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How to perform pericardiocentesis P
How to perform pericardiocentesis P

... ventricle, and pneumothorax secondary to lung lesions. Ventricular arrhythmias and atrial fibrillation are occasionally observed but they are usually self-limiting and spontaneously reversible. Dissemination of tumorous cells in the chest cavity and rapid relapse of fluid accumulation, even within m ...
For Use With Mechanical Circulatory Assist Devices
For Use With Mechanical Circulatory Assist Devices

... At initial implant, PRECLUDE® Pericardial Membrane is a white, opaque material. After implantation the material becomes wet with proteinaceous, aqueous fluids and turns translucent.5,8,10 This is due to the microporous nature and the thinness of the material and usually occurs within two to six week ...
Selected Aortic Valve Procedures
Selected Aortic Valve Procedures

... The Ross procedure is not recommended for patients with bicuspid valves and aortic regurgitation or aortic dilation if other alternatives are available. (Level of evidence C) Guidelines from the European Society of Cardiology (Erbel, et al., 2014) state that In most cases of aortic insufficiency ass ...
7 The Pericardium
7 The Pericardium

... vein is a triangular fold of the serous pericardium known as the ligament of the left vena cava (vestigial fold of Marshall). It is formed by a serous layer over the remnant of the lower part of the left superior vena cava (duct of Cuvier), which regresses during fetal life, but remains as a fibrous ...
Valvular Stenosis - Grand Valley State University
Valvular Stenosis - Grand Valley State University

... Length of high velocity jet is dependent on: ...
Transcatheter Aortic Valve Implantation for Aortic Stenosis
Transcatheter Aortic Valve Implantation for Aortic Stenosis

... severity. By the time it becomes severe, there is an untreated mortality rate of approximately 50% within two years.4 Open surgical repair is an effective treatment for reversing aortic stenosis, and artificial valves have demonstrated good durability for up to 20 years.4 However, these benefits are ...
Arrhythmic Mitral Valve Prolapse and Sudden Cardiac Death
Arrhythmic Mitral Valve Prolapse and Sudden Cardiac Death

... cause of death was considered cardiac arrhythmic. Exclusion criteria were clinical and/or pathologic evidence of more than mild mitral regurgitation. Hearts from 15 sex and age-matched patients (10 females, mean age 30 years, range 18-40), who died suddenly for extracardiac causes (8 cerebral and 7 ...
Effects of mitral valve replacement concomitant with tricuspid
Effects of mitral valve replacement concomitant with tricuspid

... of right ventricular function is an important indicator of heart disease. In clinical work, special attention is paid to the left ventricular function, and there is rare research on right ventricular function. RVFAC, RVEF and TAPSE are the indicators of clinical evaluation of right ventricular funct ...
Aortic Insufficiency
Aortic Insufficiency

... also soft, and a third heart sound is frequently present due to the rapid early diastolic filling of the ventricle. A fourth heart sound is uncommon. In contrast to chronic aortic regurgitation, the diastolic murmur of acute regurgitation is often short, ending well before the end of diastole, and s ...
Heart Activities
Heart Activities

... Rationale: The ventricles work together, and systole is when they are contracting and producing the greatest force. ...
Standard transthoracic echocardiography and transesophageal
Standard transthoracic echocardiography and transesophageal

... which encourages leaflet apposition in combination with the apical force on commissural areas by the papillary muscles (8). The anterior part of the annulus is, however, relatively immobile compared to the posterior annulus. Hence, dynamic changes in the mitral annulus are likely due to movement of ...
Cardiovascular Emergencies: Pericardial Effusion and Cardiac
Cardiovascular Emergencies: Pericardial Effusion and Cardiac

... x-ray may demonstrate an enlarged cardiac silhouette resulting from the increased amount of fluid in the pericardial sac (Lawler, 1999). Chest x-rays in more than half of patients with pericardial effusions demonstrate cardiac enlargement, mediastinal widening, or hilar adenopathy (DeMichele & Glick ...
PDF - Circulation
PDF - Circulation

... the decision to extend the surgical procedure to include ascending aortic replacement is difficult because of the increase in surgical risk and the uncertain natural history of ascending aortic dilatation following AVR. The existing body of literature regarding ascending aortic dilatation focuses on ...
Cardiology - 12DaysinMarch
Cardiology - 12DaysinMarch

... Definition: a drop in systolic BP of > 10 mmHg with inspiration Implied: there is some degree of BP drop associated with inspiration (increased venous return) at baseline. To understand why this happens, is to understand tamponade? ...
Immediate Outcomes and Long-Term Follow-Up
Immediate Outcomes and Long-Term Follow-Up

... However, as indicated by Inoue, balloons were selected according to the patient’s size, and by controlling MR outcome and degree the selected diameter or a larger one was reached. This could justify the obtained MVA and the somewhat lower success rate than that of other series, but also the lower MR ...
Balloon aortic valvuloplasty: review of the evidence and current
Balloon aortic valvuloplasty: review of the evidence and current

... in elderly patients deemed unsuitable for surgery. Due to high early restenosis rates and no effect on longterm mortality, the procedure’s development stalled. However, with recent technological advances, in particular the advent of the transcatheter aortic valve implantation, there has been a resur ...
Colegio Interamericano de Radiología
Colegio Interamericano de Radiología

... inotropic drugs is usually ineffective and should be used only as adjuvant treatment. 17 Although the first pericardial drainage was performed in 1810 by a surgeon in Napoleon’s army, and the first pericardiocentesis was performed in 1840, the optimal approach to pericardial drainage remains controver ...
Reoperation for Tricuspid Regurgitation after Total Correction of
Reoperation for Tricuspid Regurgitation after Total Correction of

... Surgical criteria for tricuspid valve surgery after correction of TOF are controversial.10) Patients with congestive heart failure and correctable residual lesions generally are considered good candidates. The most common causes of tricuspid regurgitation are intraoperative injury to the tricuspid v ...
Sample Chapter 36 from Runge: Netter`s Cardiology, 2nd Edition
Sample Chapter 36 from Runge: Netter`s Cardiology, 2nd Edition

... when the characteristic holosystolic murmur is noticed. Symptoms usually begin as dyspnea on exertion. Patients may also present with acute pulmonary edema or evidence of RV failure. Sudden decompensation can occur with the onset of atrial fibrillation or the development of bacterial endocarditis. p ...
THESIS BIOMECHANICS OF TRANS APICAL MITRAL VALVE
THESIS BIOMECHANICS OF TRANS APICAL MITRAL VALVE

... either prolapse or stenosis of the mitral valve and this percentage only increases when looking only at the elderly population. Transapical mitral valve implantation has promised to be a potential therapy for high-risk patients presenting with MR; however it is unclear what the best method of securi ...
The Aortomitral Angle is Suspended by the Anterior Mitral Basal “Stay”
The Aortomitral Angle is Suspended by the Anterior Mitral Basal “Stay”

... by inserting a 20-gauge needle and using a conventional pressure transducer. A Swan-Ganz catheter (Baxter Healthcare Corporation, Edwards Critical-Care, Irvine, CA, USA) was used to acquire pulmonary artery pressure and cardiac output. All distances, pressures, and flows were displayed and recorded ...
PPT - Professional Heart Daily
PPT - Professional Heart Daily

... Recommendations Modified: Surgical AVR is recommended for symptomatic patients with severe AS (Stage D) and symptomatic patients with severe AS (Stage C) who meet an indication for AVR when surgical risk is low or intermediate For patients in whom TAVR or high-risk surgical AVR is being considered, ...
Blood Velocity and Endocarditis
Blood Velocity and Endocarditis

... insufficiency rather than a stenosis. Endocarditis occurs fairly commonly in valves that show no significant stenosis; especially is this so in patients after only a few episodes of rheumatic fever, long before stenotic processes become manifest. Indeed, infective endocarditis is not a common findin ...
Pulmonary artery and right ventricle function in
Pulmonary artery and right ventricle function in

... pulmonary artery (PA) has shown the same histological degeneration in BAV patients, especially after application of Ross procedure.[7] Some studies indicate that BAV patients have drastic changes in both the ascending aorta and medial layer of the pulmonary trunk earlier than patients with tricuspid ...
Transcatheter Aortic Valve Replacement: A Review Article Juan A
Transcatheter Aortic Valve Replacement: A Review Article Juan A

... Nevertheless, the 30-day mortality rate has been estimated at 10.3% in transapical patients and 6.3% in transfemoral patients (20). Transapical patients are already deemed critically ill to receive treatment with the transfemoral approach. This may falsely distort data towards the conception that th ...
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Pericardial heart valves

The pericardial heart valve was invented by Marian Ionescu, a British surgeon working at the General Infirmary in Leeds, England. He created this artificial bioprosthetic heart valve as a three-cusp structure made of chemically treated bovine pericardium attached to a Dacron cloth-covered titanium frame.
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