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Print - Circulation
Print - Circulation

... gas mixture. The dogs were ventilated with a Harvard pump. All had a No. 8 Rodriques catheter position with its tip in the aortic root for injection of approximately 30 ml iohexol contrast agent. Of these five groups of dogs, groups 2 and 3 were part of other studies by Chung et a15 and Spyra et al, ...
PDF Fulltext - Electronic Physician Journal
PDF Fulltext - Electronic Physician Journal

... The CCTGA is a rare congenital cardiac anomaly which occurs in less than one percent of all forms of congenital heart disease (1-3). Most cases are Situs Solitus, therefore, the combination of CCTGA and situs inversus with levocardia are extremely rare defects, especially in adulthood (5). Echocardi ...
Balloon Pulmonary Valvuloplasty in patients with Congenital
Balloon Pulmonary Valvuloplasty in patients with Congenital

... during catheterization with Swan-Ganz catheter. BPV was performed basically according to the method of Kan et al5 and Al Kasab et al6 briefly; a long J tipped exchange guide wire (260 cm) was used to advance the balloon to the pulmonary valve site. Single-balloon technique was performed via femoral ...
TRICUSPID ATRESIA
TRICUSPID ATRESIA

... atrioventricular valve seals off the only entrance into the right ventricle. ...
A Comparison of Mathematical Models of Left Ventricular
A Comparison of Mathematical Models of Left Ventricular

... The physiological importance, of EF as expressed using (11), is clinically very significant. Specifically, vasodilation or reductions in afterload can result in increases in either r, v , or FT which are associated with increases in EF [14-16]. However, it should be noted that the relatively small c ...
chapter 3 - ART
chapter 3 - ART

... [27,28]. The four chamber view is inadequate for determining the conotruncus anomaly and in particular Transposition of the Great Arteries, Tetralogy of Fallot, Subaortic Ventricular Septal Defect, Double Outlet Right Ventricle, and Truncus Arteriosus. From the four-chamber view a slight cranial ang ...
Duration of the Phases of Left Ventricular Systole
Duration of the Phases of Left Ventricular Systole

... and Katz 13 were obviously impressed with the finding that when aortic resistance was increased by clamping the aorta above the diaphragm, the duration of ejection decreased despite the same or even a greater stroke volume. The decreased duration of ejection when aortic pressure was elevated occurre ...
Direct Determinations of Aortic Blood Flow
Direct Determinations of Aortic Blood Flow

... present, the inner diameter of the flowmeter transducer minus twice the estimated aortic wall thickness was used in this determination.6 All measurements of pressure and flow presented are averages obtained by analysis of three or more cardiac cycles. It should be noted that in the flow measurements ...
AORTIC VALVE REPLACEMENT AND AORTIC ROOT
AORTIC VALVE REPLACEMENT AND AORTIC ROOT

... I don’t know whether you can see this valve or not. Can you guys see this? Look, this is a big old calcified ugly bit of badness and it certainly is nothing like what a valve looks like. In a few moments, we’ll show you what a normal pig valve looks like. For those of you who have been around a whil ...
Assessment of Cardiac Murmurs in Children
Assessment of Cardiac Murmurs in Children

... From the family doctor's point of view, the diagnosis of an innocent murmur can sometimes be made confidently after a thorough history and clinical examination, particularly in an older child who is able to co-operate in various manoeuvres (e.g. checking for variation of murmur with phases of respir ...
Ann Mortell Memorial Lecture
Ann Mortell Memorial Lecture

... Status of the Pulmonary and Aortic Arteries 1. The aortic anastomosis virtually never causes a problem with obstruction, but may contribute to aortic valve insufficiency. 2. The pulmonary artery anastomosis remains a. the most common cause for reoperation b. unchanged in frequency of construction si ...
Precordial and Carotid Pulse Palpation
Precordial and Carotid Pulse Palpation

... Hypokinetic pulse ...
Corrigan`s Disease
Corrigan`s Disease

... by the standard works on the treatment of heart disease". T o prove his point he quotes from the works of Corvisart, Laennec, and Bertin in which bleeding, blistering, starvation, and purging are advocated. He paints out that the cardiac hypertrophy ofaorticregurgitation is "a provision of nature to ...
Scholars Journal of Medical Case Reports Pulmonary Atresia with
Scholars Journal of Medical Case Reports Pulmonary Atresia with

... Tetralogy of Fallot (TOF) with pulmonary atresia (PAVSD), and is estimated to represent 5% to 10% of tetralogy of Fallot patients[2]and also accounts to 2 – 3 % of all the congenital cardiac malformations [1,3-5]. It’s a duct dependent lesion of neonate with Survival in the post natal period dependi ...
Slide 1
Slide 1

... Parasternal long axis view showing the 2 great vessels parallel to each other. In a normal heart, the 2 great vessels should not appear together in any plane as they cross each other in their proximal course. The aorta here is anterior, not posterior as it normally should be. ...
The role of the three vessels and trachea view (3VT) in the diagnosis
The role of the three vessels and trachea view (3VT) in the diagnosis

... descending order of size from left to right, are: pulmonary artery, transverse aortic arch (TAoA) and SVC. The ductus arteriosus and the TAoA are similar in size. Preferential flow into the left side of the heart (larger TAoA and smaller pulmonary artery) was seen in three cases of tricuspid valve d ...
Transcatheter pulmonary valve implantation clinical
Transcatheter pulmonary valve implantation clinical

... technologies, performance improvement and performance solutions services help our customers to deliver better care to more people around the world at a lower cost. In addition, we partner with healthcare leaders, striving to leverage the global policy change necessary to implement a successful shift ...
October - Congenital Cardiology Today
October - Congenital Cardiology Today

... RCA aneurysm of 5.5 x 5.6 cm with eccentric mural thrombus and a dilated posterior descending artery of 9 mm. Three-dimensional reconstruction of the MDCT showed posterior origin of the ALCAPA (Image 2). A 2D Echo showed: no intracardiac shunting, ALCAPA with coronary flow retrograde into the MPA, m ...
Single Arterial Trunk - Heart
Single Arterial Trunk - Heart

... trunk was a solitary pulmonary artery since it did not give rise to the coronary arteries. In their view, the commonest cause of a single ventricle with a single arterial trunk was atresia or aplasia of the mitral valve. In consequence, the left ventricle and aorta were bypassed and failed to develo ...
Radnoti Isolated Perfused Heart
Radnoti Isolated Perfused Heart

... is much lower than that of blood, the oxygen tension is normally about 550-600 mmHg at 37 °C to ensure adequate delivery to the cardiac cells. These elevated oxygen tensions are not needed if using whole blood, washed erythrocytes, hemoglobin or fluorinated hydrocarbons as the perfusate solution. Th ...
Mechanisms Underlying Isovolumic Contraction and
Mechanisms Underlying Isovolumic Contraction and

... Fig. 4. It can be seen that the acceleration of the blood in the aorta (black curve) begins to decrease just prior to the SCG point, which corresponds to aortic valve opening indicated in the SCG and starts to increase after the opening of the valve. This is confirmed by point B in the ICG. The acce ...
Congenitally Corrected Transposition of the Great Arteries in a
Congenitally Corrected Transposition of the Great Arteries in a

... septum from right to left leads to the appearance of Q waves in the right precordial leads that are absent from the left precordial leads. Also, the His bundle is longer as a result of the greater distance between the atrioventricular node and the base of the interventricular septum. This explains t ...
Mitral Stenosis
Mitral Stenosis

... The increased left atrial pressure associated with mitral stenosis leads to left atrial enlargement, pulmonary hypertension, right ventricular enlargement and tricuspid regurgitation. Left atrial size should be measured in the short axis view of the aortic valve, as this view has best been correlate ...
Heart sounds. Phonocardiogram. Carotidogram. []
Heart sounds. Phonocardiogram. Carotidogram. []

... blood flow from the compliant central arteries back toward the ventricle at the very end of ventricular ejection and corresponds with the moment of aortic valve closure. The descending portion of the trace is called the catacrotic wave. - the diastolic phase includes the dicrotic wave (of reascensio ...
Cardiovascular Magnetic Resonance Pocket Guide
Cardiovascular Magnetic Resonance Pocket Guide

... RVOT obstruction • Due to progressive hypertrophy of RV and muscle bundles • May lead to RV failure ...
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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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