Pulmonary valve insufficiency. Medical search. Frequent questions

The prevalence of pulmonary hypertension in adults with sickle cell disease, the mechanism of its development, and its prospective prognostic significance are unknown. (nih.gov)
Pulmonary hypertension was prospectively defined as a tricuspid regurgitant jet velocity of at least 2.5 m per second. (nih.gov)
Doppler-defined pulmonary hypertension occurred in 32 percent of patients. (nih.gov)
Multiple logistic-regression analysis, with the use of the dichotomous variable of a tricuspid regurgitant jet velocity of less than 2.5 m per second or 2.5 m per second or more, identified a self-reported history of cardiovascular or renal complications, increased systolic blood pressure, high lactate dehydrogenase levels (a marker of hemolysis), high levels of alkaline phosphatase, and low transferrin levels as significant independent correlates of pulmonary hypertension. (nih.gov)
The fetal hemoglobin level, white-cell count, and platelet count and the use of hydroxyurea therapy were unrelated to pulmonary hypertension. (nih.gov)
Pulmonary hypertension, diagnosed by Doppler echocardiography, is common in adults with sickle cell disease. (nih.gov)
The surgical repair of congenital heart defects in children with preoperative pulmonary hypertension (PH) is to varying degree associated with the occurrence of postoperative PH. (lu.se)
All three children with bad outcome had combined cardiac lesions causing post-capillary pulmonary hypertension. (lu.se)
Findings from the history, physical examination, chest radiography, and electrocardiography (ECG) may suggest the presence of pulmonary hypertension and right ventricular dysfunction. (medscape.com)
Right-sided cardiac catheterization is recommended as the confirmatory test for pulmonary hypertension. (medscape.com)
This can also be useful for assessment of the reversibility of pulmonary arterial hypertension (PAH) with vasodilatory therapy. (medscape.com)
Further studies should then be performed to assess for the etiology of the pulmonary hypertension, as the etiology determines treatment options and prognosis. (medscape.com)
PAH is a diagnosis of exclusion, and so it is imperative that the practitioner first assess for WHO groups 2-5 pulmonary hypertension. (medscape.com)
This is crucial in all patients suspected of having PAH, as chronic thromboembolic pulmonary hypertension (CTEPH) is often curable by surgical endarterectomy. (medscape.com)
In patients at risk for heritable pulmonary arterial hypertension (PAH), screening for gene mutations such as BMPR2 also may be considered. (medscape.com)
The classic finding on a chest radiograph from a patient with pulmonary arterial hypertension (PAH) is enlargement of central pulmonary arteries, attenuation of peripheral vessels, and oligemic lung fields (see the first and second images below). (medscape.com)
Chest radiograph of patient with nonidiopathic pulmonary hypertension shows enlarged pulmonary arteries. (medscape.com)
The patient was found to have severe pulmonary arterial hypertension. (medscape.com)
The pathophysiologic role of quantitatively defined MR as a determinant of pulmonary hypertension (PH) is incompletely characterized across the whole spectrum of AS degrees. (univr.it)
At this time, Artemko receives free treatment under the regional program to improve medical care for patients with pulmonary hypertension in the Lviv region in 2015-2017 years. (poryatunok.info)
In terms of the cause of aortic insufficiency, is often due to the aortic root dilation ( annuloaortic ectasia ), which is idiopathic in over 80% of cases, but otherwise may result from aging, syphilitic aortitis , osteogenesis imperfecta , aortic dissection , Behçet's disease , reactive arthritis and systemic hypertension . (iiab.me)
It was our aim to systematically analyze pulmonary artery blood flow within different age-groups in the general population using 4D flow cardiovascular magnetic resonance (CMR) in order to provide a context for interpreting results of future studies (e.g., in pulmonary hypertension) using this technique. (biomedcentral.com)
Based on these findings, we diagnosed the patient as a case of MM. Echocardiography revealed right heart enlargement, pulmonary hypertension, left ventricular hypertrophy, and thickening of the main pulmonary artery and its branches. (biomedcentral.com)
Chronic pulmonary hypertension 31. (muni.cz)
Spontaneous Tricuspid Valve Chordal Rupture in Idiopathic Pulmonary Hypertension. (ox.ac.uk)
We report herein a case of a patient with severe pulmonary hypertension, on the lung transplantation waiting list, who presented with spontaneous chordal rupture, exacerbation of tricuspid insufficiency and worsening of clinical status. (ox.ac.uk)

Common truncus or common arterial trunk is a structural heart defect characterized anatomically by having a single common arterial trunk, rather than a separate aorta and main pulmonary artery (see Fig. 4.15 ). (cdc.gov)
The pulmonary valve (sometimes called the pulmonic valve) is located between the right ventricle and the main pulmonary artery. (chop.edu)
Before the aortic cross-clamp, the main pulmonary artery (PA) was also snared. (ctsnet.org)
At the end of systole, retrograde flow in the main pulmonary artery was observed in all but one subject. (biomedcentral.com)
During systole, abnormal vortices occurred in the main pulmonary artery in four male subjects. (biomedcentral.com)

The history solicits information intended to: 1) distinguish between cardiac and pulmonary disease, 2) establish a diagnosis, 3) determine the frequency and extent of clinical impairment, 4) assess response (or lack of response) to therapy, 5) detect other medical conditions, and 6) establish a doctor-client relationship. (vin.com)
A 49-year-old female following transesophageal echocardiogram (TEE) to investigate an undiagnosed cardiac murmur and progressive dyspnea on exertion was found to have isolated left-sided anomalous pulmonary venous connection of all veins draining into the coronary sinus. (fortunejournals.com)
We usually diagnose pulmonary regurgitation after a primary care doctor detects a heart murmur and refers a child to the Cardiac Center. (chop.edu)
In fact, more than half of patients who present with pure aortic regurgitation (AR) without any associated cardiac anomalies have aortic valve insufficiency caused by aortic root disease. (medscape.com)
This image shows all 4 cardiac chambers and the tricuspid and mitral valves. (msdmanuals.com)
[12] In the case of chronic aortic insufficiency with resultant cardiac remodeling, heart failure will develop, and it is possible to see systolic pressures diminish. (iiab.me)
Pulmonary artery blood flow is strongly dependent on adequate cardiac function and absence of systemic vascular disease and pathological conditions of the lungs. (biomedcentral.com)
Hence, transthoracic echocardiography (TTE) is used as a non-invasive screening tool by assessing cardiac function and estimating pulmonary arterial pressure non-invasively [ 3 ]. (biomedcentral.com)
The neo-aortic valve closure performance was investigated by the parameters, such as stress of neo-aortic root, variation of neo-aortic valve ring as well as aortic valve cusps contact force in the cardiac diastole. (biomedcentral.com)
Different geometric models with various diameter of DSTJ and SD were investigated by the parameters, such as stress of neo-aortic root, change of the neo-aortic valve ring and neo-aortic valve cusps contact force during cardiac diastole. (biomedcentral.com)
Atrial fibrillation in dogs with severe mitral regurgitation is usually heralded by sudden cardiac decompensation and the development of pulmonary congestion and signs of low cardiac output. (vin.com)

Pulmonary embolism and thrombembolic disease 30. (muni.cz)
If left untreated, venous insufficiency can result in the formation of serious disorders, including phlebitis, pulmonary embolism, or ulcers. (sigvaris.com)
When that happens, it's called a pulmonary embolism. (medicinenet.com)

Two-dimensional transthoracic echocardiography (TTE) with Doppler analysis should be used as an initial screening measure to estimate the pulmonary artery pressure and assess ventricular function. (medscape.com)
With the advent and common application of 3-D echocardiography it is clear that better imaging techniques provides the surgeon with a better understanding of atrioventricular and semilunar valve anatomy and in turn the pathology behind regurgitation unique to each patient. (hgexperts.com)
The suspicion for PAPVR was confirmed with transesophageal echocardiography and coronary CT angiogram that collectively demonstrated all three left pulmonary veins draining into the coronary sinus (Figure 1). (fortunejournals.com)
Common truncus can be diagnosed prenatally by fetal echocardiography, although in some cases it might be difficult to conclusively distinguish from other conditions (e.g. pulmonary atresia with ventricular septal defect or aortic atresia with ventricular septal defect). (cdc.gov)
An echocardiography showed poor left ventricle contractility with 25 percent LVEF and a small apical aneurysm, severe MV insufficiency that was due to anomalous posterior leaflet and annular dilatation, and the left coronary artery arising from anterior sinus of the pulmonary artery. (ctsnet.org)
Echocardiography also showed right atrial enlargement and tricuspid insufficiency due to the presence of a mass on the posterior leaflet of the TV. (tubitak.gov.tr)

Under certain circumstances, this can lead to venous insufficiency, which is characterized by improperly functioning vein valves that interfere with venous return and cause the blood to pool in the veins. (sigvaris.com)

Small and/or distorted pulmonary arteries can be plastied from hilum to hilum and mitral valves can be repaired at the time of surgery. (hgexperts.com)
The anatomy of common truncus varies, especially in the origin of the pulmonary arteries from the common truncus. (cdc.gov)
Anatomy - specify intracardiac anomalies, including the presence and type of ventricular septal defects, the origins of the pulmonary arteries, and the morphology of the truncal valve. (cdc.gov)
Anatomy: Presence of ventricular septal defect, origin of the pulmonary arteries, common valve, additional findings. (cdc.gov)
An age-stratified sample ( n = 126) of the population of the city of Freiburg, Germany, underwent ECG-triggered and navigator-gated 4D flow CMR at 3 T of the pulmonary arteries and the thoracic aorta. (biomedcentral.com)

Aortic valve insufficiency results from leakage and backflow of blood that is ejected from the left ventricle (LV) into the ascending aorta back into the left ventricle. (medscape.com)
The aortic valve is composed of 3 thin leaflets (ie, cusps) that project from the wall of the proximal ascending aorta. (medscape.com)
Regardless of etiology, aortic valve insufficiency results in volume overload on the LV because the LV is forced to pump the entire diastolic volume received from the left atrium and the regurgitant volume from the aorta through an incompetent aortic valve. (medscape.com)
Aortic insufficiency ( AI ), also known as aortic regurgitation ( AR ), is the leaking of the aortic valve of the heart that causes blood to flow in the reverse direction during ventricular diastole , from the aorta into the left ventricle . (iiab.me)
The mechanism of aortic insufficiency (AI), comprises the pressure in the left ventricle falling below the pressure in the aorta, the aortic valve is not able to completely close. (iiab.me)
Physiologically , in individuals with a normally functioning aortic valve, the valve is only open when the pressure in the left ventricle is higher than the pressure in the aorta . (iiab.me)
When the pressure in the left ventricle falls below the pressure in the aorta , the aortic valve will close, preventing blood in the aorta from going back into the left ventricle. (iiab.me)
Additionally, for aortic reconstruction, the diameter of pulmonary artery is larger than that of aorta on aortic anastomosis site. (biomedcentral.com)
The surgical technique includes pulmonary artery constriction or patch enlargement of ascending aorta [ 7 - 9 ]. (biomedcentral.com)

Cardiogenic pulmonary edema in dogs results from left-heart volume overload (mitral regurgitation, endocardiosis) or dilated cardiomyopathy. (vin.com)
Scholars@Duke publication: Branch Pulmonary Artery Valve Implantation Reduces Pulmonary Regurgitation and Improves Right Ventricular Size/Function in Patients With Large Right Ventricular Outflow Tracts. (duke.edu)
METHODS: Retrospective data were collected on patients with significant pulmonary regurgitation who had a percutaneous branch PA valve attempted. (duke.edu)
Background: Mitral regurgitation (MR) and elevated pulmonary artery pressure are common findings in patients with aortic valve stenosis (AS). (univr.it)
Systolic pulmonary artery pressure was calculated by adding right atrial pressure to the tricuspid regurgitation pressure gradient. (univr.it)
Evaluation of Pulmonary Artery Pressure Measurements in Severe Pulmonic Valve Insufficiency in the Absence of Tricuspid Regurgitation. (cornell.edu)
2006. Tricuspid regurgitation caused by eustachian valve endocarditis. . (cornell.edu)
Cross-sectional imaging is useful in Fontan, systemic right ventricles (RVs), severe valve regurgitation, coronary abnormalities, or aortopathies. (acc.org)
What is pulmonary regurgitation? (chop.edu)
Pulmonary valve regurgitation occurs when the pulmonary valve doesn't completely close and allows some blood to leak back into the heart. (chop.edu)
This condition is also known as pulmonic regurgitation, pulmonic insufficiency and pulmonary insufficiency. (chop.edu)
Pulmonary regurgitation can be categorized as mild, moderate or severe. (chop.edu)
Pulmonary regurgitation often doesn't cause symptoms in infants or children. (chop.edu)
Mild pulmonary regurgitation is very common and may not require any treatment. (chop.edu)
However, if there is moderate or severe pulmonary regurgitation, doctors will monitor the patient with regular checkups. (chop.edu)
Currently, medications are not used to help with pulmonary regurgitation itself, but medications may be used to help the heart to pump more efficiently. (chop.edu)
In severe cases of pulmonary regurgitation, surgery may be needed to repair or replace the pulmonary valve. (chop.edu)
Children with moderate or severe pulmonary regurgitation will require regular checkups with a pediatric cardiologist. (chop.edu)
Pulmonary regurgitation can cause health problems in adults. (chop.edu)
Rheumatic disease is associated with a thickened valve with reduced mobility and often a mixed picture of stenosis and regurgitation. (health.am)
In developed countries, more common causes of mitral regurgitation include myxomatous degeneration (eg, mitral valve prolapse with or without connective tissue diseases such as Marfan's syndrome), infective endocarditis, and subvalvular dysfunction (due to papillary muscle dysfunction or ruptured chordae tendineae). (health.am)
In acute regurgitation, left atrial pressure rises abruptly, leading to pulmonary edema if severe. (health.am)
Nonrheumatic mitral regurgitation may develop abruptly, such as with papillary muscle dysfunction following myocardial infarction , valve perforation in infective endocarditis, or ruptured chordae tendineae in mitral valve prolapse. (health.am)
In acute mitral regurgitation, patients are in sinus rhythm rather than atrial fibrillation and have little or no enlargement of the left atrium, no calcification of the mitral valve, no associated mitral stenosis , and in many cases little left ventricular dilation. (health.am)
As many as three-fourths of all dogs with signs of congestive heart failure suffer from mitral regurgitation caused by myxomatous degeneration (MXD) of the valve leaflets or chordae tendineae. (vin.com)
Most of the early signs of mitral regurgitation result from pulmonary congestion, and most owners seek treatment for their dog after noticing some degree of respiratory distress. (vin.com)
MitraClip™ is the world's first mitral transcatheter edge-to-edge repair (TEER) therapy -- also referred to as TMVr (transcatheter mitral valve repair) -- that delivers a minimally invasive treatment option for select patients with primary or secondary mitral regurgitation (MR) who would otherwise go untreated. (cardiovascular.abbott)
Improved functional status and quality of life in prohibitive surgical risk patients with degenerative mitral regurgitation after the transcatheter mitral valve repair. (cardiovascular.abbott)

A left ventricular vent was placed through the left atrial appendage and this demonstrated the mitral valve in the normal expected location, with the absence of veins on the left posterior wall of the left atrium. (fortunejournals.com)
When it is chronic, the left atrium enlarges progressively, but the pressure in pulmonary veins and capillaries rises only transiently during exertion. (health.am)
Valves inside veins keep blood flowing toward your heart and prevent it from going backward. (medicinenet.com)
When your veins are weak, the valves can get damaged and allow blood to back up. (medicinenet.com)

Babliak O, Babliak D, Volodymyr D, Marchenko A. Minimally Invasive Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA) and Mitral Valve Repair. (ctsnet.org)
This video presents the case of a minimally invasive mitral valve (MV) and anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) repair in a twenty-one-month-old female patient. (ctsnet.org)
Mitral valve revision showed marked annulus dilation and A2 segment prolapse because of lateral papillary muscle fibrosis and an anomalous posterior leaflet. (ctsnet.org)

Most often, valvular stenosis or insufficiency occurs in isolation in individual valves, but multiple valvular disorders may coexist, and a single valve may be both stenosed and insufficient. (msdmanuals.com)
Most often, valvular stenosis or insufficiency. (msdmanuals.com)

This common trunk carries blood from the heart to the body, lungs and the heart itself - that is, the common trunk gives rise to the systemic, pulmonary and coronary circulation. (cdc.gov)
The left coronary artery ostium was resected with the wide, 10 x 20 mm area of the pulmonary artery wall, which was used to elongate the coronary vessel. (ctsnet.org)
Surgeons then performed tubular elongation of the left coronary artery at the expense of the pulmonary artery wall. (ctsnet.org)

Pathologic causes of systolic murmurs include atrial and ventricular septal defects, pulmonary or aortic outflow tract abnormalities, and patent ductus arteriosus. (aafp.org)
A systolic murmur was auscultated over the tricuspid valve (TV). (tubitak.gov.tr)

Causes of acquired aortic valve insufficiency include endocarditis, trauma, systemic diseases, and connective tissue syndromes. (medscape.com)
In acute cases of aortic insufficiency, the main causes are infective endocarditis , aortic dissection or trauma . (iiab.me)

Chronic pulmonary congestion may cause mild intermittent coughing and nocturnal dyspnea or cough. (vin.com)
If untreated, this interstitial fibrosis leads to elevated left atrial pressure and pulmonary venous congestion, especially during exercise. (medscape.com)
to detect heart rhythm and chamber alterations) and chest x-ray (to detect chamber alterations, pulmonary congestion, and other lung pathology). (msdmanuals.com)
When left atrial pressure rises sufficiently, pulmonary congestion develops accompanied by the usual signs of left-sided congestive heart failure. (vin.com)
Severe pulmonary congestion is most likely to develop when left atrial compliance is low and the regurgitant orifice is large, as happens when a previously compensated patient suffers sudden rupture of a chordae tendineae. (vin.com)
When contractility declines in patients with CDVD, signs of pulmonary congestion are usually already evident. (vin.com)
His condition was septic with clinical symptoms of meningismus and pulmonary congestion. (cdc.gov)

If defects are present, pulmonary angiography or spiral CT should be performed. (medscape.com)

OBJECTIVES: The authors sought to assess the intermediate-term effects of percutaneous placed valves in the branch pulmonary artery (PA) position. (duke.edu)

Insufficiency of the mitral valve causing flow of blood from the left ventricle (LV) into the left atrium during ventricular systole. (msdmanuals.com)
During left ventricular systole, the mitral leaflets do not close normally, and blood is ejected into the left atrium as well as through the aortic valve. (health.am)

Coughing from acute pulmonary edema is usually less than a few days duration and progresses rapidly in severity. (vin.com)

Cats appear not to cough, even when severe pulmonary edema is present. (vin.com)
Thoracic radiographs showed cardiomegaly, right atrial enlargement, and pulmonary edema. (tubitak.gov.tr)

Common examples include mild aortic arch obstruction, branch pulmonary stenosis, mild to moderate degrees of atrioventricular and semilunar valve insufficiency, and aortopulmonary collateral flow. (hgexperts.com)

The objective of this study was to follow up children with severe postoperative PH (pulmonary arterial/aortic pressure ratio ≥ 1.0) to evaluate if pulmonary arterial pressure spontaneously normalized or needed PH-targeting therapy and to identify potential high-risk diagnoses for bad outcome. (lu.se)
The remaining 17 children normalized their pulmonary arterial pressure without the use of PH-targeting drugs at any time during the follow-up. (lu.se)
Normalization of the pulmonary arterial pressure occurred in almost all children with severe postoperative PH, without any need of supplemental PH-targeting therapies. (lu.se)

Micrograph of myxomatous degeneration - a cause of aortic insufficiency. (iiab.me)

These include abnormalities of the aortic valve leaflets and pathologies of the proximal aortic root. (medscape.com)
Recently, the percentage of individuals with aortic valve insufficiency caused by aortic root disease has been steadily increasing compared with the percentage of those with valvular disease. (medscape.com)
[1] Aortic root dilation is the most common cause of aortic insufficiency in developed countries. (iiab.me)
Stress of neo-aortic root, diameter of neo-aortic valve ring and cusps contact force were simulated with a finite element model for structural mechanics. (biomedcentral.com)

A 49-year-old man presented with clinical features suggestive of MM, i.e., ophthalmoparesis, weakness of the pharyngeal and extremity muscles, and respiratory muscles which gradually progressed to respiratory insufficiency. (biomedcentral.com)
Respiratory insufficiency and hypoventilation syndromes 32. (muni.cz)

[6] [7] Other potential causes that affect the valve directly include Marfan syndrome , Ehlers-Danlos syndrome , ankylosing spondylitis , and systemic lupus erythematosus . (iiab.me)

Given this, European guidelines recommend first evaluating for significant group 2 or 3 disease by ordering a TTE, pulmonary function tests with arterial blood gas assessment, and chest imaging. (medscape.com)
Aortic valve insufficiency can be due to, or associated with, congenital heart disease. (medscape.com)
Current research will determine the extent and clinical relevance of neurohormonal activation in dogs with mitral insufficiency, but it appears RAAS activation is not pronounced until late in the course of the disease. (vin.com)
9. Subject with known tricuspid valve disease that may impede catheter advance to and withdrawn from right ventricle. (who.int)

The Eustachian valve was large, and the tricuspid valve was not regurgitant. (fortunejournals.com)
Any heart valve can become stenotic or insufficient (also termed regurgitant or incompetent), causing hemodynamic changes long before symptoms. (msdmanuals.com)
The percentage of blood that regurgitates back through the aortic valve due to AI is known as the regurgitant fraction . (iiab.me)
The size of the regurgitant orifice, in turn, depends on the severity of myxomatous changes in the valve and the degree of dilation and distortion of the annulus resulting from left atrial and ventricular enlargement. (vin.com)

In some of these patients, percutaneous branch PA valve implantation may be feasible. (duke.edu)
RESULTS: Percutaneous branch PA valve implantation was attempted in 34 patients (18 bilateral and 16 unilateral). (duke.edu)
CONCLUSIONS: Percutaneous branch PA valve implantation results in a reduction in right ventricular volume with clinical benefit in the intermediate term. (duke.edu)
Until percutaneous valve technology for large RVOTs is refined and more widely available, branch PA valve implantation remains an option for select patients. (duke.edu)

Two children had a remaining mild PH with moderate mitral valve insufficiency. (lu.se)
Otherwise, the physiologically high pulmonary vascular resistance at birth will delay this presentation and lead to a degree of cyanosis, usually mild, at the outset. (cdc.gov)

The case highlights how transcatheter aortic valve therapies can be considered for non-standard, higher risk pediatric patients to postpone the need for surgical valve replacement and may serve as a paradigm shift in the care of complex patients with aortic valve pathology. (bvsalud.org)

This article primarily focuses on aortic valve insufficiency caused by abnormalities in the aortic valve leaflets. (medscape.com)

This case report describes the rare use of a transapically delivered transcatheter aortic valve replacement (TAVR) therapy in a high-risk pediatric patient to postpone the need for surgery and potentially reduce the number of lifelong surgical interventions. (bvsalud.org)

[13] Aortic insufficiency causes both volume overload (elevated preload ) and pressure overload (elevated afterload) of the heart. (iiab.me)

Chyle valve insufficiency may allow backflow from the thoracic duct within the LAMLNC. (who.int)
The rarity of chylothorax following LIMA harvest is explained by the usual lymph vessel valve competency of the LAMLNC, which is not always connected with the thoracic duct itself [2]. (who.int)

We were able to detect an independent effect of ageing on pulmonary hemodynamics reflecting increased vessel stiffness and reduced pulmonary circulation. (biomedcentral.com)

BACKGROUND: Most patients with large right ventricular outflow tracts (RVOTs) are excluded from available percutaneous pulmonary valve options. (duke.edu)

Anatomy12

Organisms1

Diseases37

Analytical, Diagnostic and Therapeutic Techniques and Equipment19

Phenomena and Processes3

Named Groups1

Health Care3

Hypertension26

Main pulmon5

Cardiac11

Embolism3

Echocardiography6

Venous return1

Arteries5

Aorta9

Regurgitation28

Veins4

Anomalous3

Stenosis or insufficiency2

Coronary3

Systolic2

Endocarditis2

Congestion7

Defects1

Branch pulmonary artery1

Left atrium2

Acute1

Edema2

Obstruction1

Arterial pressure3

Myxomatous degeneration1

Aortic root4

Respiratory2

Systemic1

Disease4

Regurgitant4

Implantation4

Mild2

Patients with aortic1

Abnormalities1

Transcatheter Aortic Valve Repla1

Volume overload1

Thoracic2

Hemodynamics1

Right ventricular1