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Percutaneous Transluminal Coronary Angioplasty in a Patient with
Percutaneous Transluminal Coronary Angioplasty in a Patient with

... (Figure 2). The right and circumflex arteries were normal. ...
DCM
DCM

... Familial DCM One individual diagnosed with idiopathic DCM in a family, with at least: • one relative also diagnosed with idiopathic DCM -or• one first-degree relative with an unexplained sudden death under the age of 35 years. ...
Transcatheter Mitral Valve Replacement for Severe Mitral
Transcatheter Mitral Valve Replacement for Severe Mitral

... Transcatheter mitral valve replacement is a minimally invasive surgical procedure that replaces a patient’s damaged mitral valve with a bioprosthetic one. The bioprosthetic valve is delivered into the heart using a catheter that has been crimped inside a covering sheatha. When the valve is correctly ...
Bilateral Coronary Artery-Pulmonary Artery Fistulas
Bilateral Coronary Artery-Pulmonary Artery Fistulas

... with ejection fraction calculated as 35%. Mild to moderate aortic regurgitation and mild mitral and tricuspid regurgitations were detected. Pulmonary arterial pressure was 40 mmHg calculated on tricuspid regurgitation. Right ventricle and pulmonary artery diameter was normal. There was no evidence o ...
ASE 2017 - ASE Scientific Sessions
ASE 2017 - ASE Scientific Sessions

... arteries are located anterior to the aorta. The location of the left anterior descending CA (LAD) after translocation to the neoaorta is also displayed. Used with permission of Mayo Foundation for Medical Education and Research, all rights reserved. the mitral valve and the pulmonary veins are baffl ...
Recommendations for Cardiac Chamber Quantification by
Recommendations for Cardiac Chamber Quantification by

... severely abnormal, which reflect the degree to which measurements deviate from normal. In addition to providing normative data, it would be beneficial to standardize cutoffs for severity of abnormality for all parameters across echocardiography laboratories, such that the term moderately abnormal, f ...
Transcatheter valve interventions: mitral valve is the next quest
Transcatheter valve interventions: mitral valve is the next quest

... criteria that are not met in the real world are co­aptation depth and ejection fraction. Most patients treated have a very low ejection fraction and severely tethered leaflets. In our experience, the latter conditions are not associated with early and 1-year outcomes. Also, although most patients ar ...
the interpretation of pulmonary artery wedge
the interpretation of pulmonary artery wedge

... heart disease, was studied seven months after mitral valvotomy. Pulmonary artery wedge, right ventricular and pulmonary artery pressures were recorded simultaneously. The mean wedge pressure was greater than the right ventricular systolic pressure, an anomalous observation. A similar finding was not ...
Transesophageal echocardiography in the OR and ICU
Transesophageal echocardiography in the OR and ICU

... repair of a regurgitant mitral valve, where TEE can evaluate the mechanism of regurgitation before cardiopulmonary bypass (CPB), thus guiding the surgeon to the proper surgical technique.12, 34-36 Moreover, TEE can assess the success of the surgery by evaluating the valvular function once the patien ...
Anatomy of the Human Heart
Anatomy of the Human Heart

... after birth, these specialized fetal structures normally collapse, and the heart takes on the "adult" pattern of circulation. However, in rare cases, some fetal remnants and defects can occur. Although the heart is filled with blood, it provides very little nourishment and oxygen to the tissues of t ...
Case 5 - Scand
Case 5 - Scand

... thrombotic lesion on the aortic cusp. In pig G-2, there was a thrombus on the aortic leaflet (ca. 0.5 cm) and a thrombus of similar size immediately next to the aortic valve. Histologically, these lesions exhibited the classical organization present in IE (Figs. 4 and 5). On the endocardium, facing ...
RàL - WordPress.com
RàL - WordPress.com

... Congenital Heart Disease Epidemiology Physiology ...
40 Years Experience in Mitral Valve Replacement Using Starr
40 Years Experience in Mitral Valve Replacement Using Starr

... aware, indicating a significantly lower rate in the ATS valve group than the remaining 2 valve groups. The noise indices were 3.3앐3.2, 1.8앐1.5 and 0.2앐0.6 points in the S-E, SJM and ATS valve groups respectively, indicating a significant difference among the 3 groups (p<0.001). As for the reoperatio ...
51st Annual Meeting of the Association for European
51st Annual Meeting of the Association for European

... The Conference Organisers have taken all reasonable care in making arrangements for the Conference. In the event of unforeseen disruptions, neither AEPC nor their agents can be held responsible for any losses or damages incurred by delegates. The programme is correct at the time of printing, but org ...
Interventricular Septal Thickness and Left Ventricular Hypertrophy
Interventricular Septal Thickness and Left Ventricular Hypertrophy

... Echoes reflected from the tricuspid annulus were not included in the measurements. The left ventricular ...
display
display

... The Windkessel is a so-called lumped model. In other words this lumped model describes the whole arterial system, in terms of a pressure-flow relation at its entrance, by two parameters that have a physiological meaning. One cannot study phenomena that take place inside the arterial tree such as wav ...
Interventricular Septal Thickness and Left Ventricular
Interventricular Septal Thickness and Left Ventricular

... Echoes reflected from the tricuspid annulus were not included in the measurements. The left ventricular ...
Serpentine Coronary Arteries
Serpentine Coronary Arteries

... stable length of the vessel.2 The retractive force is generated by elastin. Elastin degeneration in the arterial wall leads to arterial tortuosity 2 that is seen with age and in hypertension, aneurysms, ectasias, and congenital arterial kinking. In a study of patients with hypertension and aortic re ...
ventricular septaldefect with shunt from left ventricle to right atrium
ventricular septaldefect with shunt from left ventricle to right atrium

... directly related to the amount of left-to-right shunting of blood with pulmonary vascular engorgement. These consisted of poor feeding in infancy and easy fatigue; tachypncea, pneumonia, and congestive heart failure were often noted. The usual findings on examination were a precordial thrill and lou ...
Mitral Valve Prolapse is a Frequent Cardiovascular
Mitral Valve Prolapse is a Frequent Cardiovascular

... in prevalence may be influenced by the clinical and echocardiographic criteria used to diagnose the disorder. In our study, mitral valve prolapse was present in 7 (23.3%) of the patients examined by echocardiography, versus 1 patient (3.3%) in the group of normal control subjects. In all cases the p ...
34066-Review - F6 Publishing Home
34066-Review - F6 Publishing Home

... undergoing cardiac surgery for other reasons[5], has proven to increase over time when not corrected during first surgery[2], mainly due to progressive annular dilatation[3]. However, although factors influencing the natural course of tricuspid regurgitation over time[4] and even during long-term fo ...
Anomalous coronary arteries
Anomalous coronary arteries

... On the previous chest CT image the aberrant right coronary artery lies between the aortic root and pulmonary artery. This is classified as a type B course. During exercise these vessels dilate compressing the aberrant coronary artery and causing the symptoms our patient experiences. Furthermore, the ...
Ventricular Septal Defects
Ventricular Septal Defects

... right ventricle (RV) and the primitive ventricle (PV) becomes the definitive left ventricle (LV). Stage 1: The trabecular IVS is the first to form, it grows from the apex towards the base of the heart. However, before this septum reaches the atrioventricular canal (AVC), it stops. This is because at ...
Two-dimensional echocardiographic assessment of pulmonary
Two-dimensional echocardiographic assessment of pulmonary

... course of our study, six additional patients underwent a systemic to pulmonary shunt procedure without cardiac catheterization. In each, arterial anatomy was correctly predicted by echocardiography. Several factors enter the decision as to which infants should undergo catheterization before surgery. ...
Investigation of blood flow through the mitral valve
Investigation of blood flow through the mitral valve

... the atrium during diastole (when the heart contracts). In this way, it mimics the function of a check valve by preventing backflow from the ventricle to the atrium at all times. However, due to various medical reasons, mitral valve failure, either prolapse or stenosis may occur, this reduces the hea ...
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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.
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