• Objectives Transcatheter aortic valve implantation (TAVI) is an established treatment for patients with severe symptomatic aortic stenosis. (bmj.com)
  • 5 For patients with severe symptomatic aortic stenosis (AS), valvular replacement has been increasingly performed via a femoral catheter technique called transcatheter aortic valve implantation (TAVI). (bmj.com)
  • METHODS: Demographic, procedural, and in-hospital outcome data on patients who underwent TAVR from 2007 to 2011 were obtained from the U.K. TAVI (United Kingdom Transcatheter Aortic Valve Implantation) registry. (ox.ac.uk)
  • This guideline lists the 13 parameters you must address when applying to add a Trans-Aortic Valve Implantation (TAVI) device to the Prostheses List. (health.gov.au)
  • Many patients are unsuitable for conventional femoral transcatheter aortic valve implantation (TAVI) but there is limited evidence as to which alternative approach has the best outcomes. (biomedcentral.com)
  • Over the last two decades, the treatment of aortic valve stenosis has changed significantly with transcatheter aortic valve implantation (TAVI) becoming widely used in symptomatic elderly patients with high surgical risk. (biomedcentral.com)
  • Transcatheter aortic valve implantation (TAVI) is the treatment of choice in patients with symptomatic severe aortic stenosis who are either inoperable or at high risk for conventional surgical aortic valve replacement. (icrjournal.com)
  • Transcatheter aortic valve implantation (TAVI) has emerged as an alternative treatment for symptomatic severe aortic stenosis in patients deemed to be at high operative risk for conventional surgical aortic valve replacement (SAVR). (icrjournal.com)
  • Such patients often require the implantation of a valve prosthesis - mechanical or biological. (scardio.ru)
  • The purpose of the study is to investigate the safety and efficacy of transcatheter aortic valve implantation (TAVI) in patients with severe, symptomatic Aortic Stenosis (AS) at intermediate surgical risk by randomizing patients to either Surgical Aortic Valve Replacement (SAVR) or TAVI with the Medtronic CoreValve® System. (stanford.edu)
  • This report summarises some key sessions on transcatheter aortic valve implantation (TAVI), valve-in-valve (ViV) interventions and optimisation of such procedures. (hospitalhealthcare.com)
  • A recent report from the German Heart Surgery Registry showed that the number of mechanical prostheses has reduced considerably over the last decade, and a shift towards biological implantation has been seen. (hospitalhealthcare.com)
  • Transcatheter aortic valve implantation (TAVI) is a well-recognized and established therapy for severe aortic stenosis, with expanding indications toward younger patients with low surgical risk profile. (frontiersin.org)
  • Transcatheter aortic valve implantation (TAVI) has been widely recognized as a safe and effective treatment for aortic stenosis (AS) in patients who cannot undergo surgical aortic valve replacement (SAVR) or are at high or intermediate surgical risk ( 1 - 4 ). (frontiersin.org)
  • How to treat severe symptomatic structural valve deterioration of aortic surgical bioprosthesis: Transcatheter valve-in-valve implantation or redo valve surgery? (elsevierpure.com)
  • Current options for older patients who often have severe comorbidities include either transcatheter valve-in-valve (TVIV) implantation or redo valve surgery. (elsevierpure.com)
  • The emergence of TVIV implantation, which is perceived to be less invasive than redo valve surgery, offers an effective alternative to surgery for these patients with proven safety and efficacy in high-risk patient groups including elderly and frail patients. (elsevierpure.com)
  • With the emergence of TVIV implantation and the long experience of redo valve surgery, we currently have 2 complementary treatment modalities, allowing a tailor-made and patient-orientated intervention. (elsevierpure.com)
  • Coronary artery disease severity and aortic stenosis: clinical outcomes according to SYNTAX score in patients undergoing transcatheter aortic valve implantation. (ox.ac.uk)
  • AIM: The aim of this study was to evaluate whether coronary artery disease (CAD) severity exerts a gradient of risk in patients with aortic stenosis (AS) undergoing transcatheter aortic valve implantation (TAVI). (ox.ac.uk)
  • I'll start with the trial I was personally waiting for - looking at bioprosthetic valve in valve (ViV) implantation. (acc.org)
  • Clinical outcome and predictors for adverse events after transcatheter aortic valve implantation with the use of different devices and access routes. (ox.ac.uk)
  • BACKGROUND: Transcatheter aortic valve implantation (TAVI) is a treatment option for high-risk patients with severe aortic stenosis. (ox.ac.uk)
  • Dr. Barnhart provides educational material for young surgeons and surgical trainees so that they may adopt successful techniques related to the surgical technique for On-X(R) Ascending Aortic Prosthesis Implantation. (avr.solutions)
  • BACKGROUND: Very little is known about long-term valve durability after transcatheter aortic valve replacement (TAVR). (ox.ac.uk)
  • The Leadership Council of the American College of Cardiology (ACC) recommends considering percutaneous coronary intervention (PCI) in all patients with significant proximal coronary stenosis in major coronary arteries before transcatheter aortic valve replacement (TAVR), even though the indication is not covered in current guidelines. (medscape.com)
  • The good news is Hoag was the first center in Orange County to offer a ground-breaking minimally-invasive procedure for individuals who need aortic valve replacement called Transcatheter Aortic Valve Replacement (TAVR) . (hoag.org)
  • ORLANDO, Florida - In older patients with severe aortic stenosis but low surgical risk, 5-year survival and cardiovascular outcomes among those who underwent transcatheter aortic valve replacement (TAVR) with the CoreValve (Medtronic) prosthesis were similar to outcomes among those who had surgical aortic valve replacement (SAVR). (medscape.com)
  • Health Status After Transcatheter Aortic Valve Replacement in Patients at Extreme Surgical Risk: Results From the CoreValve U.S. Trial. (stanford.edu)
  • Valve regurgitation and cusp calcification were assessed visually. (nih.gov)
  • Aortic regurgitation, mostly mild, was found in 29% of the entire study cohort. (nih.gov)
  • Most frequently it is used for the treatment of aortic regurgitation. (wikipedia.org)
  • In most instances, aortic valve repair will be performed for aortic regurgitation (insufficiency). (wikipedia.org)
  • A transesophageal echocardiogram during the operation and prior to the repair will be important to define the exact deformation of the aortic valve and thus the mechanism of regurgitation. (wikipedia.org)
  • More patients had none/trivial aortic regurgitation (AR) (47.5% vs. 33%), and fewer had mild AR (42.5% vs. 57%) at follow-up (p = 0.02). (ox.ac.uk)
  • The TS approach was associated with a higher incidence of moderate postprocedural aortic regurgitation (12.5% vs 2.4%, p = 0.025). (biomedcentral.com)
  • TAVR was also associated with greater likelihood of valve regurgitation. (medscape.com)
  • At 5 years, 53% of TAVR patients vs only 23% of SAVR patients had mild valve regurgitation, and 8% of TAVR patients but no SAVR patients had moderate valve regurgitation. (medscape.com)
  • 21. Chambers J, Monaghan M, Jackson G. Colour flow Doppler mapping in the assessment of prosthetic valve regurgitation. (meduniver.com)
  • They were evaluated using echocardiography and computed tomography in terms of mortality and reoperation according to their preoperative demographic characteristics, aortic regurgitation (AR), and annular dilatation levels. (kosuyoluheartjournal.com)
  • The reimplantation procedure applied in our clinic is thought to be advantageous in decreasing the risk of postoperative aortic regurgitation (AR) and aortic root dilation in patients with aortic dissection and Marfan syndrome. (kosuyoluheartjournal.com)
  • it either fails to close tightly (aortic regurgitation or insufficiency) or gets too tight (aortic stenosis). (ctsurgerypatients.org)
  • To address this, we performed a national, retrospective observational study comparing the pre-operative characteristics, operative parameters, and postoperative outcomes and complications for all patients undergoing TS and TA TAVI for severe, symptomatic aortic stenosis in Scotland between January 2013 and March 2020. (biomedcentral.com)
  • The basal ring, frequently referred to as the "aortic annulus" by those involved in TAVI, is a virtual (rather than anatomic) ring found at the insertion point of the basal attachments of the aortic valve leaflets within the LVOT. (icrjournal.com)
  • Single Arm: The purpose of this trial is to evaluate the safety and effectiveness of transcatheter aortic valve implementation (TAVI) in patients with severe symptomatic Aortic Stenosis (AS) at intermediate surgical risk with TAVI. (stanford.edu)
  • 1 Dr. Parma explained this is likely due to increasing comorbidities in patients, resulting in contraindications to anticoagulants, and further predicts that, in the majority of countries, the number of TAVI procedures will soon exceed those of surgical aortic valve replacement (SAVR). (hospitalhealthcare.com)
  • 3 On this basis, Dr. Parma suggested that the future for primary SAVR patients may be TAVI-in-SAVR instead of reoperation, meaning consideration of the initial valve type and its failure, in regard to the patient's anatomy, is key. (hospitalhealthcare.com)
  • As bicuspid aortic valve (BAV) affects ~1-2% of the population, it may be speculated that an increasing number of patients with degenerated BAV may eventually need TAVI during the course of the disease. (frontiersin.org)
  • Peculiar features such as larger dimensions of the aortic valve components, higher calcium burden, presence of a heavily calcified raphe, and associated aortopathy represent some pitfalls when treating BAV patients with TAVI. (frontiersin.org)
  • In the present study, the effects of preoperative diagnosis, aortic insufficiency degree, surgical technique, simultaneous procedures, and the graft material used on mortality and reoperation were examined using 1, 6, and 12-month echocardiography and computed tomography (CT) scans of the patients. (kosuyoluheartjournal.com)
  • This results in the insufficiency of the stentless heart valve. (diagnosticdetectives.com)
  • Blood clots can in fact jam the mechanical valve in an open or closed position causing stenosis, insufficiency or a combination of both. (heartsurgeryinfo.com)
  • 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)
  • Insufficiency of the mitral valve causing flow of blood from the left ventricle (LV) into the left atrium during ventricular systole. (msdmanuals.com)
  • The traditional treatment of congenital aortic stenosis is balloon valvuloplasty or surgical commissurotomy. (wikipedia.org)
  • Percutaneous balloon valvuloplasty is used as a palliative measure in critically ill adult patients who are not surgical candidates or as a bridge to aortic valve replacement in critically ill patients. (medscape.com)
  • In children, adolescents, and young adults with congenital aortic stenosis, percutaneous balloon valvuloplasty carries a mortality risk of 1% and may be an alternative to surgical valvotomy. (medscape.com)
  • As one of the highest-volume surgical programs in the country, Nancy & Bill Thompson Heart Valve Center's expert cardiac surgery team is well-versed in the full array of aortic valve surgical options, including complex surgical procedures not available at other centers. (hoag.org)
  • With advances in modern surgical techniques, cardiac surgeons now have multiple methods to replace the aortic valve using innovative new prosthetic options. (hoag.org)
  • This revolutionary non-surgical option utilizes a catheter to replace the damaged aortic valve. (hoag.org)
  • After discussing with the patient the risks and the benefits of the surgical procedure, the patient was submitted to pancreatoduodenectomy en bloc with portal vein resection while the continuity of the portal vein was reestablished by using a cadaveric graft originating from the abdominal aorta. (spandidos-publications.com)
  • The bioprosthetic heart valve is intended for surgical treatment of acquired and congenital heart diseases involving replacement of affected cardiac valves. (justia.com)
  • An acute problem in medicine today is surgical treatment of acquired and, particularly, congenital heart valve diseases combined with other heart troubles causing a sharp deterioration of the central hemodynamics and, as a consequence, serious illnesses and fatal outcome. (justia.com)
  • As surgical experience in replacement of affected heart valves by prostheses is gradually accumulated, the more obvious becomes the fact that a further improvement of the long-term results of prosthetics can be attained only by perfecting the functional characteristics of the prostheses proper. (justia.com)
  • For patients with aortic root aneurysms, elective VSARR is a good surgical option. (kosuyoluheartjournal.com)
  • Aortic root replacement with a composite graft is the traditional surgical technique for aortic root aneurysms( 1 ). (kosuyoluheartjournal.com)
  • It is a procedure that involves the replacement of Aortic valve, Mitral valve, Pulmonary valve and Tricuspid valve due to high surgical risk. (sakraworldhospital.com)
  • From January 1988 to December 1995, 27 patients, 11 men and 16 women, underwent surgical intervention at our institution for prosthetic valve dysfunctions. (koreamed.org)
  • The optimal management of aortic surgical bioprosthesis presenting with severe symptomatic structural valve deterioration is currently a matter of debate. (elsevierpure.com)
  • The aim of this review is to provide a framework for individualized optimal treatment strategies in patients with failed aortic surgical bioprosthesis. (elsevierpure.com)
  • Today we can pick a variety of heart valve prostheses from our surgical supply shelves. (heartsurgeryinfo.com)
  • We aim to recruit 75 VCI patients, 60 HFpEF patients, 60 patients with severe aortic stenosis (AS) undergoing surgical aortic valve replacement as a pressure overload HFpEF model, and 200 elderly participants with mixed comorbidities to serve as controls. (unav.edu)
  • Retinal arterial occlusive events caused by cholesterol, fibrinoplatelet or calcific emboli are known to occur in individuals with atheromatous vessels and aortic valves especially during or after interventional procedures such as cardiac catheterisation and coronary artery bypass graft procedures. (bmj.com)
  • A patient presenting with uncontrolled heart failure should be treated supportively with oxygen, cardiac and oximetry monitoring, intravenous access, loop diuretics, nitrates (remembering the potential nitrate sensitivity of patients with aortic stenosis), morphine (as needed and tolerated), and noninvasive or invasive ventilatory support (as indicated). (medscape.com)
  • Materials and Methods: A total of 140 patients with 10 different types of mechanical aortic valves, who underwent dualsource cardiac CT, were included. (elsevierpure.com)
  • Conclusion: Dual-source cardiac CT accurately measures opening and closing angles in most types of mechanical aortic valves, compared with the manufacturers' values. (elsevierpure.com)
  • Bicuspid aortic valve (BAV) is the most common congenital cardiac malformation, affecting 1-2% of the population, and is the cause of a significant proportion of aortic valve disease in young adults ( 9 ). (frontiersin.org)
  • The first artificial heart valve to get widespread acceptance and clinical use among cardiac surgeons was the so called "ball-and-cage" valve. (heartsurgeryinfo.com)
  • We hypothesized that cardiac steatosis is involved in the pathophysiology and also assessed whether it is reversible after aortic valve replacement. (ox.ac.uk)
  • Methods:We used the Japan Cardiovascular Surgery Database to extract data of cardiac valve replacement procedures performed in 2015 and 2016. (or.jp)
  • Introduction End stage valvular disease is commonly treated with heart valve replacement to alleviate cardiac pulmonary or systemic problems due to the disease. (mdm2-inhibitors.com)
  • This image shows all 4 cardiac chambers and the tricuspid and mitral valves. (msdmanuals.com)
  • It is also indicated whenever there is a combined dilation of the aortic root and annulus, as well as the ascending aorta. (hoag.org)
  • In line with the reimplantation procedure, the aortic root was dissected to the level below the aortic annulus. (kosuyoluheartjournal.com)
  • For these peculiarities and the higher rates of paravalvular leak (PVL), new permanent pacemaker (PPM), need for a second transcatheter heart valve (THV), risk of annulus rupture or aortic dissection, and brain injury ( 13 - 15 ) BAV patients have been initially excluded from the randomized trials. (frontiersin.org)
  • Because then the aortic annulus is distorted by the mitral valve. (diagnosticdetectives.com)
  • This would fit into this specific patient's aortic annulus. (diagnosticdetectives.com)
  • Because they have an enlarged aortic annulus. (diagnosticdetectives.com)
  • Valve annulus and leaflet sizes increase throughout life. (mdm2-inhibitors.com)
  • Aortic valve repair may also be performed in the treatment of aortic aneurysm or aortic dissection if either aneurysm or dissection involves the aorta close to the valve. (wikipedia.org)
  • As for aortic valve replacement, the heart-lung machine is usually connected to the patient via aorta and right atrium. (wikipedia.org)
  • Bentall with Bioprosthesis is a replacement of the aortic valve, root, and the entire ascending aorta, utilizing a graft. (hoag.org)
  • During a Porcine Root Replacement, the aortic root is replaced with a preserved pig aorta. (hoag.org)
  • This can be a reasonable replacement for the same indications as a homograft, as well as for a replacement of a short segment of aorta (aortic root). (hoag.org)
  • The aortic root is the direct continuation of the left ventricular outflow tract (LVOT) and forms a bridge between the left ventricle and the ascending aorta. (icrjournal.com)
  • The STJ represents the zenith of the aortic root which continues as the ascending aorta. (icrjournal.com)
  • It is a minimally invasive technique to repair an aortic aneurysm (abnormal bulge in the aorta) using stent graft. (sakraworldhospital.com)
  • If the aorta-the main blood vessel coming out of the heart-is diseased, this also can lead to problems with the aortic valve. (ctsurgerypatients.org)
  • The difference here is that a portion of the pig aorta is harvested and preserved along with the valve attached to it. (heartsurgeryinfo.com)
  • This type of valve prosthesis can be used to implant a valve with a larger diameter or to replace that portion of the aorta known as the Aortic Root when needed. (heartsurgeryinfo.com)
  • Preservation of native aortic valve tissue provides an advantage in reducing thromboembolic and hemorrhagic complications associated with mechanical valves and reoperations due to bioprosthesis degeneration, especially in young patients( 4 , 5 ). (kosuyoluheartjournal.com)
  • The bicuspid native aortic valve was resected the same day, and several bacterial patches were observed. (cdc.gov)
  • Thus, the optimal strategy for combined antithrombotic therapy in patients with mechanical prosthetic heart valves is still an open question. (scardio.ru)
  • Simultaneous in vitro maximum measured and Doppler derived pressure differences across prosthetic heart valves. (meduniver.com)
  • A computerized physiologic pulse duplicator for in-vitro hydrodynamic and ultrasonic studies of prosthetic heart valves. (meduniver.com)
  • BACKGROUND: Anticoagulant therapy can be required during pregnancy with prosthetic heart valves. (koreamed.org)
  • Reoperation on prosthetic heart valves is increasingly under consideration. (koreamed.org)
  • Prosthetic heart valves are implanted to replace a failing or failed natural valve (or in some congenital cases, a missing or malformed one) to prevent backflow into the heart and in the most general terms, prevent congestive heart failure and improve overall circulatory performance. (stackexchange.com)
  • While replacement of the aortic valve is a safe and reproducible procedure it may still be associated with the long-term occurrence of so-called valve-related complications. (wikipedia.org)
  • The prevalence of critical aortic valve stenosis was 2.9% (95% confidence interval 1.4% to 5.1%) in the group 75 to 86 years of age. (nih.gov)
  • The aortic valve leaflets arise from their attachment in the muscular LVOT, which forms the haemodynamic ventriculo-arterial junction, and ascend to come together to form the trileaflet valve at the STJ. (icrjournal.com)
  • The area of the aortic root and LVOT adjacent to the basal attachment of the valve leaflets is particularly relevant to a discussion on aortic annular rupture. (icrjournal.com)
  • Echocardiography of porcine aortic prosthesis with flail leaflets due to degeneration and calcification. (meduniver.com)
  • The Sievers and Schmidtke classification ( 18 ) divides BAV in three major types: type 0 (no raphe, two leaflets), type 1 (one raphe, fusion of the left coronary cusp with either the right or the non-coronary cusp), and type 2 (two raphes, fusion of the left coronary cusp with both the right and the non-coronary cusp). (frontiersin.org)
  • Normally, the aortic valve has three flaps (leaflets) that regulate blood flow by opening and closing, allowing blood to flow throughout your body. (ctsurgerypatients.org)
  • In a healthy aortic valve, valve leaflets open wide to let blood through and close tightly to keep it from going backward. (ctsurgerypatients.org)
  • The valve leaflets are thin and pliable. (ctsurgerypatients.org)
  • The most common congenital aortic valve abnormality, called a bicuspid aortic valve, occurs when the valve has only two leaflets (bicuspid) instead of three (tricuspid). (ctsurgerypatients.org)
  • Calcium collects on the valve and can cause the leaflets to stiffen and narrow, which limits their motion. (ctsurgerypatients.org)
  • As with mechanical valves, fractured leaflets can lead to downstream occlusion of smaller vessels and organ or tissue damage or death. (stackexchange.com)
  • Mechanical Heart Valves can be simply described as a steel alloy ring with an outer cloth suture ring and two half moon shaped leaflets hinged inside it. (heartsurgeryinfo.com)
  • A large proportion of patients, however, will require intervention for bioprosthesis structural valve deterioration. (elsevierpure.com)
  • Redo surgery is sometimes preferable, especially for young patients with a smaller-sized aortic bioprosthesis. (elsevierpure.com)
  • In the heart team, the decision-making should be based on several factors including type of bioprosthesis failure, age, comorbidities, operative risk, anatomical factors, anticipated risks and benefits of each alternative, patient's choice and local experience. (elsevierpure.com)
  • The probability of these complications depends on the age of the patient and the type of operation. (wikipedia.org)
  • Compared to the results of valve replacement there will be a minimal tendency towards clot formation after aortic valve repair, and anticoagulation is commonly not necessary, thus minimizing the possibility of bleeding complications. (wikipedia.org)
  • The patients undergone the operation for the replacement of the heart valves by the mechanical prostheses are at the risk of developing thromboembolic complications, the most formidable of which are thrombosis of valve prostheses and disabling strokes, which, in turn, can lead to the death of a patient [2][3]. (scardio.ru)
  • Evaluation of prosthetic valve function and associated complications. (meduniver.com)
  • BACKGROUND: All currently available mechanical and bioprosthetic valves are associated with various types of deterioration leading to dysfunction and/or valvular complications. (koreamed.org)
  • It can also become necessary for the treatment of aortic aneurysm, less frequently for congenital aortic stenosis. (wikipedia.org)
  • Thus, congenital aortic stenosis may be treated by aortic valve repair. (wikipedia.org)
  • Although exercise restriction is sometimes recommended to avoid the risk of sudden unexpected death for some patients with congenital aortic stenosis, a recent study by Brown et al suggests that sudden unexpected death is extremely rare following balloon valvuloplasty, and the study found no beneficial effect for exercise restriction after the procedure is performed. (medscape.com)
  • Safety and Efficacy Study of the Medtronic CoreValve® System in the Treatment of Severe, Symptomatic Aortic Stenosis in Intermediate Risk Subjects Who Need Aortic Valve Replacement (SURTAVI). (stanford.edu)
  • In 280 patients in the Nordic Aortic Valve Intervention ( NOTION ) trial, the primary outcome of combined all-cause mortality, stroke, or myocardial infarction (MI) at 5 years was similar after TAVR or SAVR, although between-group differences included a higher rate of pacemaker placement with TAVR and a trend toward increased mortality in this group. (medscape.com)
  • In the previously reported PARTNER trial, all-cause death was similar at 5 years in high-risk patients with severe aortic stenosis who underwent TAVR and those who had SAVR, Thyregod noted. (medscape.com)
  • NOTION was an "all-comers" trial of 280 patients aged 70 years or older with severe aortic stenosis who were enrolled in two centers in Denmark and one in Sweden from 2009 to 2013 and were randomly assigned to TAVR (145 patients) or SAVR (135 patients). (medscape.com)
  • This article is intended to provide a comprehensive review of the predictors, management and clinical outcomes of aortic annular rupture. (icrjournal.com)
  • In this study, we retrospectively analyzed the mid-term outcomes of patients who underwent aortic valve-sparing root replacement (VSARR). (kosuyoluheartjournal.com)
  • Currently, the use of new-generation devices and the growing attention toward a careful pre-procedural planning have led to an improvement of procedural results, with outcomes nowadays comparable to tricuspid valves ( 16 , 17 ). (frontiersin.org)
  • Most of these failure modes result in down-steam impairment of blood flow with what can only be called bad outcomes, but they may also result in sudden incompetence of the valve causing an immediate increase in pressure to the heart muscle (if you were able to identify the location of the valve I could be more specific). (stackexchange.com)
  • However, there are no data on long-term outcomes after aortic ViV. (acc.org)
  • In acquired aortic stenosis valve replacement will be the only realistic option. (wikipedia.org)
  • Heart surgeons could soon have a new tool in treating patients with aortic stenosis valve disease. (dotmed.com)
  • We also have a smaller percentage of patient-prosthesis mismatch. (diagnosticdetectives.com)
  • Pre-existing severe prosthesis-patient mismatch, device malposition, age and balloon-expandable bioprosthetic valves were independent correlates for all-cause reintervention. (acc.org)
  • The details of the aortic valve repair procedure depend on the possibility of congenital malformation of the valve, the type and degree of secondary deformation, and the existence of an aortic aneurysm. (wikipedia.org)
  • 60 y AND no or undiagnosed cardiovascular risk factor, e.g., heart valve disorder, aortic aneurysm. (cdc.gov)
  • Age 18-59 y AND no or undiagnosed cardiovascular risk factor, e.g., heart valve disorder, aortic aneurysm. (cdc.gov)
  • Rodríguez-Caulo and colleagues report a retrospective multicenter study on almost 1,500 patients aged 50-65 who underwent aortic valve replacement with mechanical or biological prosthesis. (ctsnet.org)
  • however, reoperation was more frequent among those with a biological prosthesis. (ctsnet.org)
  • A repair procedure may not last forever, but in many instances the durability of an aortic valve repair will markedly exceed that of a biological prosthesis. (wikipedia.org)
  • Unlike the mechanical prosthesis, the biological one is less thrombogenic on the one side and has a shorter life duration on the other side. (scardio.ru)
  • A method of preparing the bioprosthetic heart valve comprising the suturing of the biological transplant to the supporting and additional frame rings through the upper and lower edges of envelopes shaped like aortic sinuses. (justia.com)
  • Thus, the basic requirements for the prosthesis are perfect hydraulic characteristics and a minimum mechanical and biological effect on the passing blood. (justia.com)
  • All the currently used prostheses of heart valves can be classified into artificial (with an inertia closing element and petal-type) and biological (prepared from the aortic valve of an animal or a flap of biological tissue). (justia.com)
  • Today, most valve prostheses are biological in origin, based often on porcine heart valves supported on a ring to support suturing to the heart and vessel, or on a flexible and expandable ring that can be manipulated and implanted in a cath-lab procedure and without open surgery. (stackexchange.com)
  • Is A Biological Heart Valve or Mechanical Heart Valve Right For You? (heartsurgeryinfo.com)
  • mechanical valves and biological valves . (heartsurgeryinfo.com)
  • Biological Heart Valves are made of tissues and valves derived from animals or human donors. (heartsurgeryinfo.com)
  • The biological heart valve you see in the following picture is a pig valve mounted on a frame and suture ring to facilitate its implant in our heart patients. (heartsurgeryinfo.com)
  • These biological cow, pig, equine or human valves are all treated with chemical agents that erase any surface antigens capable of stimulating an immune response to them and improve their durability and resistance to calcification over time. (heartsurgeryinfo.com)
  • 4. No prior heart valve replacement, current replacement must be planned (not conducted in an urgent/ emergency manner), using the "UniLine" biological prosthesis made from xenopericardium. (who.int)
  • 1. Mechanical or biological prosthesis in another position. (who.int)
  • Comparison of transthoracic and transoesophageal echocardiography for detection of abnormalities of prosthetic and bioprosthetic valves in the mitral and aortic positions. (meduniver.com)
  • The present invention relates to the field of medicine and, more specifically, to cardiosurgery, particularly to the bioprosthetic heart valve, the methods and devices for its preparation. (justia.com)
  • So, a 'burst' valve, at least to me, suggests a fracture of a portion of the valve mechanism (mechanical or bioprosthetic) causing an increase in pressure on the side of the valve normally thought of that on the upstream side. (stackexchange.com)
  • The number of aortic ViV procedures are increasing, because of bioprosthetic valve degeneration. (acc.org)
  • abstract = "Objective: The aims of this study were to compare opening and closing angles of normally functioning mechanical aortic valves measured on dual-source computed tomography (CT) with the manufacturers{\textquoteright} values and to compare CT-measured opening angles according to valve function. (elsevierpure.com)
  • In this procedure, heart doctors use a catheter to deliver a replacement heart valve. (dotmed.com)
  • 12. Baumgartner H. Khan S, DeRobertis M, Czer L, Maurer G. Discrepancies between Doppler and catheter gradients in aortic posthetic valves in vitro: A manifestation of localized gradients and pressure recovery. (meduniver.com)
  • 14. Baumgartner H, Schima H, Kuhn P. Effect of prosthetic valve malfunction on the Doppler-catheter gradient relation for bileaflet aortic valve prostheses. (meduniver.com)
  • 15. Baumgartner H, Schirnta H, Kuhn P. Discrepancies between Doppler and Catheter Gradients across Bileaflet aortic valve prostheses. (meduniver.com)
  • Continous-wave Doppler echocardiographic measurements of prosthetic valve gradients: A simultaneous Doppler-catheter correlative study. (meduniver.com)
  • It could also result from a catheter-implanted valve losing its 'lock' on the implant site and moving downstream, but this is less likely. (stackexchange.com)
  • Each valve type has certain advantages and disadvantages, and the decision to use a certain type of valve is made after a discussion and careful evaluation of a patient's lifestyle, age, medical history and other factors. (hoag.org)
  • When the TF approach is not possible, the choice of delivery is based upon the patient's anatomy, availability of a particular valve system, operator preference and local expertise. (biomedcentral.com)
  • The 3-D printed model of a patient's heart valve would be especially useful in minimally invasive surgery, according to the research team. (dotmed.com)
  • Using the 3-D model, doctors can actually test to see if a particular valve will move and stretch under pressure the same as the patient's natural heart valve. (dotmed.com)
  • Then the coronary arteries are implanted in the graft using aortic buttons. (hoag.org)
  • I'm also inferring from the coroner's comment this was likely an aortic valve, and the failure caused sudden heart failure in the left ventricle, as well as decreasing blood flow into the coronary arteries, leading to what we call 'ischemia' and a classic heart attack. (stackexchange.com)
  • Some clots can come loose and cause a stroke or a heart attack by traveling from the prosthetic valve to the arteries that supply the heart (coronary arteries) or the brain (carotid arteries). (heartsurgeryinfo.com)
  • The molecular typing methods showed that human and equine isolates were identical or closely related. (cdc.gov)
  • The goal of the procedure is the restoration of a normal form of the aortic valve, which will then lead to near-normal function and good durability of the repair. (wikipedia.org)
  • Minimally invasive procedures limit the ability to precisely judge the form of the aortic valve and will lead to a higher uncertainty regarding function and durability of aortic valve repair. (wikipedia.org)
  • Long-Term Durability of Transcatheter Aortic Valve Prostheses. (ox.ac.uk)
  • What Exactly Makes Age a Risk Factor for an Unfavorable Outcome after Mitral Valve Surgery? (mdpi.com)
  • Can someone illustrate in words what that means, and would heart valve thrombosis have any influence on that outcome? (stackexchange.com)
  • Transapical access emerged as independent predictor of adverse outcome for the Valve Academic Research Consortium-combined safety end point (OR 3.3, 95% CI 1.5-7.1). (ox.ac.uk)
  • The velocity ratio (peak velocity in the left ventricular outflow tract/peak velocity across the aortic valve) was a supplementary criterion for aortic stenosis. (nih.gov)
  • The purpose of our systematic review and metaanalysis is to evaluate the efficiency and safety of combined oral anticoagulant therapy (VKA) and aspirin antiplatelet therapy in comparison with VKA monotherapy in patients after mechanical heart valve replacement. (scardio.ru)
  • 23. Cohn LH, Mudge GH, Pratter F, Collins JJ Jr. Five to eight-year follow-up of patients undergoing porcine heart valve replacement. (meduniver.com)
  • Let's talk about the types of aortic valves for heart valve replacement that you use. (diagnosticdetectives.com)
  • 2. Prior heart valve replacement. (who.int)
  • A total of 149 patients (64%) were treated with a self-expandable valve and 80 (34.7%) with a balloon-expandable valve. (ox.ac.uk)
  • Self-expanding Medtronic Evolut R valves were used in 84% of TS procedures, while balloon-expandable Edwards SAPIEN valves were used in all TA procedures. (biomedcentral.com)
  • Because of the unicuspid form of the valve the repair concept will be similar to that of the regurgitant unicuspid valve. (wikipedia.org)
  • Transesophageal color flow Doppler and echocardiogra-phic features of normal and regurgitant St. Jude medical prostheses in the mitral valve position. (meduniver.com)
  • 11. Baumgartner H, Khan S, DeRobertis M, Czer L, Maurer G. Color Doppler regurgitant characteristics of normal mechanical mitral valve prostheses in vitro. (meduniver.com)
  • Sometimes, aortic valves that are leaking (regurgitant) can be repaired. (ctsurgerypatients.org)
  • Any heart valve can become stenotic or insufficient (also termed regurgitant or incompetent), causing hemodynamic changes long before symptoms. (msdmanuals.com)
  • Women with heart conditions who become pregnant may be at some risk depending on the severity and type of cardiovascular disease. (babygest.com)
  • More information is needed about the prevalence of aortic valve disease in old age. (nih.gov)
  • 50mm and risk factors and connective tissue disease The goal of the operation is the improvement of life expectancy and treatment of heart failure as the consequence of dysfunction of the aortic valve. (wikipedia.org)
  • The best option for treating valve disease is to repair the damaged valve. (hoag.org)
  • For some patients with aortic valve disease, conventional surgery is not an option. (hoag.org)
  • Repairing versus replacing the aortic valve is determined by a number of factors, such as the anatomy of the valve and the degree of its disease. (hoag.org)
  • Nancy & Bill Thompson Heart Valve Center is one of a handful of clinics nationwide dedicated to state-of-the-art screening, diagnosis, and treatment of valvular heart disease. (hoag.org)
  • According to the American Heart Association, about 5 million people a year are diagnosed with heart valve disease. (dotmed.com)
  • This type of anemia includes sickle cell anemia, thrombotic thrombocytopenic purpura (TTP), hemolytic uremic syndrome, aortic valve prosthesis, disseminated intravascular coagulation (DIC), cold agglutinin disease, and paroxysmal cold hemoglobinuria (PCH). (medscape.com)
  • While postoperative AR was seen in one patient with Takayasu's arteritis (n= 1, 4.16%), it was not observed in the patients with Marfan syndrome or bicuspid aortic valve disease. (kosuyoluheartjournal.com)
  • Acquired aortic valve disease occurs because your valve simply wears out over time, and usually happens as you age. (ctsurgerypatients.org)
  • Your doctor can usually diagnose aortic valve disease based on your medical history, risk factors, a physical exam, and with results from tests and procedures. (ctsurgerypatients.org)
  • There is no one test that can diagnose aortic valve disease, so your doctor may recommend one or more of the following: electrocardiogram (EKG), echocardiogram (echo), chest x-ray, blood tests, and coronary angiography. (ctsurgerypatients.org)
  • Currently, NO MEDICATION can cure aortic valve disease, so it is most commonly treated with surgery. (ctsurgerypatients.org)
  • Let's talk about these "spare parts" available to us for the treatment of heart valve disease. (heartsurgeryinfo.com)
  • Bacterial genetic characteristics also influence disease type and severity. (biomedcentral.com)
  • This usually depends on the type of heart disease and its severity, so each case should be evaluated by a cardiologist. (babygest.com)
  • 3. Patients with isolated acquired mitral or aortic valve disease. (who.int)
  • Computed tomography scanning was applied in all patients in the pre-and postoperative periods to assess aortic diameters, blood flow, and thrombosis in the true and false lumen in cases of aortic dissection. (kosuyoluheartjournal.com)
  • We reviewed data of 64 patients who underwent reoperation because of prosthetic valve malfunction from January 1991 to December 1995. (koreamed.org)