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Cardiac Surgery: Heart Valve Disease
Cardiac Surgery: Heart Valve Disease

... Bicuspid Aortic Valve (BAV) If you have BAV, please read the following. It is important to understand the nature of this disease and how it may affect you and your family. The aortic valve controls the flow of blood from the heart out to the body. Normally, the aortic valve has three leaflets that k ...
Transcatheter Aortic Valve Replacement
Transcatheter Aortic Valve Replacement

... birth defect, rheumatic fever, or radiation therapy or can be related to age. In elderly patients, severe aortic stenosis is sometimes caused by the build-up of calcium (mineral deposits) on the aortic valve’s leaflets. Over time the leaflets become stiff. This reduces their ability to fully open an ...
Bicuspid Aortic Valve - Annals of Thoracic and Cardiovascular Surgery
Bicuspid Aortic Valve - Annals of Thoracic and Cardiovascular Surgery

... that it occurs in 7-25% of cases and usually presents in the fourth and fifth decade of life, requiring major surgery in most cases, with significant mortality (9%).30) Bicuspid aortic valve endocarditis predominantly occurs in young adults and there is a strong male dominance (73-100%). The mean ag ...
Prosthetic Valves: The Essentials
Prosthetic Valves: The Essentials

... The  three  types  of  mechanical  valves  have  unique  structural  characteristics.     Caged-­‐ball  valves  (Starr-­‐Edwards,  pictured)  contain  a  silastic   or   metal   ball   occluder   housed   in   a   wire   cage   with   3   or ...
1 - Open Heart (BMJ)
1 - Open Heart (BMJ)

... Aortic valve stenosis is the most common valvular heart disease internationally. Aortic regurgitation can be due to congenital conditions such as bicuspid valve, or acquired as in rheumatic heart disease, which remains prevalent in the Australian Aboriginal population. Despite the introduction of tr ...
Antibiotic prophylaxis for GI endoscopy
Antibiotic prophylaxis for GI endoscopy

... evidence including (1) cases of IE associated with GI procedures are anecdotal, (2) no data demonstrate a conclusive link between GI procedures and the development of IE, (3) there are no data that demonstrate that antibiotic prophylaxis prevents IE after GI-tract procedures, (4) IE is more likely t ...
Preliminary Program - Knowledge Hub for Pathology
Preliminary Program - Knowledge Hub for Pathology

... spectrum. The major complications result from leaflet tearing. In contrast, aortic valve balloon valvuloplasty has had only a limited efficacy and high mortality and morbidity in adult calcific aortic stenosis. xxxix Percutaneous Mitral Valve Repair There is intense interest in endovascular repair o ...
Full Text
Full Text

... leaks were closed across the world using transcatheter percutaneous technique in patients who had undergone double-valve replacement.7-11 To the best of our knowledge, this is the first report of percutaneous device deployment for closure of a mitral paravalvular leak from India via ante-grade appro ...
7.01.131 Transcatheter Pulmonary Valve
7.01.131 Transcatheter Pulmonary Valve

... Administration under a humanitarian device exception in January 2010 for patients with previous repair of congenital heart disease (CHD) and right ventricular outflow tract (RVOT) obstruction. Patients with prior CHD repair are at risk of needing repeated reconstruction procedures. TPVI has been pro ...
Stroke prevention strategies in patients with atrial fibrillation and
Stroke prevention strategies in patients with atrial fibrillation and

... valve replacement/implantation (Figure 3A). Of note, none of the centres would opt for a combination of antiplatelet drugs without oral anticoagulation in AF patients with a prosthetic heart valve. ...
Valvular Heart Disease: Review and Update
Valvular Heart Disease: Review and Update

... surgery is indicated if left ventricular dysfunction has begun to develop, even in the absence of symptoms.1,3 Generally, the ejection fraction of patients with mitral regurgitation should be above normal. If the ejection fraction falls to below 60 percent, the prognosis worsens. End-systolic dimens ...
Valvular Heart Disease
Valvular Heart Disease

... Mitral regurgitation usually results from valvular destruction but can occur through a perivalvular abscess In-hospital mortality 15-20%. 1 year mortality approaches 40% Common organisms: Streptococci Enterococci Staphlococci ...
Cardiology (McMullan)
Cardiology (McMullan)

... – Clindamycin 600 mg orally 1 hour before procedure – Keflex 2.0 g orally 1 hour before procedure – Zithromax 500 mg orally 1 hour before procedure ...
Prosthetic Heart Valves
Prosthetic Heart Valves

... million children and young adults; 90,000 patients die from this disease each year. The mortality rate from this disease remains 110% ...
Mitral Valve Prolapse
Mitral Valve Prolapse

... mitral leaflet into the left atrium during systole.4 Initially named Barlow’s syndrome, it also been called billowing mitral cusp syndrome, floppy valve syndrome, systolic click-murmur syndrome, and myxomatous mitral valve. Since the first description was published in 1963, much has been learned abo ...
TEE - RadMD
TEE - RadMD

... TEE in Critical Care: TEE is a useful test that can be performed relatively quickly at the bedside in critically ill patients. Indications for TEE in the critically ill are similar to standard TEE indications in all patients. However, certain scenarios in a critically ill patient may be more quickl ...
Mitral Stenosis Etiology
Mitral Stenosis Etiology

... Pathophysiology and Course of Disease  Patients with MS typically present more than 20 years after an episode of rheumatic fever. It is  unclear if it is the initial infection combined with continued turbulent flow over the valve or if  there is a smoldering rheumatic process that continues.  Progre ...
Diseases of the Circulatory System
Diseases of the Circulatory System

... DEF: A condition marked by left ventricle hypertrophy and conversion of the endocardium into a thick fibroelastic coat; capacity of the ventricle may be reduced, but is often increased. ...
Printable TAVR Fact Sheet - Berks Cardiologists, Ltd.
Printable TAVR Fact Sheet - Berks Cardiologists, Ltd.

... risk of stroke in transcatheter aortic valve replacement procedures, as compared to balloon aortic valvuloplasty or other standard treatments. The devices are designed, intended, and distributed for single use only. Do not resterilize or reuse the devices. There are no data to support the sterility, ...
Cardiac Valves - 02-28-2013
Cardiac Valves - 02-28-2013

... Note: Rheumatic fever (RF) is an illness which arises as a complication of untreated or inadequately treated strep throat infection, which can seriously damage the valves of the heart. Throat infection with a member of the Group A streptococcus (strep) bacteria is a common problem among school-aged ...
Anticoagulation Therapy for Prosthetic Valves
Anticoagulation Therapy for Prosthetic Valves

... discontinued for 5 to 7 days in these patients. In patients with smaller cerebral infarcts, controlled blood pressure, anticoagulation therapy should be continued. In patients with hemorrhagic strokes, it is recommended to discontinue the anticoagulation therapy for 1 to 2 weeks and resume when ther ...
Aortic Valve Pathology and Treatment
Aortic Valve Pathology and Treatment

...  Previous Thromboembolism  Hypercoagulability ...
EEG - Wayne State University
EEG - Wayne State University

... i. Atrial escape: pause + P’ waves with varying morphology + normal QRS and inherent rate 60-80 ii. Jxn escape: pause + no P wave + normal QRS and inherent rate 40-60 1. Jxn beat MAY produce retrograde atrial depol, seen as inverted P’ wave after the pause iii. Ventricular escape: pause + no P wave ...
Hemolytic Anemia after Aortic Valve Replacement: a Case Report
Hemolytic Anemia after Aortic Valve Replacement: a Case Report

... incidence of thrombus formation on surface of prosthetic valves far outstrips to their hemolytic damage of red blood cells so with new designing of valve with non thrombogenic material the incidence hemolytic anemia is now reported as an a rare phenomenon. Rajiv M reported that some degree of hemoly ...
Answers 2-06
Answers 2-06

... – Acute rheumatic fever, Libman Sacks Endocarditis ...
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Infective endocarditis



Infective endocarditis is a form of endocarditis. It is an inflammation of the inner tissues of the heart, the endocardium (such as its valves). It is caused by infectious agents, or pathogens, which are usually bacterial but other organisms can also be responsible.The valves of the heart do not receive any dedicated blood supply. As a result, defensive immune system mechanisms (such as white blood cells) cannot directly reach the valves via the bloodstream. If an organism (such as bacteria) attaches to a valve surface and forms a vegetation, the host's immune response is blunted. The lack of blood supply to the valves also has implications for treatment, since drugs also have difficulty reaching the infected area.Normally, blood flows smoothly through these valves. If they have been damaged - from rheumatic fever, for example - the risk of bacterial attachment is increased.
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