Aortic Valve
Aortic Valve Insufficiency
Heart Valve Diseases
Dilatation, Pathologic
Bicuspid
Aortic Valve Stenosis
Heart Defects, Congenital
Tricuspid Valve
Heart Valve Prosthesis Implantation
Aortic Coarctation
Animals, Inbred Strains
Turner Syndrome
Endocarditis, Bacterial
Aortic Aneurysm, Thoracic
Echocardiography, Transesophageal
Eunuchism
GATA5 Transcription Factor
Phonocardiography
Marfan Syndrome
Heart Sounds
Heart Septal Defects
Echocardiography
Bioprosthesis
Aorta, Thoracic
Streptococcus anginosus
Heart Valve Prosthesis
Aneurysm, Dissecting
Coronary Vessel Anomalies
Suture Techniques
Echocardiography, Doppler
Aortography
Receptor, Notch1
Models, Cardiovascular
Treatment Outcome
Echocardiography, Doppler, Color
Abnormalities, Multiple
Hemodynamics
Severity of Illness Index
Retrospective Studies
Follow-Up Studies
Reoperation
Blood Vessel Prosthesis Implantation
Imaging, Three-Dimensional
Chi-Square Distribution
Risk Factors
Case-Control Studies
Risk Assessment
Age Factors
Linear Models
Predictive Value of Tests
Prospective Studies
Pedigree
Tomography, X-Ray Computed
Analysis of Variance
Magnetic Resonance Imaging
The root surface in human teeth: a microradiographic study. (1/479)
In an attempt to clarify the nature of the human cemento-dentinal junction, ground sections of incompletely formed and fully formed extracted teeth were prepared and their histology compared with their microradiographic appearances. The results showed that incompletely formed teeth possess distinctive surface layers outside the granular layer of Tomes. The evidence indicates that these layers are of dentinal origin; their presence during development supports previous explanations by the author of the hyaline layer of Hopewell-Smith and of so-called intermediate cementum. The results also indicate that the granular layer of Tomes does not represent the outer limit of root dentine. The relationship of these surface layers to the definitive cementum which is present in fully formed teeth was studied in both young and older patients. From the results it was concluded that cementum formation begins in the more apical region of the teeth at a time when root formation is well advanced, and that it spreads towards the crown rather than in the generally accepted reverse direction. (+info)A modern human pattern of dental development in lower pleistocene hominids from Atapuerca-TD6 (Spain). (2/479)
The study of life history evolution in hominids is crucial for the discernment of when and why humans have acquired our unique maturational pattern. Because the development of dentition is critically integrated into the life cycle in mammals, the determination of the time and pattern of dental development represents an appropriate method to infer changes in life history variables that occurred during hominid evolution. Here we present evidence derived from Lower Pleistocene human fossil remains recovered from the TD6 level (Aurora stratum) of the Gran Dolina site in the Sierra de Atapuerca, northern Spain. These hominids present a pattern of development similar to that of Homo sapiens, although some aspects (e.g., delayed M3 calcification) are not as derived as that of European populations and people of European origin. This evidence, taken together with the present knowledge of cranial capacity of these and other late Early Pleistocene hominids, supports the view that as early as 0.8 Ma at least one Homo species shared with modern humans a prolonged pattern of maturation. (+info)The crystal growth technique--a laboratory evaluation of bond strengths. (3/479)
An ex vivo study was carried out to determine differences in the bond strengths achieved with brackets placed using a crystal growth technique compared with a conventional acid-etch technique. A solution of 37 per cent phosphoric acid was used for acid-etching and a commercially available polyacrylic acid gel, Crystal-lok for crystal growth. A heavily-filled composite resin was used for all samples to bond brackets to healthy premolar teeth extracted for orthodontic purposes. Polycrystalline ceramic and stainless steel brackets were used and tested to both tensile and shear failure using an Instron Universal Testing machine. The tensile and shear bond strengths were recorded in kgF. In view of difficulties experienced with previous authors using different units to describe their findings, the data were subsequently converted to a range of units in order to facilitate direct comparison. The crystal growth technique produced significantly lower bond strengths than the acid-etch technique for ceramic and stainless steel brackets, both in tensile and shear mode. The tensile bond strength for stainless steel brackets with crystal growth was 2.2 kg compared with 6.01 kg for acid-etch, whilst with ceramic brackets the tensile bond strengths were 3.9 kg for crystal growth and 5.55 kg for acid-etch. The mean shear bond strength for stainless steel brackets with crystal growth was 12.61 kg compared with 21.55 kg for acid-etch, whilst with ceramic brackets the shear bond strengths were 7.93 kg with crystal growth compared with 16.55 kg for acid-tech. These bond strengths were below those previously suggested as clinically acceptable. (+info)Super pulse CO2 laser for bracket bonding and debonding. (4/479)
A super pulse and a normal pulse CO2 laser were used to carry out enamel etching and bracket debonding in vitro and in vivo. The shear bond strength of the orthodontic brackets attached to laser-etched and conventional chemically-etched extracted premolars was measured. The pulp cavity temperature was also measured using the same laser irradiation conditions as the shear test. Both super pulse and normal pulse CO2 laser etching resulted in a lower shear bond strength (super pulse: 6.9 +/- 3.4 kg, normal pulse: 9.7 +/- 5.2 kg) than that of chemical etching (15.3 +/- 2.8 kg). Furthermore, the super pulse CO2 laser was able to create debonding at 2 watts within a period of less than 4 seconds (2.9 +/- 0.9 seconds). The super pulse, when irradiating the ceramic brackets from above, during debonding showed a 1.4 degrees C temperature increase in the dental pulp at 2 watts and an increase of 2.1 degrees C at 3 watts. While etching, directly irradiating the enamel surface at 3 watts, the dental pulp showed a temperature increase of 3.5 degrees C. These temperature increases were within the physiologically acceptable limits of the pulp. These results indicate that, in orthodontic treatments, super pulse CO2 laser debonding is more useful than laser etching. (+info)An ex vivo investigation into the bond strength of orthodontic brackets and adhesive systems. (5/479)
The aim of this study was to compare the shear bond strength of Adhesive Precoated Brackets (APC) with that of two types of uncoated bracket bases, Straight-Wire and Dyna-Lock. Two types of orthodontic adhesives were used, Transbond XT and Right-On. Three different curing times were evaluated with the APC brackets in order to find the best. Adhesive remnants on the enamel surface following debond were evaluated using the Adhesive Remnant Index (Artun and Bergland, 1984). Bond strengths ranged from 11.00 to 22.08 MPa. For both types of brackets Transbond produced a significant increase in bond strength compared to Right-On. The Dyna-Lock/Right-On combination produced the poorest results. APC brackets cured for 40 s had similar bond strengths to uncoated brackets fixed by means of Transbond. Overall, 79 per cent of specimens had less than half the tooth surface covered with adhesive following debond. Significantly more adhesive remained on tooth surfaces following debond of the Straight-Wire/Right-On group than any other bracket/adhesive combination. Bond strengths were higher with light-cured Transbond than with chemically-cured Right-On. When Transbond is used in association with APC brackets a 40-second cure time is recommended. (+info)Intra-oral temperature variation over 24 hours. (6/479)
This study aimed to investigate temperature variation at archwire sites adjacent to the maxillary right central incisor and first premolar, its correlation with ambient temperature, and the influence of inter-racial variation. Twenty young adult male subjects were randomly selected (13 Asian, seven Caucasian). Thermocouples were attached to the labial archwire component of custom-made orthodontic retainers at the two intra-oral sites. A third thermocouple measured ambient temperature. A data-logger recorded temperatures at 5-second intervals over a 24-hour period. Temperatures ranged from 5.6 to 58.5 degrees C at the incisor and from 7.9 to 54 degrees C at the premolar, with medians of 34.9 degrees C and 35.6 degrees C, respectively. Ambient temperature correlated poorly with the intra-oral temperatures. The Asian and Caucasian groups had significantly different temperature distributions. On average during the 24-hour period, temperatures at the incisor site were in the range of 33-37 degrees C for 79 per cent of the time, below it for 20 per cent, and above it for only 1 per cent of the time. Corresponding figures for the premolar site were 92, 6, and 2 per cent. At both archwire sites the most frequent temperatures were in the range of 35-36 degrees C. The data presented demonstrate that the temperature at sites on an archwire in situ varies considerably over a 24-hour period and that racial differences may exist. This information should be considered during the manufacture and use of temperature-sensitive orthodontic materials, in particular nickel-titanium archwires and springs. (+info)Elastic activator for treatment of open bite. (7/479)
This article presents a modified activator for treatment of open bite cases. The intermaxillary acrylic of the lateral occlusal zones is replaced by elastic rubber tubes. By stimulating orthopaedic gymnastics (chewing gum effect), the elastic activator intrudes upper and lower posterior teeth. A noticeable counterclockwise rotation of the mandible was accomplished by a decrease of the gonial angle. Besides the simple fabrication of the device and uncomplicated replacement of the elastic rubber tubes, treatment can be started even in mixed dentition when affixing plates may be difficult. (+info)A laboratory investigation to compare enamel preparation by sandblasting or acid etching prior to bracket bonding. (8/479)
A laboratory investigation to compare the mean shear debonding force and mode of bond failure of metallic brackets bonded to sandblasted and acid-etched enamel is described. The buccal surfaces of 30 extracted human premolars were sandblasted for 5 seconds with 50 mu alumina and the buccal surfaces of a further 30 human premolars were etched with 37 per cent phosphoric acid for 15 seconds. Following storage for 24 hours at 37 degrees C in distilled water, shear debonding force was measured using an Instron Universal Testing Machine with a cross-head speed of 10 mm/minute. Mean shear debonding force was significantly lower for brackets bonded to sandblasted enamel compared to acid etched enamel (P < 0.001). Weibull analysis showed that at a given stress the probability of failure was significantly greater for brackets bonded to sandblasted enamel. Brackets bonded to etched enamel showed a mixed mode of bond failure whereas following sandblasting, failure was adhesive at the enamel/composite interface (P < 0.01). (+info)The aortic valve is the valve located between the left ventricle (the lower left chamber of the heart) and the aorta (the largest artery in the body, which carries oxygenated blood from the heart to the rest of the body). It is made up of three thin flaps or leaflets that open and close to regulate blood flow. During a heartbeat, the aortic valve opens to allow blood to be pumped out of the left ventricle into the aorta, and then closes to prevent blood from flowing back into the ventricle when it relaxes. Any abnormality or damage to this valve can lead to various cardiovascular conditions such as aortic stenosis, aortic regurgitation, or infective endocarditis.
Aortic valve insufficiency, also known as aortic regurgitation or aortic incompetence, is a cardiac condition in which the aortic valve does not close properly during the contraction phase of the heart cycle. This allows blood to flow back into the left ventricle from the aorta, instead of being pumped out to the rest of the body. As a result, the left ventricle must work harder to maintain adequate cardiac output, which can lead to left ventricular enlargement and heart failure over time if left untreated.
The aortic valve is a trileaflet valve that lies between the left ventricle and the aorta. During systole (the contraction phase of the heart cycle), the aortic valve opens to allow blood to be pumped out of the left ventricle into the aorta and then distributed to the rest of the body. During diastole (the relaxation phase of the heart cycle), the aortic valve closes to prevent blood from flowing back into the left ventricle.
Aortic valve insufficiency can be caused by various conditions, including congenital heart defects, infective endocarditis, rheumatic heart disease, Marfan syndrome, and trauma. Symptoms of aortic valve insufficiency may include shortness of breath, fatigue, chest pain, palpitations, and edema (swelling). Diagnosis is typically made through physical examination, echocardiography, and other imaging studies. Treatment options depend on the severity of the condition and may include medication, surgery to repair or replace the aortic valve, or a combination of both.
Heart valve diseases are a group of conditions that affect the function of one or more of the heart's four valves (tricuspid, pulmonic, mitral, and aortic). These valves are responsible for controlling the direction and flow of blood through the heart. Heart valve diseases can cause the valves to become narrowed (stenosis), leaky (regurgitation or insufficiency), or improperly closed (prolapse), leading to disrupted blood flow within the heart and potentially causing symptoms such as shortness of breath, fatigue, chest pain, and irregular heart rhythms. The causes of heart valve diseases can include congenital defects, age-related degenerative changes, infections, rheumatic heart disease, and high blood pressure. Treatment options may include medications, surgical repair or replacement of the affected valve(s), or transcatheter procedures.
Pathologic dilatation refers to an abnormal and excessive widening or enlargement of a body cavity or organ, which can result from various medical conditions. This abnormal dilation can occur in different parts of the body, including the blood vessels, digestive tract, airways, or heart chambers.
In the context of the cardiovascular system, pathologic dilatation may indicate a weakening or thinning of the heart muscle, leading to an enlarged chamber that can no longer pump blood efficiently. This condition is often associated with various heart diseases, such as cardiomyopathy, valvular heart disease, or long-standing high blood pressure.
In the gastrointestinal tract, pathologic dilatation may occur due to mechanical obstruction, neuromuscular disorders, or inflammatory conditions that affect the normal motility of the intestines. Examples include megacolon in Hirschsprung's disease, toxic megacolon in ulcerative colitis, or volvulus (twisting) of the bowel.
Pathologic dilatation can lead to various complications, such as reduced organ function, impaired circulation, and increased risk of infection or perforation. Treatment depends on the underlying cause and may involve medications, surgery, or other interventions to address the root problem and prevent further enlargement.
A bicuspid valve, also known as a mitral valve in the heart, is a heart valve that has two leaflets or cusps. It lies between the left atrium and the left ventricle and helps to regulate blood flow between these two chambers of the heart. In a healthy heart, the bicuspid valve opens to allow blood to flow from the left atrium into the left ventricle and closes tightly to prevent blood from flowing back into the left atrium during contraction of the ventricle.
A congenital heart defect known as a bicuspid aortic valve occurs when the aortic valve, which normally has three leaflets or cusps, only has two. This can lead to narrowing of the valve (aortic stenosis) or leakage of the valve (aortic regurgitation), which can cause symptoms and may require medical treatment.
Aortic valve stenosis is a cardiac condition characterized by the narrowing or stiffening of the aortic valve, which separates the left ventricle (the heart's main pumping chamber) from the aorta (the large artery that carries oxygen-rich blood to the rest of the body). This narrowing or stiffening prevents the aortic valve from opening fully, resulting in reduced blood flow from the left ventricle to the aorta and the rest of the body.
The narrowing can be caused by several factors, including congenital heart defects, calcification (hardening) of the aortic valve due to aging, or scarring of the valve due to rheumatic fever or other inflammatory conditions. As a result, the left ventricle must work harder to pump blood through the narrowed valve, which can lead to thickening and enlargement of the left ventricular muscle (left ventricular hypertrophy).
Symptoms of aortic valve stenosis may include chest pain or tightness, shortness of breath, fatigue, dizziness or fainting, and heart palpitations. Severe aortic valve stenosis can lead to serious complications such as heart failure, arrhythmias, or even sudden cardiac death. Treatment options may include medications to manage symptoms, lifestyle changes, or surgical intervention such as aortic valve replacement.
An aortic aneurysm is a medical condition characterized by the abnormal widening or bulging of the wall of the aorta, which is the largest artery in the body. The aorta carries oxygenated blood from the heart to the rest of the body. When the aortic wall weakens, it can stretch and balloon out, forming an aneurysm.
Aortic aneurysms can occur anywhere along the aorta but are most commonly found in the abdominal section (abdominal aortic aneurysm) or the chest area (thoracic aortic aneurysm). The size and location of the aneurysm, as well as the patient's overall health, determine the risk of rupture and associated complications.
Aneurysms often do not cause symptoms until they become large or rupture. Symptoms may include:
* Pain in the chest, back, or abdomen
* Pulsating sensation in the abdomen
* Difficulty breathing
* Hoarseness
* Coughing or vomiting
Risk factors for aortic aneurysms include age, smoking, high blood pressure, family history, and certain genetic conditions. Treatment options depend on the size and location of the aneurysm and may include monitoring, medication, or surgical repair.
Congenital heart defects (CHDs) are structural abnormalities in the heart that are present at birth. They can affect any part of the heart's structure, including the walls of the heart, the valves inside the heart, and the major blood vessels that lead to and from the heart.
Congenital heart defects can range from mild to severe and can cause various symptoms depending on the type and severity of the defect. Some common symptoms of CHDs include cyanosis (a bluish tint to the skin, lips, and fingernails), shortness of breath, fatigue, poor feeding, and slow growth in infants and children.
There are many different types of congenital heart defects, including:
1. Septal defects: These are holes in the walls that separate the four chambers of the heart. The two most common septal defects are atrial septal defect (ASD) and ventricular septal defect (VSD).
2. Valve abnormalities: These include narrowed or leaky valves, which can affect blood flow through the heart.
3. Obstruction defects: These occur when blood flow is blocked or restricted due to narrowing or absence of a part of the heart's structure. Examples include pulmonary stenosis and coarctation of the aorta.
4. Cyanotic heart defects: These cause a lack of oxygen in the blood, leading to cyanosis. Examples include tetralogy of Fallot and transposition of the great arteries.
The causes of congenital heart defects are not fully understood, but genetic factors and environmental influences during pregnancy may play a role. Some CHDs can be detected before birth through prenatal testing, while others may not be diagnosed until after birth or later in childhood. Treatment for CHDs may include medication, surgery, or other interventions to improve blood flow and oxygenation of the body's tissues.
The tricuspid valve is the heart valve that separates the right atrium and the right ventricle in the human heart. It is called "tricuspid" because it has three leaflets or cusps, which are also referred to as flaps or segments. These cusps are named anterior, posterior, and septal. The tricuspid valve's function is to prevent the backflow of blood from the ventricle into the atrium during systole, ensuring unidirectional flow of blood through the heart.
Heart valve prosthesis implantation is a surgical procedure where an artificial heart valve is inserted to replace a damaged or malfunctioning native heart valve. This can be necessary for patients with valvular heart disease, including stenosis (narrowing) or regurgitation (leaking), who do not respond to medical management and are at risk of heart failure or other complications.
There are two main types of artificial heart valves used in prosthesis implantation: mechanical valves and biological valves. Mechanical valves are made of synthetic materials, such as carbon and metal, and can last a long time but require lifelong anticoagulation therapy to prevent blood clots from forming. Biological valves, on the other hand, are made from animal or human tissue and typically do not require anticoagulation therapy but may have a limited lifespan and may need to be replaced in the future.
The decision to undergo heart valve prosthesis implantation is based on several factors, including the patient's age, overall health, type and severity of valvular disease, and personal preferences. The procedure can be performed through traditional open-heart surgery or minimally invasive techniques, such as robotic-assisted surgery or transcatheter aortic valve replacement (TAVR). Recovery time varies depending on the approach used and individual patient factors.
Aortic coarctation is a narrowing of the aorta, the largest blood vessel in the body that carries oxygen-rich blood from the heart to the rest of the body. This condition usually occurs in the part of the aorta that is just beyond where it arises from the left ventricle and before it divides into the iliac arteries.
In aortic coarctation, the narrowing can vary from mild to severe, and it can cause a variety of symptoms depending on the severity of the narrowing and the age of the individual. In newborns and infants with severe coarctation, symptoms may include difficulty breathing, poor feeding, and weak or absent femoral pulses (located in the groin area). Older children and adults with mild to moderate coarctation may not experience any symptoms until later in life, when high blood pressure, headaches, nosebleeds, leg cramps, or heart failure develop.
Aortic coarctation is typically diagnosed through physical examination, imaging tests such as echocardiography, CT angiography, or MRI, and sometimes cardiac catheterization. Treatment options include surgical repair or balloon dilation (also known as balloon angioplasty) to open the narrowed section of the aorta. If left untreated, aortic coarctation can lead to serious complications such as high blood pressure, heart failure, stroke, and rupture or dissection of the aorta.
The mitral valve, also known as the bicuspid valve, is a two-leaflet valve located between the left atrium and left ventricle in the heart. Its function is to ensure unidirectional flow of blood from the left atrium into the left ventricle during the cardiac cycle. The mitral valve consists of two leaflets (anterior and posterior), the chordae tendineae, papillary muscles, and the left atrial and ventricular myocardium. Dysfunction of the mitral valve can lead to various heart conditions such as mitral regurgitation or mitral stenosis.
Inbreeding in animals refers to the mating of closely related individuals, such as siblings or offspring of siblings, over multiple generations. An inbred strain is a population of animals produced by this repeated mating of close relatives, which results in a high degree of genetic similarity among members of the strain.
Inbreeding can lead to an increase in homozygosity, where identical alleles are present at corresponding loci on both chromosomes. This can result in the expression of recessive traits, some of which may be deleterious or even lethal. However, inbred strains also have advantages, such as reduced genetic variability, which makes them useful for scientific research.
Inbred strains are commonly used in biomedical research, including genetics, immunology, and behavioral studies. They provide a consistent and controlled genetic background, allowing researchers to study the effects of specific genes or environmental factors with greater precision. Additionally, inbred strains can be crossed with other strains to create hybrid populations, which can be used to map quantitative trait loci (QTL) and identify genes associated with complex traits.
Turner Syndrome is a genetic disorder that affects females, caused by complete or partial absence of one X chromosome. The typical karyotype is 45,X0 instead of the normal 46,XX in women. This condition leads to distinctive physical features and medical issues in growth, development, and fertility. Characteristic features include short stature, webbed neck, low-set ears, and swelling of the hands and feet. Other potential symptoms can include heart defects, hearing and vision problems, skeletal abnormalities, kidney issues, and learning disabilities. Not all individuals with Turner Syndrome will have every symptom, but most will require medical interventions and monitoring throughout their lives to address various health concerns associated with the condition.
The Sinus of Valsalva are three pouch-like dilations or outpouchings located at the upper part (root) of the aorta, just above the aortic valve. They are named after Antonio Maria Valsalva, an Italian anatomist and physician. These sinuses are divided into three parts:
1. Right Sinus of Valsalva: It is located to the right of the ascending aorta and usually gives rise to the right coronary artery.
2. Left Sinus of Valsalva: It is situated to the left of the ascending aorta and typically gives rise to the left coronary artery.
3. Non-coronary Sinus of Valsalva: This sinus is located in between the right and left coronary sinuses, and it does not give rise to any coronary arteries.
These sinuses play a crucial role during the cardiac cycle, particularly during ventricular contraction (systole). The pressure difference between the aorta and the ventricles causes the aortic valve cusps to be pushed into these sinuses, preventing the backflow of blood from the aorta into the ventricles.
Anatomical variations in the size and shape of the Sinuses of Valsalva can occur, and certain conditions like congenital heart diseases (e.g., aortic valve stenosis or bicuspid aortic valve) may affect their structure and function. Additionally, aneurysms or ruptures of the sinuses can lead to severe complications, such as cardiac tamponade, endocarditis, or stroke.
The pulmonary valve, also known as the pulmonic valve, is a semilunar valve located at the exit of the right ventricle of the heart and the beginning of the pulmonary artery. It has three cusps or leaflets that prevent the backflow of blood from the pulmonary artery into the right ventricle during ventricular diastole, ensuring unidirectional flow of blood towards the lungs for oxygenation.
Bacterial endocarditis is a medical condition characterized by the inflammation and infection of the inner layer of the heart, known as the endocardium. This infection typically occurs when bacteria enter the bloodstream and attach themselves to damaged or abnormal heart valves or other parts of the endocardium. The bacteria can then multiply and cause the formation of vegetations, which are clusters of infected tissue that can further damage the heart valves and lead to serious complications such as heart failure, stroke, or even death if left untreated.
Bacterial endocarditis is a relatively uncommon but potentially life-threatening condition that requires prompt medical attention. Risk factors for developing bacterial endocarditis include pre-existing heart conditions such as congenital heart defects, artificial heart valves, previous history of endocarditis, or other conditions that damage the heart valves. Intravenous drug use is also a significant risk factor for this condition.
Symptoms of bacterial endocarditis may include fever, chills, fatigue, muscle and joint pain, shortness of breath, chest pain, and a new or changing heart murmur. Diagnosis typically involves a combination of medical history, physical examination, blood cultures, and imaging tests such as echocardiography. Treatment usually involves several weeks of intravenous antibiotics to eradicate the infection, and in some cases, surgical intervention may be necessary to repair or replace damaged heart valves.
A thoracic aortic aneurysm is a localized dilatation or bulging of the thoracic aorta, which is the part of the aorta that runs through the chest cavity. The aorta is the largest artery in the body, and it carries oxygenated blood from the heart to the rest of the body.
Thoracic aortic aneurysms can occur anywhere along the thoracic aorta, but they are most commonly found in the aortic arch or the descending thoracic aorta. These aneurysms can vary in size, and they are considered significant when they are 50% larger than the expected normal diameter of the aorta.
The exact cause of thoracic aortic aneurysms is not fully understood, but several factors can contribute to their development, including:
* Atherosclerosis (hardening and narrowing of the arteries)
* High blood pressure
* Genetic disorders such as Marfan syndrome or Ehlers-Danlos syndrome
* Infections or inflammation of the aorta
* Trauma to the chest
Thoracic aortic aneurysms can be asymptomatic and found incidentally on imaging studies, or they may present with symptoms such as chest pain, cough, difficulty swallowing, or hoarseness. If left untreated, thoracic aortic aneurysms can lead to serious complications, including aortic dissection (tearing of the inner layer of the aorta) or rupture, which can be life-threatening.
Treatment options for thoracic aortic aneurysms include medical management with blood pressure control and cholesterol-lowering medications, as well as surgical repair or endovascular stenting, depending on the size, location, and growth rate of the aneurysm. Regular follow-up imaging is necessary to monitor the size and progression of the aneurysm over time.
Calcinosis is a medical condition characterized by the abnormal deposit of calcium salts in various tissues of the body, commonly under the skin or in the muscles and tendons. These calcium deposits can form hard lumps or nodules that can cause pain, inflammation, and restricted mobility. Calcinosis can occur as a complication of other medical conditions, such as autoimmune disorders, kidney disease, and hypercalcemia (high levels of calcium in the blood). In some cases, the cause of calcinosis may be unknown. Treatment for calcinosis depends on the underlying cause and may include medications to manage calcium levels, physical therapy, and surgical removal of large deposits.
Transesophageal echocardiography (TEE) is a type of echocardiogram, which is a medical test that uses sound waves to create detailed images of the heart. In TEE, a special probe containing a transducer is passed down the esophagus (the tube that connects the mouth to the stomach) to obtain views of the heart from behind. This allows for more detailed images of the heart structures and function compared to a standard echocardiogram, which uses a probe placed on the chest. TEE is often used in patients with poor image quality from a standard echocardiogram or when more detailed images are needed to diagnose or monitor certain heart conditions. It is typically performed by a trained cardiologist or sonographer under the direction of a cardiologist.
Eunuchism is a state of being a eunuch, which is a person who has had their gonads (testicles or ovaries) removed or damaged, typically as a castrated male. Historically, eunuchs were often employed in royal households and religious institutions due to their perceived lack of sexual desire and potential for loyalty. In modern medical terms, eunuchism may also refer to a condition where a person is born with underdeveloped or absent gonads, which can result in reduced sex hormone production and infertility.
GATA5 transcription factor is a protein that binds to specific DNA sequences, called GATA sites, in the regulatory regions of target genes and regulates their expression. The GATA5 protein contains two conserved domains, called zinc fingers, which mediate its binding to the GATA sites. GATA5 is mainly expressed in tissues derived from the endoderm, such as the gut, liver, and pancreas, where it plays critical roles in developmental processes, including cell fate determination, proliferation, and differentiation.
Mutations in the gene encoding GATA5 have been associated with congenital heart defects, suggesting that GATA5 is essential for normal cardiac development. In addition to its role in development, GATA5 has also been implicated in the pathogenesis of various diseases, including cancer, where it can act as a tumor suppressor or oncogene depending on the context.
Phonocardiography is a non-invasive medical procedure that involves the graphical representation and analysis of sounds produced by the heart. It uses a device called a phonocardiograph to record these sounds, which are then displayed as waveforms on a screen. The procedure is often used in conjunction with other diagnostic techniques, such as electrocardiography (ECG), to help diagnose various heart conditions, including valvular heart disease and heart murmurs.
During the procedure, a specialized microphone called a phonendoscope is placed on the chest wall over the area of the heart. The microphone picks up the sounds generated by the heart's movements, such as the closing and opening of the heart valves, and transmits them to the phonocardiograph. The phonocardiograph then converts these sounds into a visual representation, which can be analyzed for any abnormalities or irregularities in the heart's function.
Phonocardiography is a valuable tool for healthcare professionals, as it can provide important insights into the health and functioning of the heart. By analyzing the waveforms produced during phonocardiography, doctors can identify any potential issues with the heart's valves or other structures, which may require further investigation or treatment. Overall, phonocardiography is an essential component of modern cardiac diagnostics, helping to ensure that patients receive accurate and timely diagnoses for their heart conditions.
The aorta is the largest artery in the human body, which originates from the left ventricle of the heart and carries oxygenated blood to the rest of the body. It can be divided into several parts, including the ascending aorta, aortic arch, and descending aorta. The ascending aorta gives rise to the coronary arteries that supply blood to the heart muscle. The aortic arch gives rise to the brachiocephalic, left common carotid, and left subclavian arteries, which supply blood to the head, neck, and upper extremities. The descending aorta travels through the thorax and abdomen, giving rise to various intercostal, visceral, and renal arteries that supply blood to the chest wall, organs, and kidneys.
Marfan syndrome is a genetic disorder that affects the body's connective tissue. Connective tissue helps to strengthen and support various structures in the body, including the skin, ligaments, blood vessels, and heart. In Marfan syndrome, the body produces an abnormal amount of a protein called fibrillin-1, which is a key component of connective tissue. This leads to problems with the formation and function of connective tissue throughout the body.
The most serious complications of Marfan syndrome typically involve the heart and blood vessels. The aorta, which is the large artery that carries blood away from the heart, can become weakened and stretched, leading to an increased risk of aortic dissection or rupture. Other common features of Marfan syndrome include long, thin fingers and toes; tall stature; a curved spine; and eye problems such as nearsightedness and lens dislocation.
Marfan syndrome is usually inherited in an autosomal dominant pattern, which means that a child has a 50% chance of inheriting the gene mutation from a parent who has the condition. However, about 25% of cases are the result of a new mutation and occur in people with no family history of the disorder. There is no cure for Marfan syndrome, but treatment can help to manage the symptoms and reduce the risk of complications.
Replantation is a surgical procedure in which a body part that has been completely detached or amputated is reattached to the body. This procedure involves careful reattachment of bones, muscles, tendons, nerves, and blood vessels to restore function and sensation to the greatest extent possible. The success of replantation depends on various factors such as the level of injury, the condition of the amputated part, and the patient's overall health.
Aortic diseases refer to conditions that affect the aorta, which is the largest and main artery in the body. The aorta carries oxygenated blood from the heart to the rest of the body. Aortic diseases can weaken or damage the aorta, leading to various complications. Here are some common aortic diseases with their medical definitions:
1. Aortic aneurysm: A localized dilation or bulging of the aortic wall, which can occur in any part of the aorta but is most commonly found in the abdominal aorta (abdominal aortic aneurysm) or the thoracic aorta (thoracic aortic aneurysm). Aneurysms can increase the risk of rupture, leading to life-threatening bleeding.
2. Aortic dissection: A separation of the layers of the aortic wall due to a tear in the inner lining, allowing blood to flow between the layers and potentially cause the aorta to rupture. This is a medical emergency that requires immediate treatment.
3. Aortic stenosis: A narrowing of the aortic valve opening, which restricts blood flow from the heart to the aorta. This can lead to shortness of breath, chest pain, and other symptoms. Severe aortic stenosis may require surgical or transcatheter intervention to replace or repair the aortic valve.
4. Aortic regurgitation: Also known as aortic insufficiency, this condition occurs when the aortic valve does not close properly, allowing blood to leak back into the heart. This can lead to symptoms such as fatigue, shortness of breath, and palpitations. Treatment may include medication or surgical repair or replacement of the aortic valve.
5. Aortitis: Inflammation of the aorta, which can be caused by various conditions such as infections, autoimmune diseases, or vasculitides. Aortitis can lead to aneurysms, dissections, or stenosis and may require medical treatment with immunosuppressive drugs or surgical intervention.
6. Marfan syndrome: A genetic disorder that affects the connective tissue, including the aorta. People with Marfan syndrome are at risk of developing aortic aneurysms and dissections, and may require close monitoring and prophylactic surgery to prevent complications.
Heart sounds are the noises generated by the beating heart and the movement of blood through it. They are caused by the vibration of the cardiac structures, such as the valves, walls, and blood vessels, during the cardiac cycle.
There are two normal heart sounds, often described as "lub-dub," that can be heard through a stethoscope. The first sound (S1) is caused by the closure of the mitral and tricuspid valves at the beginning of systole, when the ventricles contract to pump blood out to the body and lungs. The second sound (S2) is produced by the closure of the aortic and pulmonary valves at the end of systole, as the ventricles relax and the ventricular pressure decreases, allowing the valves to close.
Abnormal heart sounds, such as murmurs, clicks, or extra sounds (S3 or S4), may indicate cardiac disease or abnormalities in the structure or function of the heart. These sounds can be evaluated through a process called auscultation, which involves listening to the heart with a stethoscope and analyzing the intensity, pitch, quality, and timing of the sounds.
A heart septal defect is a type of congenital heart defect, which means it is present at birth. It involves an abnormal opening in the septum, the wall that separates the two sides of the heart. This opening allows oxygen-rich blood to leak into the oxygen-poor blood chambers in the heart.
There are several types of heart septal defects, including:
1. Atrial Septal Defect (ASD): A hole in the atrial septum, the wall between the two upper chambers of the heart (the right and left atria).
2. Ventricular Septal Defect (VSD): A hole in the ventricular septum, the wall between the two lower chambers of the heart (the right and left ventricles).
3. Atrioventricular Septal Defect (AVSD): A combination of an ASD and a VSD, often accompanied by malformation of the mitral and/or tricuspid valves.
The severity of a heart septal defect depends on the size of the opening and its location in the septum. Small defects may cause no symptoms and may close on their own over time. Larger defects can lead to complications, such as heart failure, pulmonary hypertension, or infective endocarditis, and may require medical or surgical intervention.
Echocardiography is a medical procedure that uses sound waves to produce detailed images of the heart's structure, function, and motion. It is a non-invasive test that can help diagnose various heart conditions, such as valve problems, heart muscle damage, blood clots, and congenital heart defects.
During an echocardiogram, a transducer (a device that sends and receives sound waves) is placed on the chest or passed through the esophagus to obtain images of the heart. The sound waves produced by the transducer bounce off the heart structures and return to the transducer, which then converts them into electrical signals that are processed to create images of the heart.
There are several types of echocardiograms, including:
* Transthoracic echocardiography (TTE): This is the most common type of echocardiogram and involves placing the transducer on the chest.
* Transesophageal echocardiography (TEE): This type of echocardiogram involves passing a specialized transducer through the esophagus to obtain images of the heart from a closer proximity.
* Stress echocardiography: This type of echocardiogram is performed during exercise or medication-induced stress to assess how the heart functions under stress.
* Doppler echocardiography: This type of echocardiogram uses sound waves to measure blood flow and velocity in the heart and blood vessels.
Echocardiography is a valuable tool for diagnosing and managing various heart conditions, as it provides detailed information about the structure and function of the heart. It is generally safe, non-invasive, and painless, making it a popular choice for doctors and patients alike.
A bioprosthesis is a type of medical implant that is made from biological materials, such as heart valves or tendons taken from animals (xenografts) or humans (allografts). These materials are processed and sterilized to be used in surgical procedures to replace damaged or diseased tissues in the body.
Bioprosthetic implants are often used in cardiac surgery, such as heart valve replacement, because they are less likely to cause an immune response than synthetic materials. However, they may have a limited lifespan due to calcification and degeneration of the biological tissue over time. Therefore, bioprosthetic implants may need to be replaced after several years.
Bioprostheses can also be used in other types of surgical procedures, such as ligament or tendon repair, where natural tissue is needed to restore function and mobility. These prostheses are designed to mimic the properties of native tissues and provide a more physiological solution than synthetic materials.
The thoracic aorta is the segment of the largest artery in the human body (the aorta) that runs through the chest region (thorax). The thoracic aorta begins at the aortic arch, where it branches off from the ascending aorta, and extends down to the diaphragm, where it becomes the abdominal aorta.
The thoracic aorta is divided into three parts: the ascending aorta, the aortic arch, and the descending aorta. The ascending aorta rises from the left ventricle of the heart and is about 2 inches (5 centimeters) long. The aortic arch curves backward and to the left, giving rise to the brachiocephalic trunk, the left common carotid artery, and the left subclavian artery. The descending thoracic aorta runs downward through the chest, passing through the diaphragm to become the abdominal aorta.
The thoracic aorta supplies oxygenated blood to the upper body, including the head, neck, arms, and chest. It plays a critical role in maintaining blood flow and pressure throughout the body.
Streptococcus anginosus, also known as Streptococcus milleri, is a species of Gram-positive cocci bacteria that belongs to the viridans group of streptococci. These bacteria are part of the normal flora in the mouth, upper respiratory tract, gastrointestinal tract, and female genital tract. However, they can cause opportunistic infections when they enter normally sterile areas of the body, such as the bloodstream, brain, or abdomen.
S. anginosus infections are often associated with abscesses, endocarditis, meningitis, and septicemia. They are known for their ability to cause invasive and aggressive infections that can be difficult to treat due to their resistance to antibiotics. S. anginosus infections can occur in people of all ages but are more common in those with weakened immune systems, such as patients with cancer, HIV/AIDS, or diabetes.
The name "anginosus" comes from the Latin word for "painful," which reflects the fact that these bacteria can cause painful infections. The alternative name "milleri" was given to honor the British bacteriologist Alfred Milton Miller, who first described the species in 1902.
A heart valve prosthesis is a medical device that is implanted in the heart to replace a damaged or malfunctioning heart valve. The prosthetic valve can be made of biological tissue (such as from a pig or cow) or artificial materials (such as carbon or polyester). Its function is to allow for the proper directional flow of blood through the heart, opening and closing with each heartbeat to prevent backflow of blood.
There are several types of heart valve prostheses, including:
1. Mechanical valves: These are made entirely of artificial materials and have a longer lifespan than biological valves. However, they require the patient to take blood-thinning medication for the rest of their life to prevent blood clots from forming on the valve.
2. Bioprosthetic valves: These are made of biological tissue and typically last 10-15 years before needing replacement. They do not require the patient to take blood-thinning medication, but there is a higher risk of reoperation due to degeneration of the tissue over time.
3. Homografts or allografts: These are human heart valves that have been donated and preserved for transplantation. They have similar longevity to bioprosthetic valves and do not require blood-thinning medication.
4. Autografts: In this case, the patient's own pulmonary valve is removed and used to replace the damaged aortic valve. This procedure is called the Ross procedure and has excellent long-term results, but it requires advanced surgical skills and is not widely available.
The choice of heart valve prosthesis depends on various factors, including the patient's age, overall health, lifestyle, and personal preferences.
A dissecting aneurysm is a serious and potentially life-threatening condition that occurs when there is a tear in the inner layer of the artery wall, allowing blood to flow between the layers of the artery wall. This can cause the artery to bulge or balloon out, leading to a dissection aneurysm.
Dissecting aneurysms can occur in any artery, but they are most commonly found in the aorta, which is the largest artery in the body. When a dissecting aneurysm occurs in the aorta, it is often referred to as a "dissecting aortic aneurysm."
Dissecting aneurysms can be caused by various factors, including high blood pressure, atherosclerosis (hardening and narrowing of the arteries), genetic disorders that affect the connective tissue, trauma, or illegal drug use (such as cocaine).
Symptoms of a dissecting aneurysm may include sudden severe chest or back pain, which can feel like ripping or tearing, shortness of breath, sweating, lightheadedness, or loss of consciousness. If left untreated, a dissecting aneurysm can lead to serious complications, such as rupture of the artery, stroke, or even death.
Treatment for a dissecting aneurysm typically involves surgery or endovascular repair to prevent further damage and reduce the risk of rupture. The specific treatment approach will depend on various factors, including the location and size of the aneurysm, the patient's overall health, and their medical history.
Coronary vessel anomalies refer to abnormalities in the structure, origin, or course of the coronary arteries or veins. These vessels are responsible for delivering oxygenated blood to the heart muscle. Some common types of coronary vessel anomalies include:
1. Anomalous Origin of the Coronary Artery (AOCA): This occurs when one or both of the coronary arteries originate from an abnormal location in the aorta. The left coronary artery may arise from the right sinus of Valsalva, while the right coronary artery may arise from the left sinus of Valsalva. This can lead to ischemia (reduced blood flow) and potentially life-threatening complications such as sudden cardiac death.
2. Coronary Artery Fistula: A fistula is an abnormal connection between a coronary artery and another chamber or vessel in the heart. Blood flows directly from the high-pressure coronary artery into a low-pressure chamber, bypassing the capillaries and leading to a steal phenomenon where oxygenated blood is diverted away from the heart muscle.
3. Coronary Artery Aneurysm: An aneurysm is a localized dilation or bulging of the coronary artery wall. This can lead to complications such as thrombosis (blood clot formation), embolism (blockage caused by a clot that travels to another location), or rupture, which can be life-threatening.
4. Myocardial Bridge: In this condition, a segment of the coronary artery passes between the muscle fibers of the heart, instead of running along its surface. This can cause compression of the artery during systole (contraction) and lead to ischemia.
5. Kawasaki Disease: Although not strictly an anomaly, Kawasaki disease is a pediatric illness that can result in coronary artery aneurysms and other complications if left untreated.
Coronary vessel anomalies may be asymptomatic or present with symptoms such as chest pain, shortness of breath, palpitations, or syncope (fainting). Diagnosis typically involves imaging techniques such as coronary angiography, computed tomography (CT) angiography, or magnetic resonance angiography. Treatment depends on the specific anomaly and may involve medications, percutaneous interventions, or surgical correction.
Suture techniques refer to the various methods used by surgeons to sew or stitch together tissues in the body after an injury, trauma, or surgical incision. The main goal of suturing is to approximate and hold the edges of the wound together, allowing for proper healing and minimizing scar formation.
There are several types of suture techniques, including:
1. Simple Interrupted Suture: This is one of the most basic suture techniques where the needle is passed through the tissue at a right angle, creating a loop that is then tightened to approximate the wound edges. Multiple stitches are placed along the length of the incision or wound.
2. Continuous Locking Suture: In this technique, the needle is passed continuously through the tissue in a zigzag pattern, with each stitch locking into the previous one. This creates a continuous line of sutures that provides strong tension and support to the wound edges.
3. Running Suture: Similar to the continuous locking suture, this technique involves passing the needle continuously through the tissue in a straight line. However, instead of locking each stitch, the needle is simply passed through the previous loop before being tightened. This creates a smooth and uninterrupted line of sutures that can be easily removed after healing.
4. Horizontal Mattress Suture: In this technique, two parallel stitches are placed horizontally across the wound edges, creating a "mattress" effect that provides additional support and tension to the wound. This is particularly useful in deep or irregularly shaped wounds.
5. Vertical Mattress Suture: Similar to the horizontal mattress suture, this technique involves placing two parallel stitches vertically across the wound edges. This creates a more pronounced "mattress" effect that can help reduce tension and minimize scarring.
6. Subcuticular Suture: In this technique, the needle is passed just below the surface of the skin, creating a smooth and barely visible line of sutures. This is particularly useful in cosmetic surgery or areas where minimizing scarring is important.
The choice of suture technique depends on various factors such as the location and size of the wound, the type of tissue involved, and the patient's individual needs and preferences. Proper suture placement and tension are crucial for optimal healing and aesthetic outcomes.
Doppler echocardiography is a type of ultrasound test that uses high-frequency sound waves to produce detailed images of the heart and its blood vessels. It measures the direction and speed of blood flow in the heart and major blood vessels leading to and from the heart. This helps to evaluate various conditions such as valve problems, congenital heart defects, and heart muscle diseases.
In Doppler echocardiography, a small handheld device called a transducer is placed on the chest, which emits sound waves that bounce off the heart and blood vessels. The transducer then picks up the returning echoes, which are processed by a computer to create moving images of the heart.
The Doppler effect is used to measure the speed and direction of blood flow. This occurs when the frequency of the sound waves changes as they bounce off moving objects, such as red blood cells. By analyzing these changes, the ultrasound machine can calculate the velocity and direction of blood flow in different parts of the heart.
Doppler echocardiography is a non-invasive test that does not require any needles or dyes. It is generally safe and painless, although patients may experience some discomfort from the pressure applied by the transducer on the chest. The test usually takes about 30 to 60 minutes to complete.
Aortography is a medical procedure that involves taking X-ray images of the aorta, which is the largest blood vessel in the body. The procedure is usually performed to diagnose or assess various conditions related to the aorta, such as aneurysms, dissections, or blockages.
To perform an aortography, a contrast dye is injected into the aorta through a catheter that is inserted into an artery, typically in the leg or arm. The contrast dye makes the aorta visible on X-ray images, allowing doctors to see its structure and any abnormalities that may be present.
The procedure is usually performed in a hospital or outpatient setting and may require sedation or anesthesia. While aortography can provide valuable diagnostic information, it also carries some risks, such as allergic reactions to the contrast dye, damage to blood vessels, or infection. Therefore, it is typically reserved for situations where other diagnostic tests have been inconclusive or where more invasive treatment may be required.
Notch 1 is a type of receptor that belongs to the family of single-transmembrane receptors known as Notch receptors. It is a heterodimeric transmembrane protein composed of an extracellular domain and an intracellular domain, which play crucial roles in cell fate determination, proliferation, differentiation, and apoptosis during embryonic development and adult tissue homeostasis.
The Notch 1 receptor is activated through a conserved mechanism of ligand-receptor interaction, where the extracellular domain of the receptor interacts with the membrane-bound ligands Jagged 1 or 2 and Delta-like 1, 3, or 4 expressed on adjacent cells. This interaction triggers a series of proteolytic cleavages that release the intracellular domain of Notch 1 (NICD) from the membrane. NICD then translocates to the nucleus and interacts with the DNA-binding protein CSL (CBF1/RBPJκ in mammals) and coactivators Mastermind-like proteins to regulate the expression of target genes, including members of the HES and HEY families.
Mutations in NOTCH1 have been associated with various human diseases, such as T-cell acute lymphoblastic leukemia (T-ALL), a type of cancer that affects the immune system's T cells, and vascular diseases, including arterial calcification, atherosclerosis, and aneurysms.
Cardiovascular models are simplified representations or simulations of the human cardiovascular system used in medical research, education, and training. These models can be physical, computational, or mathematical and are designed to replicate various aspects of the heart, blood vessels, and blood flow. They can help researchers study the structure and function of the cardiovascular system, test new treatments and interventions, and train healthcare professionals in diagnostic and therapeutic techniques.
Physical cardiovascular models may include artificial hearts, blood vessels, or circulation systems made from materials such as plastic, rubber, or silicone. These models can be used to study the mechanics of heart valves, the effects of different surgical procedures, or the impact of various medical devices on blood flow.
Computational and mathematical cardiovascular models use algorithms and equations to simulate the behavior of the cardiovascular system. These models may range from simple representations of a single heart chamber to complex simulations of the entire circulatory system. They can be used to study the electrical activity of the heart, the biomechanics of blood flow, or the distribution of drugs in the body.
Overall, cardiovascular models play an essential role in advancing our understanding of the human body and improving patient care.
Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.
Echocardiography, Doppler, color is a type of ultrasound test that uses sound waves to create detailed moving images of the heart and its blood vessels. In this technique, color Doppler is used to visualize the direction and speed of blood flow through the heart and great vessels. The movement of the red blood cells causes a change in frequency of the reflected sound waves (Doppler shift), which can be used to calculate the velocity and direction of the blood flow. By adding color to the Doppler image, it becomes easier for the interpreting physician to understand the complex three-dimensional motion of blood through the heart. This test is often used to diagnose and monitor various heart conditions, including valve disorders, congenital heart defects, and cardiac muscle diseases.
'Abnormalities, Multiple' is a broad term that refers to the presence of two or more structural or functional anomalies in an individual. These abnormalities can be present at birth (congenital) or can develop later in life (acquired). They can affect various organs and systems of the body and can vary greatly in severity and impact on a person's health and well-being.
Multiple abnormalities can occur due to genetic factors, environmental influences, or a combination of both. Chromosomal abnormalities, gene mutations, exposure to teratogens (substances that cause birth defects), and maternal infections during pregnancy are some of the common causes of multiple congenital abnormalities.
Examples of multiple congenital abnormalities include Down syndrome, Turner syndrome, and VATER/VACTERL association. Acquired multiple abnormalities can result from conditions such as trauma, infection, degenerative diseases, or cancer.
The medical evaluation and management of individuals with multiple abnormalities depend on the specific abnormalities present and their impact on the individual's health and functioning. A multidisciplinary team of healthcare professionals is often involved in the care of these individuals to address their complex needs.
Hemodynamics is the study of how blood flows through the cardiovascular system, including the heart and the vascular network. It examines various factors that affect blood flow, such as blood volume, viscosity, vessel length and diameter, and pressure differences between different parts of the circulatory system. Hemodynamics also considers the impact of various physiological and pathological conditions on these variables, and how they in turn influence the function of vital organs and systems in the body. It is a critical area of study in fields such as cardiology, anesthesiology, and critical care medicine.
A Severity of Illness Index is a measurement tool used in healthcare to assess the severity of a patient's condition and the risk of mortality or other adverse outcomes. These indices typically take into account various physiological and clinical variables, such as vital signs, laboratory values, and co-morbidities, to generate a score that reflects the patient's overall illness severity.
Examples of Severity of Illness Indices include the Acute Physiology and Chronic Health Evaluation (APACHE) system, the Simplified Acute Physiology Score (SAPS), and the Mortality Probability Model (MPM). These indices are often used in critical care settings to guide clinical decision-making, inform prognosis, and compare outcomes across different patient populations.
It is important to note that while these indices can provide valuable information about a patient's condition, they should not be used as the sole basis for clinical decision-making. Rather, they should be considered in conjunction with other factors, such as the patient's overall clinical presentation, treatment preferences, and goals of care.
Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.
Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.
Follow-up studies are a type of longitudinal research that involve repeated observations or measurements of the same variables over a period of time, in order to understand their long-term effects or outcomes. In medical context, follow-up studies are often used to evaluate the safety and efficacy of medical treatments, interventions, or procedures.
In a typical follow-up study, a group of individuals (called a cohort) who have received a particular treatment or intervention are identified and then followed over time through periodic assessments or data collection. The data collected may include information on clinical outcomes, adverse events, changes in symptoms or functional status, and other relevant measures.
The results of follow-up studies can provide important insights into the long-term benefits and risks of medical interventions, as well as help to identify factors that may influence treatment effectiveness or patient outcomes. However, it is important to note that follow-up studies can be subject to various biases and limitations, such as loss to follow-up, recall bias, and changes in clinical practice over time, which must be carefully considered when interpreting the results.
A reoperation is a surgical procedure that is performed again on a patient who has already undergone a previous operation for the same or related condition. Reoperations may be required due to various reasons, such as inadequate initial treatment, disease recurrence, infection, or complications from the first surgery. The nature and complexity of a reoperation can vary widely depending on the specific circumstances, but it often carries higher risks and potential complications compared to the original operation.
Blood vessel prosthesis implantation is a surgical procedure in which an artificial blood vessel, also known as a vascular graft or prosthetic graft, is inserted into the body to replace a damaged or diseased native blood vessel. The prosthetic graft can be made from various materials such as Dacron (polyester), PTFE (polytetrafluoroethylene), or bovine/human tissue.
The implantation of a blood vessel prosthesis is typically performed to treat conditions that cause narrowing or blockage of the blood vessels, such as atherosclerosis, aneurysms, or traumatic injuries. The procedure may be used to bypass blocked arteries in the legs (peripheral artery disease), heart (coronary artery bypass surgery), or neck (carotid endarterectomy). It can also be used to replace damaged veins for hemodialysis access in patients with kidney failure.
The success of blood vessel prosthesis implantation depends on various factors, including the patient's overall health, the location and extent of the vascular disease, and the type of graft material used. Possible complications include infection, bleeding, graft thrombosis (clotting), and graft failure, which may require further surgical intervention or endovascular treatments.
Cardiac surgical procedures are operations that are performed on the heart or great vessels (the aorta and vena cava) by cardiothoracic surgeons. These surgeries are often complex and require a high level of skill and expertise. Some common reasons for cardiac surgical procedures include:
1. Coronary artery bypass grafting (CABG): This is a surgery to improve blood flow to the heart in patients with coronary artery disease. During the procedure, a healthy blood vessel from another part of the body is used to create a detour around the blocked or narrowed portion of the coronary artery.
2. Valve repair or replacement: The heart has four valves that control blood flow through and out of the heart. If one or more of these valves become damaged or diseased, they may need to be repaired or replaced. This can be done using artificial valves or valves from animal or human donors.
3. Aneurysm repair: An aneurysm is a weakened area in the wall of an artery that can bulge out and potentially rupture. If an aneurysm occurs in the aorta, it may require surgical repair to prevent rupture.
4. Heart transplantation: In some cases, heart failure may be so severe that a heart transplant is necessary. This involves removing the diseased heart and replacing it with a healthy donor heart.
5. Arrhythmia surgery: Certain types of abnormal heart rhythms (arrhythmias) may require surgical treatment. One such procedure is called the Maze procedure, which involves creating a pattern of scar tissue in the heart to disrupt the abnormal electrical signals that cause the arrhythmia.
6. Congenital heart defect repair: Some people are born with structural problems in their hearts that require surgical correction. These may include holes between the chambers of the heart or abnormal blood vessels.
Cardiac surgical procedures carry risks, including bleeding, infection, stroke, and death. However, for many patients, these surgeries can significantly improve their quality of life and longevity.
Three-dimensional (3D) imaging in medicine refers to the use of technologies and techniques that generate a 3D representation of internal body structures, organs, or tissues. This is achieved by acquiring and processing data from various imaging modalities such as X-ray computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, or confocal microscopy. The resulting 3D images offer a more detailed visualization of the anatomy and pathology compared to traditional 2D imaging techniques, allowing for improved diagnostic accuracy, surgical planning, and minimally invasive interventions.
In 3D imaging, specialized software is used to reconstruct the acquired data into a volumetric model, which can be manipulated and viewed from different angles and perspectives. This enables healthcare professionals to better understand complex anatomical relationships, detect abnormalities, assess disease progression, and monitor treatment response. Common applications of 3D imaging include neuroimaging, orthopedic surgery planning, cancer staging, dental and maxillofacial reconstruction, and interventional radiology procedures.
The Chi-square distribution is a continuous probability distribution that is often used in statistical hypothesis testing. It is the distribution of a sum of squares of k independent standard normal random variables. The resulting quantity follows a chi-square distribution with k degrees of freedom, denoted as χ²(k).
The probability density function (pdf) of the Chi-square distribution with k degrees of freedom is given by:
f(x; k) = (1/ (2^(k/2) * Γ(k/2))) \* x^((k/2)-1) \* e^(-x/2), for x > 0 and 0, otherwise.
Where Γ(k/2) is the gamma function evaluated at k/2. The mean and variance of a Chi-square distribution with k degrees of freedom are k and 2k, respectively.
The Chi-square distribution has various applications in statistical inference, including testing goodness-of-fit, homogeneity of variances, and independence in contingency tables.
Medical Definition:
"Risk factors" are any attribute, characteristic or exposure of an individual that increases the likelihood of developing a disease or injury. They can be divided into modifiable and non-modifiable risk factors. Modifiable risk factors are those that can be changed through lifestyle choices or medical treatment, while non-modifiable risk factors are inherent traits such as age, gender, or genetic predisposition. Examples of modifiable risk factors include smoking, alcohol consumption, physical inactivity, and unhealthy diet, while non-modifiable risk factors include age, sex, and family history. It is important to note that having a risk factor does not guarantee that a person will develop the disease, but rather indicates an increased susceptibility.
A case-control study is an observational research design used to identify risk factors or causes of a disease or health outcome. In this type of study, individuals with the disease or condition (cases) are compared with similar individuals who do not have the disease or condition (controls). The exposure history or other characteristics of interest are then compared between the two groups to determine if there is an association between the exposure and the disease.
Case-control studies are often used when it is not feasible or ethical to conduct a randomized controlled trial, as they can provide valuable insights into potential causes of diseases or health outcomes in a relatively short period of time and at a lower cost than other study designs. However, because case-control studies rely on retrospective data collection, they are subject to biases such as recall bias and selection bias, which can affect the validity of the results. Therefore, it is important to carefully design and conduct case-control studies to minimize these potential sources of bias.
Prosthesis design is a specialized field in medical device technology that involves creating and developing artificial substitutes to replace a missing body part, such as a limb, tooth, eye, or internal organ. The design process typically includes several stages: assessment of the patient's needs, selection of appropriate materials, creation of a prototype, testing and refinement, and final fabrication and fitting of the prosthesis.
The goal of prosthesis design is to create a device that functions as closely as possible to the natural body part it replaces, while also being comfortable, durable, and aesthetically pleasing for the patient. The design process may involve collaboration between medical professionals, engineers, and designers, and may take into account factors such as the patient's age, lifestyle, occupation, and overall health.
Prosthesis design can be highly complex, particularly for advanced devices such as robotic limbs or implantable organs. These devices often require sophisticated sensors, actuators, and control systems to mimic the natural functions of the body part they replace. As a result, prosthesis design is an active area of research and development in the medical field, with ongoing efforts to improve the functionality, comfort, and affordability of these devices for patients.
Risk assessment in the medical context refers to the process of identifying, evaluating, and prioritizing risks to patients, healthcare workers, or the community related to healthcare delivery. It involves determining the likelihood and potential impact of adverse events or hazards, such as infectious diseases, medication errors, or medical devices failures, and implementing measures to mitigate or manage those risks. The goal of risk assessment is to promote safe and high-quality care by identifying areas for improvement and taking action to minimize harm.
"Age factors" refer to the effects, changes, or differences that age can have on various aspects of health, disease, and medical care. These factors can encompass a wide range of issues, including:
1. Physiological changes: As people age, their bodies undergo numerous physical changes that can affect how they respond to medications, illnesses, and medical procedures. For example, older adults may be more sensitive to certain drugs or have weaker immune systems, making them more susceptible to infections.
2. Chronic conditions: Age is a significant risk factor for many chronic diseases, such as heart disease, diabetes, cancer, and arthritis. As a result, age-related medical issues are common and can impact treatment decisions and outcomes.
3. Cognitive decline: Aging can also lead to cognitive changes, including memory loss and decreased decision-making abilities. These changes can affect a person's ability to understand and comply with medical instructions, leading to potential complications in their care.
4. Functional limitations: Older adults may experience physical limitations that impact their mobility, strength, and balance, increasing the risk of falls and other injuries. These limitations can also make it more challenging for them to perform daily activities, such as bathing, dressing, or cooking.
5. Social determinants: Age-related factors, such as social isolation, poverty, and lack of access to transportation, can impact a person's ability to obtain necessary medical care and affect their overall health outcomes.
Understanding age factors is critical for healthcare providers to deliver high-quality, patient-centered care that addresses the unique needs and challenges of older adults. By taking these factors into account, healthcare providers can develop personalized treatment plans that consider a person's age, physical condition, cognitive abilities, and social circumstances.
I'm sorry for any confusion, but "Linear Models" is actually a term from the field of statistics and machine learning, rather than medicine. A linear model is a type of statistical model that is used to analyze the relationship between two or more variables. In a linear model, the relationship between the dependent variable (the outcome or result) and the independent variable(s) (the factors being studied) is assumed to be linear, meaning that it can be described by a straight line on a graph.
The equation for a simple linear model with one independent variable (x) and one dependent variable (y) looks like this:
y = β0 + β1*x + ε
In this equation, β0 is the y-intercept or the value of y when x equals zero, β1 is the slope or the change in y for each unit increase in x, and ε is the error term or the difference between the actual values of y and the predicted values of y based on the linear model.
Linear models are widely used in medical research to study the relationship between various factors (such as exposure to a risk factor or treatment) and health outcomes (such as disease incidence or mortality). They can also be used to adjust for confounding variables, which are factors that may influence both the independent variable and the dependent variable, and thus affect the observed relationship between them.
The Predictive Value of Tests, specifically the Positive Predictive Value (PPV) and Negative Predictive Value (NPV), are measures used in diagnostic tests to determine the probability that a positive or negative test result is correct.
Positive Predictive Value (PPV) is the proportion of patients with a positive test result who actually have the disease. It is calculated as the number of true positives divided by the total number of positive results (true positives + false positives). A higher PPV indicates that a positive test result is more likely to be a true positive, and therefore the disease is more likely to be present.
Negative Predictive Value (NPV) is the proportion of patients with a negative test result who do not have the disease. It is calculated as the number of true negatives divided by the total number of negative results (true negatives + false negatives). A higher NPV indicates that a negative test result is more likely to be a true negative, and therefore the disease is less likely to be present.
The predictive value of tests depends on the prevalence of the disease in the population being tested, as well as the sensitivity and specificity of the test. A test with high sensitivity and specificity will generally have higher predictive values than a test with low sensitivity and specificity. However, even a highly sensitive and specific test can have low predictive values if the prevalence of the disease is low in the population being tested.
Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.
I must clarify that the term "pedigree" is not typically used in medical definitions. Instead, it is often employed in genetics and breeding, where it refers to the recorded ancestry of an individual or a family, tracing the inheritance of specific traits or diseases. In human genetics, a pedigree can help illustrate the pattern of genetic inheritance in families over multiple generations. However, it is not a medical term with a specific clinical definition.
X-ray computed tomography (CT or CAT scan) is a medical imaging method that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional (tomographic) images (virtual "slices") of the body. These cross-sectional images can then be used to display detailed internal views of organs, bones, and soft tissues in the body.
The term "computed tomography" is used instead of "CT scan" or "CAT scan" because the machines take a series of X-ray measurements from different angles around the body and then use a computer to process these data to create detailed images of internal structures within the body.
CT scanning is a noninvasive, painless medical test that helps physicians diagnose and treat medical conditions. CT imaging provides detailed information about many types of tissue including lung, bone, soft tissue and blood vessels. CT examinations can be performed on every part of the body for a variety of reasons including diagnosis, surgical planning, and monitoring of therapeutic responses.
In computed tomography (CT), an X-ray source and detector rotate around the patient, measuring the X-ray attenuation at many different angles. A computer uses this data to construct a cross-sectional image by the process of reconstruction. This technique is called "tomography". The term "computed" refers to the use of a computer to reconstruct the images.
CT has become an important tool in medical imaging and diagnosis, allowing radiologists and other physicians to view detailed internal images of the body. It can help identify many different medical conditions including cancer, heart disease, lung nodules, liver tumors, and internal injuries from trauma. CT is also commonly used for guiding biopsies and other minimally invasive procedures.
In summary, X-ray computed tomography (CT or CAT scan) is a medical imaging technique that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional images of the body. It provides detailed internal views of organs, bones, and soft tissues in the body, allowing physicians to diagnose and treat medical conditions.
In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.
For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.
Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.
Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.
Analysis of Variance (ANOVA) is a statistical technique used to compare the means of two or more groups and determine whether there are any significant differences between them. It is a way to analyze the variance in a dataset to determine whether the variability between groups is greater than the variability within groups, which can indicate that the groups are significantly different from one another.
ANOVA is based on the concept of partitioning the total variance in a dataset into two components: variance due to differences between group means (also known as "between-group variance") and variance due to differences within each group (also known as "within-group variance"). By comparing these two sources of variance, ANOVA can help researchers determine whether any observed differences between groups are statistically significant, or whether they could have occurred by chance.
ANOVA is a widely used technique in many areas of research, including biology, psychology, engineering, and business. It is often used to compare the means of two or more experimental groups, such as a treatment group and a control group, to determine whether the treatment had a significant effect. ANOVA can also be used to compare the means of different populations or subgroups within a population, to identify any differences that may exist between them.
Medical Definition:
Magnetic Resonance Imaging (MRI) is a non-invasive diagnostic imaging technique that uses a strong magnetic field and radio waves to create detailed cross-sectional or three-dimensional images of the internal structures of the body. The patient lies within a large, cylindrical magnet, and the scanner detects changes in the direction of the magnetic field caused by protons in the body. These changes are then converted into detailed images that help medical professionals to diagnose and monitor various medical conditions, such as tumors, injuries, or diseases affecting the brain, spinal cord, heart, blood vessels, joints, and other internal organs. MRI does not use radiation like computed tomography (CT) scans.
A phenotype is the physical or biochemical expression of an organism's genes, or the observable traits and characteristics resulting from the interaction of its genetic constitution (genotype) with environmental factors. These characteristics can include appearance, development, behavior, and resistance to disease, among others. Phenotypes can vary widely, even among individuals with identical genotypes, due to differences in environmental influences, gene expression, and genetic interactions.
Bicuspid aortic valve
Gruen Von Behrens
Sarrell Dental & Eye Centers
Bicon Dental Implants
Prodeinotherium
Aortic dissection
Quartic plane curve
Uropeltis broughami
Anguimorpha
Indrella
Ventricular outflow tract obstruction
Glossary of gastropod terms
Tersomius
Aortic valve
Glossary of ichthyology
Latia neritoides
Valvular heart disease
Hominid dental morphology evolution
John Maurice Hardman Campbell
Ariophanta laevipes
Hans-Joachim Schäfers
Aortic valve repair
Notch proteins
Mandibular first premolar
Notch 1
Stefan Struve
Tooth
Mandibular second premolar
Pseudotropheus sp. "acei"
Doleserpeton
Bicuspid aortic valve - Wikipedia
Bicuspid aortic valve : MedlinePlus Medical Encyclopedia
Bicuspid Aortic Valve: Practice Essentials, Background, Pathophysiology
Help (Dr. Bicuspid) | DrBicuspid.com
Frontiers | Bicuspid Valve Sizing for Transcatheter Aortic Valve Implantation: The Missing Link
Bicuspid aortic stenosis - wikidoc
3M™ Unitek™ Modular Band Kit Organizer, Bicuspid, Lower, Proportional, 185-122, 1/Ea | 3M United States
Frontiers | Carotid Stiffness Assessment With Ultrafast Ultrasound Imaging in Case of Bicuspid Aortic Valve
Pregnancy-related aortic complications in women with bicuspid aortic valve | Heart
Webinar - Bicuspid Aortic Valve Patients: What Are Your Options?
2014 Bicuspid Aortic Valve Conference Video Playback
Bicuspid Aortic Valve: Care Instructions
Bicuspid Aortic Valve and Aortic Aneurysm-Surgical Implications - SMPH Video Library
Rating: 3D Fusion Bands Bicuspid Refill - 100/Pack | Practicon Dental Supplies
Aortic Valve Endocarditis: Comparing clinical outcomes in bicuspid versus tricuspid aortic valves - Cardiac Risk in the Young
ROBO4 variants predispose individuals to bicuspid aortic valve and thoracic aortic aneurysm
Getting Life Insurance With Bicuspid Aortic Valve | American Term
Restoration of a Missing Maxillary Right Lateral Incisor and Maxillary Left First Bicuspid - Bicon Dental Implants
19-Year-Old Male Athlete With Bicuspid Aortic Valve and Athletic Heart Needing Clearance Prior to Professional Soccer Tryout -...
Argentina Presents: Is TAVR an Option for Patients With Bicuspid Aortic Stenosis and Aortic Root Dilatation? | tctmd.com
Upper Incisors Cuspids Bicuspid - GerMedUSA
Bicuspid Aortic Valve - Pediatrics - MSD Manual Professional Edition
ESC 365 - Integral study of the ascending and descending aorta biomechanics in a bicuspid aortic valve population.
Four-dimensional virtual catheter: Noninvasive assessment of intra-aortic hemodynamics in bicuspid aortic valve disease<...
ConceptNet 5: bicuspid valves
Bicuspid Bands Lower/Upper
Data for: Computational modeling of bicuspid aortopathy: Towards personalized risk strategies. - Mendeley Data
Bicuspid Aortic Valve: Background, Pathophysiology, Epidemiology
Aorta11
- Identifying hemodynamic patterns in the aorta after left ventricle systole aids in predicting consequential complications of bicuspid aortic valve. (wikipedia.org)
- He says other characteristics to be factored in when considering TAVR for bicuspid valves are the age of the patient and the size of the aorta. (medscape.com)
- Another complicating factor for bicuspids is that the same genetic abnormality can lead to a large aorta, and if we see that on the scan, then surgery may be a better option as we can address that at the same time," he added. (medscape.com)
- Histologic abnormalities of the ascending aorta and pulmonary trunk in patients with bicuspid aortic valve disease: clinical relevance to the ross procedure. (medscape.com)
- Matsuyama S, Nishida T, Ushijima T, Tominaga R. Long-term results after treatment of the ascending aorta for bicuspid aortic valve patients. (medscape.com)
- Relation of coarctation of the aorta to the occurrence of ascending aortic dilation in children and young adults with bicuspid aortic valves. (medscape.com)
- Bicuspid aortic valve is often observed with other left-sided obstructive lesions such as coarctation of the aorta or interrupted aortic arch , suggesting a common developmental mechanism. (medscape.com)
- The bicuspid aortic valve defects are sometimes associated with other defects of the aorta and other left side heart abnormalities. (snec.com.sg)
- Bicuspid Aortic Valve Disease (BAV) patients with an aneurysmal proximal thoracic aorta have a higher risk of acute aortic dissection compared to TAV patients [1]. (fortunepublish.com)
- To address this issue, we reviewed our experience in patients undergoing ascending aorta replacement during bicuspid aortic valve replacement. (elsevierpure.com)
- Methods: We reviewed 702 patients who underwent ascending aorta replacement at the time of initial nonemergent native bicuspid aortic valve replacement at our institution between January 2000 and June 2017. (elsevierpure.com)
Congenitally bicuspid aorti3
- The congenitally bicuspid aortic valve. (medscape.com)
- Aortic valve regurgitation and the congenitally bicuspid aortic valve: a clinico-pathological correlation. (medscape.com)
- A congenitally bicuspid aortic valve has two functional leaflets. (medscape.com)
Observed with bicuspid aorti1
- [ 8 ] A left-dominant coronary system (ie, posterior-descending coronary artery arising from the left coronary artery) is more commonly observed with bicuspid aortic valve. (medscape.com)
Dilation6
- clarification needed] Ultimately there is a risk of rupture in the aortic valve due to bicuspid aortopathy which is a result of progressive aortic dilation from the stress of having only two valve leaflets where three are normal. (wikipedia.org)
- Recognition of a bicuspid valve, even in a patient who has normal valve function, is important for purposes of follow-up because of the association of bicuspid valves with an aortopathy that results in progressive aortic root or ascending aortic dilation and aneurysm formation. (msdmanuals.com)
- Familial clustering of bicuspid aortic valve and its relationship with aortic dilation in first-degree relatives. (vrachjournal.ru)
- Aortic dilation in bicuspid aortic valve disease: flow pattern is a major contributor and differs with valve fusion type. (ox.ac.uk)
- BACKGROUND: Ascending aortic dilation is important in bicuspid aortic valve (BAV) disease, with increased risk of aortic dissection. (ox.ac.uk)
- The BAV registry was developed to better characterize patients with bicuspid aortic valve disease by assessing patterns of aortic dilation, potential genetic markers, and the effects of medical intervention in this population. (fortunepublish.com)
Aortopathy2
- The aortopathy of bicuspid aortic valve disease has distinctive patterns and usually involves the transverse aortic arch. (medscape.com)
- Background: There is controversy regarding the extent of aortic resection necessary in patients with aortopathy related to bicuspid aortic valve disease. (elsevierpure.com)
Valves17
- However, all the randomized trials of TAVR to date have excluded patients with bicuspid valves, the anatomy of which is thought to be more difficult for the TAVR procedure to accommodate than the more common tricuspid valves. (medscape.com)
- Of these, 2726 had bicuspid valves. (medscape.com)
- The authors, led by Raj Makkar, MD, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, explain that about 1% of people are estimated to have bicuspid aortic valves, but because these valves are more prone to early degeneration, they account for up to 50% of patients requiring surgery in the younger population. (medscape.com)
- To Medscape Medical News, Reardon added: "The current data suggest that bicuspid valves are also a good target for TAVR in selected cases. (medscape.com)
- He explained that the anatomy of bicuspid valves varies, with some anatomies more suitable for TAVR than others. (medscape.com)
- Patients with bicuspid valves included in this study had been selected by the heart teams for the procedure so they probably had favorable anatomy, but we can't tell that from this data. (medscape.com)
- Reardon noted that more data will be become available from several ongoing prospective trials of TAVR in bicuspid valves with independent core labs and clinical events committees. (medscape.com)
- Bicuspid aortic valves in hearts with other congenital heart disease. (medscape.com)
- Congenitally bicuspid aortic valves: a surgical pathology study of 542 cases (1991 through 1996) and a literature review of 2,715 additional cases. (medscape.com)
- Bicuspid aortic valves and dilated aortas: a critical review of the ACC/AHA practice guidelines recommendations. (medscape.com)
- However, the disease process at the tissue level in bicuspid aortic valves has not been specifically examined, until now. (bmj.com)
- In this issue of Heart , the study by Wallby and colleagues 14 is the first to compare the disease process at the tissue level in bicuspid and in trileaflet valves in patients with severe stenosis undergoing aortic valve replacement. (bmj.com)
- At least half of all congenitally bicuspid valves have a low raphe, which never attains the plane of the attachments of the two commissures and never extends to the free margin of the conjoined cusp. (medscape.com)
- Please explain why the bicuspid valves have 2 flaps and the tricuspid valves have 3 flaps? (healthtap.com)
- How can the bicuspid and tricuspid valves open and close? (healthtap.com)
- There is a genetic predilection for bicuspid aortic valves, with a 9% reported family prevalence, so first-degree relatives of patients with a bicuspid aortic valve should undergo screening echocardiography. (msdmanuals.com)
- Two recent sizeable retrospective reviews yield insights from Cleveland Clinic's more than three decades of experience repairing bicuspid valves and using bioprostheses for aortic valve replacement. (clevelandclinic.org)
TAVR8
- Reassurance on the use of transcatheter aortic valve replacement (TAVR) in patients with bicuspid valve stenosis has come from a new large observational dataset. (medscape.com)
- The lack of data regarding use of TAVR in bicuspid anatomy. (medscape.com)
- Many of us are already doing TAVR on bicuspids," Reardon said. (medscape.com)
- And there will be clinicians who were cautious about TAVR on bicuspids but may be more comfortable now with this data," he added. (medscape.com)
- Overall, we will offer an integrated framework for understanding the current role of TAVR in the treatment of bicuspid aortic stenosis and for guiding physicians in clinical decision-making. (nih.gov)
- A new study of transcatheter aortic valve replacement (TAVR) in patients with bicuspid anatomy showed that women have more in-hospital adverse events than men and miss out on the survival advantage TAVR often affords women with tricuspid anatomy. (medscape.com)
- Patients with bicuspid aortic valve (BAV) referred for TAVR are a distinct population, with lower surgical risk scores but challenging anatomy, and are likely to increase in numbers as the indications for TAVR expand into younger, lower-risk patients. (medscape.com)
- To help bridge the gap, the investigators examined data from 225 women and 285 men with severe bicuspid stenosis who underwent TAVR with largely first-generation devices, typically the Venus-A valve (Venous MedTech), at West China Hospital between April 2012 and November 2021. (medscape.com)
Disease12
- Bicuspid aortic valve (BAV) is a form of heart disease in which two of the leaflets of the aortic valve fuse during development in the womb resulting in a two-leaflet (bicuspid) valve instead of the normal three-leaflet (tricuspid) valve. (wikipedia.org)
- We just see more younger patients with bicuspid disease," Reardon said. (medscape.com)
- Predictors of ascending aortic dilatation with bicuspid aortic valve: a wide spectrum of disease expression. (medscape.com)
- The significance of aortic valve calcification in patients with bicuspid aortic valve disease. (medscape.com)
- However, randomized, controlled trials have excluded bicuspid aortic valve (BAV), which is the most frequent congenital heart disease occurring in 1% to 2% of the total population and representing at least 25% of patients 80 years of age or older referred for aortic valve replacement. (nih.gov)
- The major evidence for this hypothesis is that calcific disease occurs at an earlier age in patients with a bicuspid valve, typically with symptoms occurring at 50-60 years of age. (bmj.com)
- Because the stress-strain relations of a bicuspid valve are abnormal, this higher tensile stress may contribute to earlier initiation and more rapid progression of disease. (bmj.com)
- Bicuspid aortic valve (BAV) is the most common valvular congenital heart disease, with a prevalence of 0.5 to 2% in the general population. (nih.gov)
- MRI hemodynamic markers of progressive bicuspid aortic valve-related aortic disease. (insa-lyon.fr)
- Braverman A., Cheng A. The bicuspid aortic valve and associated aortic disease. (vrachjournal.ru)
- Should We Operate on Thoracic Aortic Aneurysm of 5-5.5cm in Bicuspid Aortic Valve Disease Patients? (fortunepublish.com)
- Bicuspid aortic valve (BAV) is the most common congenital heart disease with a prevalence of 0.5%-1.3% of the population. (heartviews.org)
Stenosis5
- citation needed] A bicuspid aortic valve may cause the heart's aortic valve to narrow (aortic stenosis). (wikipedia.org)
- The stroke rate was higher in patients with bicuspid aortic stenosis at 30 days but did not significantly differ at 1 year between the 2 groups. (medscape.com)
- For the study, the researchers analyzed data on 2691 propensity-score matched pairs of bicuspid and tricuspid aortic stenosis. (medscape.com)
- 13 Also, in contrast to the small number of patients with a trileaflet valve that develop severe stenosis, nearly all patients with a bicuspid valve will develop significant outflow tract obstruction. (bmj.com)
- Bicuspid aortic valve is a common congenital anomaly but does not cause functional problems unless aortic valve stenosis, aortic valve regurgitation, aortic root dilatation, or dissection or infective endocarditis occurs. (medscape.com)
Genetic3
- Evidence of genetic locus heterogeneity for familial bicuspid aortic valve. (medscape.com)
- Bicuspid aortic valve: a review with recommendations for genetic counseling. (msdmanuals.com)
- A roadmap to investigate the genetic basis of bicuspid aortic valve and its complications: insights from the International BAVCon (Bicuspid Aortic Valve Consortium). (vrachjournal.ru)
Tricuspid patients3
- The study used propensity matching to compare outcomes in the bicuspid vs tricuspid patients and found similar results for 30-day and 1-year mortality. (medscape.com)
- This bicuspid cohort was also younger than commonly reported in tricuspid patients, and the survival benefit was present in both sexes, "which can further decrease the difference in survival between women and men," Chen said. (medscape.com)
- While extensive primary and secondary data exists demonstrating a sex-specific profile in tricuspid patients, relevant data is absent for the bicuspid aortic valve," Chen observed. (medscape.com)
Endocarditis2
- Patients with bicuspid aortic valve are at increased risk for infective endocarditis. (medscape.com)
- 3. [Q fever endocarditis and bicuspid aortic valve]. (nih.gov)
Congenital heart d1
- Bicuspid aortic valve is present at birth (congenital) and it is one of the most common congenital heart defects. (snec.com.sg)
Patients3
- The left main coronary artery may be up to 50% shorter in patients with a bicuspid aortic valve. (medscape.com)
- Objective: To assess soft tissue changes in the lip area after orthodontic treatment with first bicuspid extraction in 20 Angle class II patients. (bvsalud.org)
- Conclusions: Our findings suggest that treatment of class II patients including first bicuspid extraction result in small changes in the patients' facial profile (increased nasolabial angle and decreased upper lip angle). (bvsalud.org)
Aortic root1
- The bicuspid aortic valve: an integrated phenotypic classification of leaflet morphology and aortic root shape. (medscape.com)
Familial1
- Sequencing of NOTCH1, GATA5, TGFBR1 and TGFBR2 genes in familial cases of bicuspid aortic valve. (medscape.com)
Cusps4
- The bicuspid valve is composed of two leaflets or cusps, usually of unequal size. (medscape.com)
- The bicuspids are usually located between the molars which have 4 to 5 cusps and the cuspids or eye teeth which have one cusp. (healthtap.com)
- Bicuspid aortic valve is the presence of only two (rather than the normal three) valve cusps. (msdmanuals.com)
- General references Bicuspid aortic valve is the presence of only two (rather than the normal three) valve cusps. (msdmanuals.com)
Common congenital2
- Sir William Osler was one of the first to recognize the bicuspid aortic valve as a common congenital anomaly of the heart. (medscape.com)
- Bicuspid aortic valve is the most common congenital cardiovascular abnormality. (msdmanuals.com)
Clinical2
- Ward C. Clinical significance of the bicuspid aortic valve. (medscape.com)
- Ascending aortic dilatation associated with bicuspid aortic valve: pathophysiology, molecular biology, and clinical implications. (msdmanuals.com)
Refill1
- Order Fusion Bands Bicuspid Refill - 50/Pack for your dental office ✷ Fast shipping ✷ Premier Members save 10% more sitewide ✷ Save $ today! (practicon.com)
Molars1
- Pearly whites or choppers, incisors or canines, molars or bicuspids. (nih.gov)
Bands4
- Bicuspid bands that anatomically conform to individual tooth. (orthosourceonline.com)
- Bands are "Universal" - fit both right and left bicuspids. (orthosourceonline.com)
- Anatomic Bicuspid Band KIT of 100 Bands, assorted by usage. (orthosourceonline.com)
- Available in general purpose, contoured, and proportioned bicuspid bands. (3mphilippines.com.ph)
Abnormal1
- Rationale and Objectives: Abnormal blood flow with bicuspid aortic valve (BAV) has been characterized with four-dimensional flow magnetic resonance imaging (MRI), but this approach is time consuming and requires technical expertise. (escholarship.org)
Leaflets2
- A bicuspid aortic valve (BAV) is an aortic valve that only has two leaflets, instead of three. (medlineplus.gov)
- A normal aortic valve has three leaflets, while a bicuspid aortic valve only has two. (snec.com.sg)
Prevalence1
- The prevalence of bicuspid aortic valve in newborns by echocardiographic screening. (vrachjournal.ru)
GATA51
- Laforest B., Andelfinger G., Nemer M. Loss of Gata5 in mice leads to bicuspid aortic valve. (vrachjournal.ru)
Valve function1
- How does the bicuspid valve function? (healthtap.com)
Coronary1
- Occasionally, the coronary ostium may be congenitally stenotic in association with bicuspid aortic valve. (medscape.com)
Pediatric1
- [ 2 ] However, bicuspid aortic valve is mentioned only briefly in many pediatric and cardiology textbooks. (medscape.com)
20191
- Data from 1993-2019 was retrieved and collected from the Michigan Medicine Bicuspid Aortic Valve (BAV) Registry. (fortunepublish.com)
Tissue1
- Abnormalities in this area lead to the development of a bicuspid valve, often through incomplete separation (or fusion) of valve tissue. (medscape.com)
Anomaly1
- Bicuspid aortic valve (BAV) is an anomaly occurring in 1 to 2 percent of births. (clevelandclinic.org)
Adults1
- In adults, when a bicuspid valve becomes very leaky or very narrowed, it may need to be replaced. (medlineplus.gov)
Size1
- Bicuspid aortic valve with unequal cusp size. (medscape.com)
Insights1
- New insights in the association between bicuspid aortic valve phenotype, aortic configuration and valve haemodynamics. (vrachjournal.ru)
Ascending1
- Pham T, Martin C, Elefteriades J, Sun W. Biomechanical characterization of ascending aortic aneurysm with concomitant bicuspid aortic valve and bovine aortic arch. (medscape.com)