through the pulmonary valve to the pulmonary arteries out to the lungs where the blood is oxygenated. Blood returns from the lungs by the pulmonary veins to the left atrium. It then travels from the left atrium throu ...
One Leaflet or Two?
... Of such cases, congenital mitral stenosis, atresia, accessory valvular ...
... Of such cases, congenital mitral stenosis, atresia, accessory valvular ...
VALVULER HEART DISEASE
... •The classic murmur caused by the regurgitant flow is best heard along the lower left sternal border. In some cases (Marfan’s Syndrome, VSD w/AR , aortic dissection or aneurysm) it is best heard at the right sternal border. • A lower-pitched mid-diastolic murmur is heard over apex this indicates wha ...
... •The classic murmur caused by the regurgitant flow is best heard along the lower left sternal border. In some cases (Marfan’s Syndrome, VSD w/AR , aortic dissection or aneurysm) it is best heard at the right sternal border. • A lower-pitched mid-diastolic murmur is heard over apex this indicates wha ...
pulmonic stenosis
... The heart of the dog or cat is composed of four chambers; the top two chambers are the right and left atria and the bottom two chambers are the right and left ventricles; heart valves are located between the right atrium and the right ventricle (tricuspid valve); between the left atrium and the le ...
... The heart of the dog or cat is composed of four chambers; the top two chambers are the right and left atria and the bottom two chambers are the right and left ventricles; heart valves are located between the right atrium and the right ventricle (tricuspid valve); between the left atrium and the le ...
BME Lecture 2: Physiology, Aug_31, 2004
... Figure 2-8. Left ventricular pressure-volume relationship (Milnor 1990). (a) Phase I (D – Diastolic Filling) - blood passively fills from atrium into ventricle, followed by additional volume due to atrial contraction. Characteristics: mitral/tricuspid valve open and aortic/pulmonic valve closed, low ...
... Figure 2-8. Left ventricular pressure-volume relationship (Milnor 1990). (a) Phase I (D – Diastolic Filling) - blood passively fills from atrium into ventricle, followed by additional volume due to atrial contraction. Characteristics: mitral/tricuspid valve open and aortic/pulmonic valve closed, low ...
Catheter-based management of aortic valve
... finding, a deviation from the physiological range. However, the transport of blood from the ventricle to the circulation does not occur completely unopposed. It is opposed by hydrostatic pressure from area situated at a level higher than the left ventricle and, most importantly, by resistance of the ...
... finding, a deviation from the physiological range. However, the transport of blood from the ventricle to the circulation does not occur completely unopposed. It is opposed by hydrostatic pressure from area situated at a level higher than the left ventricle and, most importantly, by resistance of the ...
Cardiac Pathophysiology
... infection – damage by bacteria and autoimmune response – Congenital malformation – Degeneration resulting from calcification ...
... infection – damage by bacteria and autoimmune response – Congenital malformation – Degeneration resulting from calcification ...
chapter iii - Shodhganga
... the pure blood flows to all parts of the body. From all parts of the body the impure blood through the systemic veins return to the right atrium. The tricuspid valve opens when the right arterial pressure is more than the right ventricle. As a result the right ventricle is filled with impure blood. ...
... the pure blood flows to all parts of the body. From all parts of the body the impure blood through the systemic veins return to the right atrium. The tricuspid valve opens when the right arterial pressure is more than the right ventricle. As a result the right ventricle is filled with impure blood. ...
Circle the term that does not belong in each of the following
... __________ chamber of the heart. Blood then flows through the _________ valve to the _______(chamber). When this chamber contracts, blood flows through the _______________ valve to the pulmonary _________ (vessel) and pulmonary arteries to the lungs. Blood becomes oxygenated at the lungs. From the l ...
... __________ chamber of the heart. Blood then flows through the _________ valve to the _______(chamber). When this chamber contracts, blood flows through the _______________ valve to the pulmonary _________ (vessel) and pulmonary arteries to the lungs. Blood becomes oxygenated at the lungs. From the l ...
Vascular Problems, Stroke, Aneurysms, and HTN Crisis
... Obesity (increased work to heart) Diabetes (hyperglycemia causes damage to vessel wall) • Other: increase age, inactivity, family hx ...
... Obesity (increased work to heart) Diabetes (hyperglycemia causes damage to vessel wall) • Other: increase age, inactivity, family hx ...
The Ross Operation: Clinical Results and Echocardiographic Findings
... speculative. In our study, dilation of the sinus of Valsalva of the pulmonary autograft occurred immediately after surgery, but annulus dilation and progressive autograft regurgitation were not detected during follow-up. Aortic peak pressure gradients were always < 5 mm Hg, which were much lower tha ...
... speculative. In our study, dilation of the sinus of Valsalva of the pulmonary autograft occurred immediately after surgery, but annulus dilation and progressive autograft regurgitation were not detected during follow-up. Aortic peak pressure gradients were always < 5 mm Hg, which were much lower tha ...
NOTES: Normal Heart - Children`s Heart Clinic
... often incompetent, resulting in regurgitation (backflow of blood). A large perimembranous ventricular septal defect (VSD) is present directly below the truncus in all cases. This allows for mixing of the pulmonary and systemic venous blood and equal pressures in both ventricles. The magnitude of pul ...
... often incompetent, resulting in regurgitation (backflow of blood). A large perimembranous ventricular septal defect (VSD) is present directly below the truncus in all cases. This allows for mixing of the pulmonary and systemic venous blood and equal pressures in both ventricles. The magnitude of pul ...
Carotid Artery Stent Criteria Form
... Previous CEA with recurrent stenosis Tracheostomy Prior radiation treatment to the neck Contralateral laryngeal nerve palsy Other: ________________________________________________________________________________ ______________________________________________________________________________ ...
... Previous CEA with recurrent stenosis Tracheostomy Prior radiation treatment to the neck Contralateral laryngeal nerve palsy Other: ________________________________________________________________________________ ______________________________________________________________________________ ...
Heart
... The Heart – Starting from the Outside • Parietal pericardium - outer layer of the pericardium – The pericardium has outer and inner coats • The outer coat is tough and thickened, loosely cloaks the heart. ...
... The Heart – Starting from the Outside • Parietal pericardium - outer layer of the pericardium – The pericardium has outer and inner coats • The outer coat is tough and thickened, loosely cloaks the heart. ...
Aortic stenosis
Aortic stenosis (AS) is the narrowing of the exit of the left ventricle of the heart such that problems result. It may occur at the aortic valve as well as above and below this level. It typically gets worse over time. Symptoms often come on gradually with a decreased ability to exercise often occurring first. If heart failure, loss of consciousness, or heart related chest pain occurs due to AS the outcomes are worse. Loss of consciousness typically occurs with standing or exercise. Signs of heart failure include shortness of breath especially with lying down, at night, and with exercise as well as swelling of the legs. Thickening of the valve without narrowing is known as aortic sclerosis.Causes include being born with a bicuspid aortic valve and rheumatic fever. A bicuspid aortic valve affects about one to two percent of the population while rheumatic heart disease mostly occurring in the developing world. A normal valve, however, may also harden over the decades. Risk factors are similar to those of coronary artery disease and include smoking, high blood pressure, high cholesterol, diabetes, and being male. The aortic valve usually has three leaflets and is located between the left ventricle of the heart and the aorta. AS typically results in a heart murmur. Its severity can be divided into mild, moderate, severe, and very severe based on ultrasound of the heart findings.Aortic stenosis is typically followed using repeated ultrasounds. Once it has become severe treatment primarily involves valve replacement surgery with transcatheter aortic valve replacement (TAVR) being an option in some who are at high risk from surgery. Valves may either be mechanical or bioprosthetic with each having risks and benefits. Another less invasive procedure, balloon aortic valvuloplasty (BAV) may result in benefit but this is for only for a few months. Complications like heart failure may be treated as per normal in those with mild to moderate AS. In those with severe disease a number of medications should be avoided including ACE inhibitors, nitroglycerin, and some beta blockers. Nitroprusside or phenylephrine may be used in those with decompensated heart failure depending on the blood pressure.Aortic stenosis is the most common valvular heart disease in the developed world. It affects about 2% of people who are over 65 years of age. Estimated rates are not known in most of the developing world as of 2014. In those who have symptoms, without repair, the chance of death at five years is about 50% and at 10 years is about 90%. Aortic stenosis was first described by French physician Lazare Rivière in 1663.