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Double Outlet Right Ventricle
Double Outlet Right Ventricle

... artery exit from the right ventricle. In the normal heart, the aorta leaves the left ventricle and the pulmonary artery leaves the right ventricle. In addition, there is a large ventricular septal defect (VSD), or hole in the muscle wall (septum) that separates the right and left ventricles. ...
Congenital Heart Diseases
Congenital Heart Diseases

... LV, resulting in increased wall stress, compensatory LVH, LV dysfunction, and the development of arterial collaterals • Fibrosis in the ascending and descending aorta, resulting in an increased stiffness of the aorta and carotid arteries • Accelerated atherosclerosis in part circulation in front of ...
congenital_heart_diseases
congenital_heart_diseases

... LV, resulting in increased wall stress, compensatory LVH, LV dysfunction, and the development of arterial collaterals • Fibrosis in the ascending and descending aorta, resulting in an increased stiffness of the aorta and carotid arteries • Accelerated atherosclerosis in part circulation in front of ...
Congenital Heart Disease - Singapore General Hospital
Congenital Heart Disease - Singapore General Hospital

... A small and uncomplicated patent ductus arteriosus (PDA) shunts blood from the aorta to the pulmonary artery but is unlikely to cause significant complications during pregnancy. The risk of complications during pregnancy becomes higher if a large PDA has resulted in left ventricular dilatation or pu ...
High Resolution MR Imaging of the Fetal Heart with Cardiac
High Resolution MR Imaging of the Fetal Heart with Cardiac

... One of the greatest challenges in the fetal MR imaging is the evaluation of the fetal heart. Usually the cardiac imagings in adults are ECG triggered and is made with breathhold of the patient. Since the fetal heart lies within the uterus, a direct triggering of the heart frequency of the fetus is n ...
Balloon Aortic Valvuloplasty in the TAVI Era
Balloon Aortic Valvuloplasty in the TAVI Era

... Interestingly, in this one retrospective series, clinical parameters including age, LVEF, and STS score did not predict mortality. Severity of AS was the only significant predictor, especially in patients with AVAs < 0.4 cm2. It is unknown if less aggressive dilation with smaller balloon sizes would ...
Valve-Sparing Aortic Root Replacement in Marfan Syndrome
Valve-Sparing Aortic Root Replacement in Marfan Syndrome

... risk that climbs steeply during adolescence and results in death of half of Marfan patients by the age of 40 years. Most of the improvement in life expectancy that has been achieved in Marfan syndrome is attributable to early recognition of aortic root aneurysms and prophylactic replacement with com ...
Aortic atresia
Aortic atresia

... coronary blood flow & impact cardiac function. • RV-PA conduit provides antegrade flow during systole but diastolic flow reversal, adding to the ventricular volume load & diminished pulmonary artery growth. • MBTS has a recognized incidence of acute shunt occlusion, less common with larger RV-PA con ...
Transcatheter Heart Valve Replacement - Hall
Transcatheter Heart Valve Replacement - Hall

... Severe Aortic Valve Stenosis occurs when the narrowing of your aortic valve leaflets do not allow normal blood flow outward. It can be caused by many different disorders such as a birth defect, rheumatic fever, radiation therapy; however most are related to the aging process. The most common present ...
Cardiovascular System
Cardiovascular System

...  Presence – diminished or absent may indicate carotid disease ...
powerpoint - WordPress.com
powerpoint - WordPress.com

... blood into the plumonary artery. The right ventricle has a triangular shape, and extends from the right atrium to the apex of the heart. The left ventricle is one of four chambers within the human heart. The left atrium gives the left ventricle blood which is pumped to the aorta valve. ...
CARDIAC ASSESSMENT - University of Manitoba
CARDIAC ASSESSMENT - University of Manitoba

... dub sound more easily than the tub at the aortic and pulmonic valve areas. galloping. Si is considered a ventricIf you have difficulty distinguishing ular gallop; S.,, an atrial gallop. S| from S,, try palpating the carotid pulse as you auscultate. The ¡ub sound Describing your findings of S, will o ...
Critical Congenital Heart Disease
Critical Congenital Heart Disease

... 1. Narrowing is severe enough to cause a decrease in right ventricular output ...
CARDIOVASCULAR SYSTEM
CARDIOVASCULAR SYSTEM

... activator if pain persists after the administration: O2, aspirin, nitrates,opiates and beta-blockers ...
Vein pathology and anurysms
Vein pathology and anurysms

... adenocarcinomas, hypercoagulability occurs as a paraneoplastic syndrome related to tumor elaboration of procoagulant factors • In this setting, venous thromboses classically appear in one site, disappear, and then reoccur in other veins, so-called migratory thrombophlebitis (Trousseau sign) ...
Leonardo`s vision of flow visualization
Leonardo`s vision of flow visualization

... 1988). In the same section that he described vortex formation in the Sinus of Valsalva, he accurately correlated the formation of vortices with the separation of a retarded (shear) layer from the lips of the leaflets. But perhaps the most important finding in his observations is the identification o ...
An unusual case of a bicuspid aortic valve and non compaction of
An unusual case of a bicuspid aortic valve and non compaction of

... normal axis, left ventricular hypertrophy (LVH) and ST depression in V4–V6. His first troponin 1–2 hours after onset of symptoms was negative. The patient was urgently taken for cardiac catheterization and found to have normal coronary arteries. An aortogram showed a severely dilated ascending aorta ...
Prosthetic valve thrombosis
Prosthetic valve thrombosis

... • (TEE) was invaluable in confirming the diagnosis in the setting of acute ventricular fibrillation and new left bundle branch block. • Iatrogenic injury to coronary arteries is a known complication of aortic valve surgery, and was the likely source of the ischemia and resultant arrhythmia. ...
Global Strain in Severe Aortic Valve Stenosis
Global Strain in Severe Aortic Valve Stenosis

... severe AS and to demonstrate the importance of preoperative GLS and strain rate on long-term outcome including cardiovascular mortality and cardiac hospitalization after AVR in patients with AS. ...
Transposition of the great arteries associated with a - Heart
Transposition of the great arteries associated with a - Heart

... great arteries has variously been defined as a reversal of the anteroposterior relation of the semilunar valves (Goor and Edwards, 1973), any alteration in the position of the great arteries (Abbot, 1927), and the presence of mitral-aortic valve discontinuity as a result of a subaortic conus (Van Pr ...
ATRIAL SYSTOLE
ATRIAL SYSTOLE

... Once the AV valves open, blood that has accumulated in the atria flows into the ventricles. Heart sounds: A third heart sound (S3) is usually abnormal and is due to rapid passive ventricular filling. It occurs in dilated congestive heart failure, severe hypertension, myocardial infarction, or mitral ...
Aortic Insufficiency
Aortic Insufficiency

... elevated, resulting in a pulse pressure that is usually normal. Although tachycardia is usually present, the precordium is relatively quiet. The first heart sound is soft because of premature closure of the mitral valve and may be absent in severe acute regurgitation. The second heart sound is also ...
Balloon Valvuloplasty as a Treatment of Congenital
Balloon Valvuloplasty as a Treatment of Congenital

... without significant left ventricular hypertrophy or dilation, and without clinical symptomatology, so they have not been candidates for surgical intervention yet. Freedom from surgery was shown in Graph 3. Six study patients (12.0%) were operated, three had Ross procedure and three had artificial ao ...
MCQs - cardiovascular1
MCQs - cardiovascular1

... b) nitrates c) verapamil d) sodium nitroprusside e) adenosine 43.Which drug below does not interact with Warfarin increasing its anticoagulant effect? a) amioderone b) doxycycline c) metronidazole d) SSRI e) Sotolol 44.Which is false about thrombolysis and heparin? a) Unfractionated heparin should b ...
Murmurs
Murmurs

... causing mitral regurgitation). The second condition is mitral valve prolapse, with or without regurgitation. A diminished preload will decrease cavity size, making the valves relatively more redundant and more likely to balloon back into the atrium without co-apting normally. This murmur is suggesti ...
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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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