Tricuspid Valve Stenosis
Tricuspid Valve
Tricuspid Valve Insufficiency
Aortic Valve Stenosis
Pulmonary Valve Stenosis
Aortic Valve
Heart Valve Diseases
Mitral Valve Stenosis
Ebstein Anomaly
Heart Valve Prosthesis Implantation
Tricuspid Atresia
Encyclopedias as Topic
Heart Murmurs
Primary right atrial angiosarcoma mimicking acute pericarditis, pulmonary embolism, and tricuspid stenosis. (1/29)
A 29 year old white man presented to the emergency room with new onset pleuritic chest pain and shortness of breath. He was initially diagnosed as having viral pericarditis and was treated with non-steroidal anti-inflammatory drugs. A few weeks later he developed recurrent chest pain with cough and haemoptysis. Chest radiography, cardiac examination, transthoracic and transoesophageal echocardiography pointed to a mass that arose from the posterior wall of the right atrium, not attached to the interatrial septum, which protruded into the lumen of the right atrium causing intermittent obstruction of inflow across the tricuspid valve. Contrast computed tomography of the chest showed a right atrial mass extending to the anterior chest wall. The lung fields were studded with numerous pulmonary nodules suggestive of metastases. A fine needle aspiration of the pulmonary nodule revealed histopathology consistent with spindle cell sarcoma thought to originate in the right atrium. Immunohistochemical stains confirmed that this was an angiosarcoma. There was no evidence of extracardiac origin of the tumour. The patient was treated with chemotherapy and radiation. This case highlights the clinical presentation, rapid and aggressive course of cardiac angiosarcomas, and the diagnostic modalities available for accurate diagnosis. (+info)Presence of oxidized low density lipoprotein in nonrheumatic stenotic aortic valves. (2/29)
The aim of the present study was to analyze if LDL particles trapped in stenotic aortic valve tissue undergo oxidative modification. Degenerative aortic stenosis affects >3% of the population >75 years of age in the Western world. Recent studies have revealed the presence of a chronic inflammatory process similar to what has been described in other degenerative diseases such as atherosclerosis. However, the underlying disease mechanisms of degenerative aortic stenosis still remain largely unknown. Six tricuspid stenotic valves, obtained at valve replacement, were compared with 3 control valves collected from hearts taken out during transplantation. The stenotic valves and the control valves were examined by immunohistochemistry, using antibodies against apoB, 4-hydroxynonenal-modified LDL, leukocytes, and HLA-DR. All valves were also stained with oil red O for neutral lipids. Extracellular neutral lipids were found in all stenotic valves, extending from the bases along the fibrosa layer. This lipid colocalized with apoB- and 4-hydroxynonenal-modified LDL immunoreactivity. 4-Hydroxynonenal-modified LDLs were present around calcium deposits, subendothelially, and in the deeper layer of the fibrosa. There was also a colocalization with macrophages, T lymphocytes, and HLA-DR expression. Control valves had a thin area of neutral lipid accumulation, a small amount of apoB, but no signs of inflammation. A distinct colocalization between oxidized LDLs, T-lymphocyte accumulation, and calcium deposits suggests that oxidized lipids may play a role in the disease process. (+info)Pacemaker lead related tricuspid stenosis: a report of two cases. (3/29)
Only four cases of tricuspid stenosis related to endocardial pacemaker leads have been reported. Two further cases associated with perforation of a tricuspid valve leaflet by a pacemaker lead are presented: a 46 year old woman and a 60 year old man. It is possible that tricuspid valve disease related to endocardial pacemaker and non-thoracotomy defibrillator leads is underrecognized. Diagnosis requires clinical suspicion and the use of Doppler echocardiography. Recent evidence of fibrosis affecting the tricuspid valve in hearts from patients who have had non-thoracotomy defibrillator implants suggests that this problem could be more common in the future. (+info)Thrombus on the tricuspid valve in a patient with primary antiphospholipid syndrome after implantation of an inferior vena cave filter. (4/29)
A 62-year-old woman with a history of pulmonary embolism and primary antiphospholipid syndrome (PAPS) with positivity for lupus anticoagulant was admitted to hospital with shortness of breath. A filter had been implanted in her inferior vena cava (IVC) 5 years previously. Emergency echocardiography revealed a lobulated, mobile echogenic mass on the tricuspid valve, and on pulmonary perfusion scintigraphy several apparently new defects were noted. Fibrinolytic therapy improved her symptoms and the pulmonary perfusion, then intravenous heparinization was continued for a further week. Repeat echocardiography performed on the 7th day of the admission showed complete disappearance of the mass, which was retrospectively diagnosed as a thrombus based on its resolution with fibrinolytic and anticoagulant therapies. (+info)THE PREOPERATIVE ASSESSMENT OF MULTIPLE VALVE DISEASE. (5/29)
Representative case histories are used to discuss the difficulties in preoperative assessment of patients with multiple valve disease and the dangers of correcting one lesion when two or more valves are seriously damaged. Errors fall into three broad categories: existing second valve disease (1) may not be suspected, (2) may be considered insignificant or (3) may be considered a consequence of the first.Recommendations are offered to minimize these errors. The four valves should be studied physiologically, no matter how "normal" the other three may appear to be clinically, whenever open-heart surgery is contemplated. In bivalvular disease angiographic methods are preferable to pressure studies, for data so obtained are not dependent on cardiac output. Mitral and tricuspid regurgitation can never be attributed with certainty to a more distal lesion but require direct examination at time of operation for assessment. (+info)Systemic lupus erythematosus complicated by tricuspid stenosis and regurgitation: successful treatment by valve transplantation. (6/29)
Clinical tricuspid stenosis has not previously been reported in patients with systemic lupus erythematosus (SLE). A 25 year old woman with active SLE presented with signs of severe right ventricular failure. Cardiac catheterisation confirmed the diagnosis of tricuspid stenosis and regurgitation together with mitral regurgitation. This patient underwent successful tricuspid and mitral valve replacement. (+info)The Inoue balloon for dilatation of the tricuspid valve: a modified over-the-wire approach. (7/29)
The Inoue balloon was used for dilatation of tricuspid stenosis in a 74 year old woman. The valve was reached by an over-the-wire approach with a 0.025 exchange length guide wire. The Inoue stylet would not reach the tricuspid orifice because the right atrium was so large. The Inoue balloon's special dilatation characteristics allowed good positioning at the tricuspid orifice. After dilatation to 27.5 mm, the pressure drop across the valve was reduced from 12 to 5 mm Hg. Further dilatation at 30 mm, however, created moderately severe tricuspid reflux without a further reduction of gradient. The Inoue balloon is suitable for dilatation of tricuspid stenosis but small increments in dilatation size may be required for optimal reduction in gradient without creating significant reflux. (+info)Aortic stenosis severity is not a risk factor for poststenotic dilatation of the ascending aorta. (8/29)
BACKGROUND: Dilatation of the ascending aorta in aortic stenosis may be partly explained by intrinsic wall structure changes, but the relative contribution of altered hemodynamics is unclear. The aim of this study was to assess the association between ascending aortic dimensions and valve stenosis severity. METHODS AND RESULTS: An analysis of echocardiographic examinations was conducted in 296 patients with aortic stenosis (179 males, mean age 71 years), 57 with bicuspid and 239 with tricuspid aortic valve, mean transaortic gradient 43+/-20 mmHg, and not more than moderate aortic regurgitation. Aortic dimensions at the level of annulus, sinuses of Valsalva, sinotubular junction and proximal ascending aorta were measured. Only height (p<0.001), degree of aortic regurgitation (p<0.01) and presence of bicuspid aortic valve (p<0.001) were independent predictors of ascending aortic dimensions. CONCLUSIONS: An independent association between aortic pressure gradients and proximal ascending aortic dimensions was not observed in patients with bicuspid or tricuspid aortic valve stenosis. Therefore, the poststenotic dilatation of the ascending aorta is not explained by aortic stenosis severity itself. Possible nonhemodynamic causes deserve detailed study at the time of diagnosis. (+info)Tricuspid valve stenosis is a cardiac condition characterized by the narrowing or stiffening of the tricuspid valve, which is located between the right atrium and right ventricle in the heart. This narrowing or stiffening restricts the normal flow of blood from the right atrium into the right ventricle, causing increased pressure in the right atrium and reduced blood flow to the lungs.
The tricuspid valve typically has three leaflets or cusps that open and close to regulate the flow of blood between the right atrium and right ventricle. In tricuspid valve stenosis, these leaflets become thickened, calcified, or fused together, leading to a reduced opening size and impaired function.
The most common causes of tricuspid valve stenosis include rheumatic heart disease, congenital heart defects, carcinoid syndrome, and infective endocarditis. Symptoms may include fatigue, shortness of breath, swelling in the legs and abdomen, and irregular heartbeats. Treatment options depend on the severity of the condition and underlying causes but may involve medications, surgical repair or replacement of the valve, or catheter-based procedures.
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.
Tricuspid valve insufficiency, also known as tricuspid regurgitation, is a cardiac condition in which the tricuspid valve located between the right atrium and right ventricle of the heart does not close properly, allowing blood to flow back into the right atrium during contraction of the right ventricle. This results in a portion of the blood being pumped inefficiently, which can lead to volume overload of the right side of the heart and potentially result in symptoms such as fatigue, weakness, shortness of breath, and fluid retention. The condition can be congenital or acquired, with common causes including dilated cardiomyopathy, infective endocarditis, rheumatic heart disease, and trauma.
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.
Pulmonary Valve Stenosis is a cardiac condition where the pulmonary valve, located between the right ventricle and the pulmonary artery, has a narrowed opening. This stenosis (narrowing) can cause obstruction of blood flow from the right ventricle to the lungs. The narrowing can be caused by a fusion of the valve leaflets, thickened or calcified valve leaflets, or rarely, a dysplastic valve.
The severity of Pulmonary Valve Stenosis is classified based on the gradient pressure across the valve, which is measured during an echocardiogram. A mild stenosis has a gradient of less than 30 mmHg, moderate stenosis has a gradient between 30-59 mmHg, and severe stenosis has a gradient of 60 mmHg or higher.
Mild Pulmonary Valve Stenosis may not require treatment, while more severe cases may need to be treated with balloon valvuloplasty or surgical valve replacement. If left untreated, Pulmonary Valve Stenosis can lead to right ventricular hypertrophy, heart failure, and other complications.
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.
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.
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.
Mitral valve stenosis is a cardiac condition characterized by the narrowing or stiffening of the mitral valve, one of the four heart valves that regulate blood flow through the heart. This narrowing prevents the mitral valve from fully opening during diastole (relaxation phase of the heart cycle), leading to restricted flow of oxygenated blood from the left atrium into the left ventricle.
The narrowing or stiffening of the mitral valve can be caused by various factors, such as rheumatic heart disease, congenital heart defects, aging, or calcium deposits on the valve leaflets. As a result, the left atrium has to work harder to pump blood into the left ventricle, causing increased pressure in the left atrium and pulmonary veins. This can lead to symptoms such as shortness of breath, fatigue, coughing, and heart palpitations.
Mitral valve stenosis is typically diagnosed through a combination of medical history, physical examination, and imaging techniques like echocardiography or cardiac catheterization. Treatment options may include medications to manage symptoms and prevent complications, as well as surgical interventions such as mitral valve repair or replacement to alleviate the stenosis and improve heart function.
Ebstein anomaly is a congenital heart defect that affects the tricuspid valve, which is the valve between the right atrium and right ventricle of the heart. In Ebstein anomaly, the tricuspid valve is abnormally formed and positioned, causing it to leak blood back into the right atrium. This can lead to various symptoms such as shortness of breath, fatigue, and cyanosis (bluish discoloration of the skin). Treatment for Ebstein anomaly may include medication, surgery, or a combination of both. It is important to note that the severity of the condition can vary widely among individuals, and some people with Ebstein anomaly may require more intensive treatment than others.
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.
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.
Tricuspid atresia is a congenital heart defect where the tricuspid valve, which regulates blood flow between the right atrium and right ventricle, fails to develop properly. As a result, there is no direct pathway for blood to move from the right atrium to the right ventricle and then to the lungs for oxygenation.
In this condition, blood from the body returning to the heart enters the right atrium but cannot flow through the tricuspid valve into the right ventricle. Instead, it flows through an opening in the interatrial septum (atrial septal defect) into the left atrium and then into the left ventricle. The left ventricle pumps this blood to the body and a portion of it goes to the lungs via a patent ductus arteriosus or other collateral vessels.
Tricuspid atresia is often associated with other heart defects, such as transposition of the great arteries, pulmonary stenosis, or total anomalous pulmonary venous return. Symptoms can vary depending on the severity and associated defects but may include cyanosis (bluish discoloration of the skin), shortness of breath, fatigue, and poor growth. Treatment typically involves surgical interventions to create a path for blood to flow to the lungs and establish proper oxygenation.
Heart auscultation is a medical procedure in which a healthcare professional uses a stethoscope to listen to the sounds produced by the heart. The process involves placing the stethoscope on various locations of the chest wall to hear different areas of the heart.
The sounds heard during auscultation are typically related to the opening and closing of the heart valves, as well as the turbulence created by blood flow through the heart chambers. These sounds can provide important clues about the structure and function of the heart, allowing healthcare professionals to diagnose various cardiovascular conditions such as heart murmurs, valvular disorders, and abnormal heart rhythms.
Heart auscultation is a key component of a physical examination and requires proper training and experience to interpret the findings accurately.
An encyclopedia is a comprehensive reference work containing articles on various topics, usually arranged in alphabetical order. In the context of medicine, a medical encyclopedia is a collection of articles that provide information about a wide range of medical topics, including diseases and conditions, treatments, tests, procedures, and anatomy and physiology. Medical encyclopedias may be published in print or electronic formats and are often used as a starting point for researching medical topics. They can provide reliable and accurate information on medical subjects, making them useful resources for healthcare professionals, students, and patients alike. Some well-known examples of medical encyclopedias include the Merck Manual and the Stedman's Medical Dictionary.
A heart murmur is an abnormal sound heard during a heartbeat, which is caused by turbulent blood flow through the heart. It is often described as a blowing, whooshing, or rasping noise. Heart murmurs can be innocent (harmless and not associated with any heart disease) or pathological (indicating an underlying heart condition). They are typically detected during routine physical examinations using a stethoscope. The classification of heart murmurs includes systolic, diastolic, continuous, and functional murmurs, based on the timing and auscultatory location. Various heart conditions, such as valvular disorders, congenital heart defects, or infections, can cause pathological heart murmurs. Further evaluation with diagnostic tests like echocardiography is often required to determine the underlying cause and appropriate treatment.
Tricuspid valve stenosis
Heart valve dysplasia
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Tricuspid valve stenosis - Wikipedia
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Atresia12
- However, congenital tricuspid atresia, RA tumors, tricuspid valve vegetation, the presence of a pacemaker lead, or compression caused by extracardiac tumors may produce a clinical picture similar to that of TS. (medscape.com)
- Tricuspid atresia (TA) occurs when the tricuspid valve does not develop correctly. (childrensnational.org)
- What is tricuspid atresia? (childrensnational.org)
- Tricuspid atresia (TA) is a heart defect present at birth (congenital). (childrensnational.org)
- These may include transposition of the great vessels, pulmonary stenosis or pulmonary atresia . (childrensnational.org)
- What causes tricuspid atresia in children? (childrensnational.org)
- What are the symptoms of tricuspid atresia in children? (childrensnational.org)
- Symptoms of tricuspid atresia occur shortly after birth. (childrensnational.org)
- How is tricuspid atresia diagnosed in children? (childrensnational.org)
- Tricuspid atresia may be diagnosed with a prenatal ultrasound exam. (childrensnational.org)
- Ebstein anomaly and tricuspid atresia are both congenital abnormalities of the tricuspid valve. (myesr.org)
- Twenty-year-old female with exertional dyspnea who underwent a Fontan operation for tricuspid atresia. (myesr.org)
Mitral regurgitation3
- The team also has participated in major clinical trials of mitral valve therapies, including Abbott's first-of-its-kind Tendyne transcatheter mitral valve replacement system for treating mitral regurgitation. (ascension.org)
- The protocol has been changed to allow patients who have mitral valve regurgitation despite prior Mitra-Clip treatment, and to allow patients who have symptomatic heart failure with mild mitral regurgitation. (nih.gov)
- In four-chamber view, atrioventricular discordance was detected with severe tricuspid regurgitation (vena contracta = 9.3 mm) and dysplasia of the mitral leaflets with severe mitral regurgitation (vena contracta = 10.3 mm) by color Doppler, Video 1. (scirp.org)
Leaflets11
- The surgeon trims, shapes, or rebuilds one or more of the leaflets of the valve. (medlineplus.gov)
- The leaflets are flaps that open and close the valve. (medlineplus.gov)
- In rheumatic aortic stenosis, the underlying process includes progressive fibrosis of the valve leaflets with varying degrees of commissural fusion, often with retraction of the leaflet edges and, in certain cases, calcification. (medscape.com)
- Mechanical or tensile stress on the valve leaflets also has been proposed as an important factor in initiation of the disease process. (bmj.com)
- However, obvious signs of circulatory disturbance do not occur after cutting of the tricuspid valve leaflets and chordae in dogs with normal pulmonary arterial pressure. (vin.com)
- Besides, dogs with slight to moderate pulmonary hypertension develop signs of right heart failure such as ascites, subcutaneous edema, liver dysfunction and exercise intolerance, after the tricuspid valve leaflets and chordae are cut. (vin.com)
- Each valve is composed of thin flaps of tissue known as leaflets. (rahmanicardiology.com)
- Tricuspid valve stenosis occurs when the valves leaflets are too stiff and do not open wide enough, restricting blood flow. (rahmanicardiology.com)
- Inferior ectopic displacement of the septal tricuspid valve leaflets is the hallmark of Ebstein anomaly. (myesr.org)
- Ebstein anomaly is characterised by varying degrees of dysplasia and displacement of the tricuspid valve leaflets into the right ventricle. (myesr.org)
- With the ongoing age, any inflammation or infection of the valve or a congenital heart defect causes the leaflets of valves to become stiff and calcified hence causing hindrance in the flow of blood from one chamber to another. (statpearls.com)
Bicuspid aorti3
- Functional DNA variants at the NOTCH1 locus result in bicuspid aortic valve (BAV) and severe valve calcification. (nih.gov)
- 5. [Impact of bicuspid aortic valve or tricuspid aortic valve on hemodynamics and left ventricular reverse remodeling in patients after transcatheter aortic valve replacement]. (nih.gov)
- Most patients with a congenitally bicuspid aortic valve who develop symptoms do not do so until middle age or later. (medscape.com)
Congenital heart d2
- There are multiple causes of aortic stenosis, including congenital heart defects, calcification of the valve and infection. (massgeneral.org)
- Calcium build-up, infection and congenital heart defects can cause the mitral valve to open incompletely. (massgeneral.org)
Treatment of Tricuspid Stenosis1
- The treatment of tricuspid stenosis is a combination of medical and valvular interventions. (statpearls.com)
Disease57
- Tricuspid valve stenosis is a valvular heart disease that narrows the opening of the heart's tricuspid valve. (wikipedia.org)
- Causes of tricuspid valve stenosis are: Rheumatic disease Carcinoid syndrome Pacemaker leads (complication) A mild diastolic murmur can be heard during auscultation caused by the blood flow through the stenotic valve. (wikipedia.org)
- Tricuspid valve disease, particularly tricuspid regurgitation, is a highly prevalent condition with a complex pathophysiology and long-term adverse consequences. (medscape.com)
- Although historically neglected, tricuspid valve disease has gained increasing recognition, with important advances in assessment and management of this disorder since the year 2000. (medscape.com)
- Surgical treatment remains the standard of care, but tricuspid valve disease continues to have one of the highest death rates among all cardiac valve-related procedures, and a broad range of patients still do not receive effective therapy for tricuspid valve disease in contemporary clinical practice. (medscape.com)
- Therefore, several alternative, less-invasive technologies for treating patients with severe, native tricuspid valve disease at high surgical risk have been developed, with promising early results. (medscape.com)
- Tricuspid valve disease involves the atrioventricular valve apparatus that separates the right atrium (RA) from the right ventricle (RV). (medscape.com)
- Isolated tricuspid valve disease is rare. (medscape.com)
- Most patients with rheumatic tricuspid valve disease present with TR or a combination of stenosis and regurgitation. (medscape.com)
- Rheumatic TS does not occur as an isolated lesion, but it often accompanies mitral and aortic valve disease. (medscape.com)
- These tests provide assistance with timing and guidance during intervention for patients with tricuspid valve disease. (medscape.com)
- Tricuspid valve disease affects millions of patients worldwide. (medscape.com)
- Tricuspid valve stenosis is a type of valvular heart disease in which there is narrowing of the tricuspid valve opening. (mdwiki.org)
- [1] It is often associated with mitral stenosis and aortic valve disease. (mdwiki.org)
- Tricuspid stenosis is rare, making up about 2.4% of tricuspid valve disease. (mdwiki.org)
- It occurs most commonly due to rheumatic heart disease and is often associated with mitral and aortic valve disease. (mdwiki.org)
- Tricuspid valve disease is damage to a valve in the heart. (lahey.org)
- The main causes of acquired aortic stenosis include degenerative calcification and, less commonly, rheumatic heart disease. (medscape.com)
- Over the last 15 years, the management of aortic valve disease has been changed by transcatheter aortic valve replacement, which has become the standard of care across the entire spectrum of surgical risk. (researchgate.net)
- At Mayo Clinic, a multidisciplinary team works together to provide expert care to people with tricuspid valve disease. (mayoclinic.org)
- If you have other heart conditions besides tricuspid valve disease that require surgery, surgeons may do the procedures at the same time. (mayoclinic.org)
- Mayo Clinic care providers routinely use cardiac MRI and other imaging techniques to evaluate tricuspid valve disease and help determine the most appropriate treatment plan for you. (mayoclinic.org)
- Mayo Clinic cardiologists and cardiovascular surgeons offer the latest tricuspid valve disease treatment options, including minimally invasive heart surgery and robot-assisted heart surgery. (mayoclinic.org)
- A cardiac MRI is often used to diagnose tricuspid valve disease. (mayoclinic.org)
- Mayo Clinic cardiovascular surgeons and cardiologists are world leaders in heart valve disease treatment. (mayoclinic.org)
- Mayo doctors in the Valvular Heart Disease Clinic specialize in diagnosing and treating people with tricuspid valve disease and other heart valve diseases. (mayoclinic.org)
- Cardiologists evaluate people with tricuspid valve disease and determine whether tricuspid valve repair, tricuspid valve replacement or another treatment option is most appropriate. (mayoclinic.org)
- Pediatric cardiologists and pediatric cardiovascular surgeons at Mayo Clinic's campus in Minnesota have experience treating children with tricuspid valve disease and congenital heart conditions, including Ebstein anomaly. (mayoclinic.org)
- Cardiovascular and cardiothoracic surgeons at Mayo Clinic's campuses in Arizona, Florida and Minnesota use the most advanced techniques, including minimally invasive heart surgery and robot-assisted heart surgery to treat tricuspid valve disease. (mayoclinic.org)
- Over the past decade, our concept of the pathogenesis of calcific aortic valve disease has undergone a major transformation. (bmj.com)
- We now recognise that calcific valve disease is the end stage of an active disease process and is not caused by "wear and tear" of the valve tissue. (bmj.com)
- These studies have established the presence of T lymphocytes and macrophages both in the early stages of this disease process and in valves with severe stenosis removed at surgery. (bmj.com)
- This disease process eventually leads to increased leaflet thickness and stiffness, resulting in left ventricular outflow obstruction and the clinical presentation of the patient with valvar aortic stenosis. (bmj.com)
- 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)
- 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)
- In this type of heartworm disease, heartworms are observed in the tricuspid area. (vin.com)
- Calcific aortic valve disease (CAVD) is a highly prevalent and progressive disorder that ultimately causes gradual narrowing of the left ventricular outflow orifice with ensuing devastating hemodynamic effects on the heart. (frontiersin.org)
- While tissue fibrosis plays a major role in the initiation phase of calcific aortic valve disease (CAVD), the differential contribution of fibrosis and calcification to late-stage AS is less clear. (frontiersin.org)
- Statins can slow the progression of aortic valve stenosis, a condition in which the heart valve that pumps blood out into the body becomes hard and narrow, in people with mild to moderate disease. (news-medical.net)
- For decades, the medical community has accepted that aortic valve disease was part of the aging process and that replacing valves surgically was the only treatment," says senior investigator Nalini Rajamannan, MD, director of the Center for Heart Valve Disease in the Bluhm Cardiovascular Institute of Northwestern Memorial Hospital and assistant professor of medicine, Northwestern University Feinberg School of Medicine. (news-medical.net)
- I see a lot of patients in their 50s being diagnosed with early stage valve disease that don't like hearing that the next step is watchful waiting until eventually they'll require open heart surgery. (news-medical.net)
- In addition to lowering cholesterol levels, they are likely to get the added benefit of slowing the progression of their aortic valve disease. (news-medical.net)
- Dr. Rajamannan opened the door to the idea that medical therapies may be able to play a role in preventing or slowing the process of valve disease seven years ago. (news-medical.net)
- Earlier this year she published research that provided the first explanation of this active process, saying heart valve disease is caused by inflammation likely triggered by high cholesterol that stimulates certain cells to reprogram into bone cells in the aortic valve and cartilage cells in the mitral valve. (news-medical.net)
- Essentially, there are only three things that can go wrong with the heart: coronary artery disease, muscle dysfunction or valve disease," says Rajamannan. (news-medical.net)
- Aortic valve disease can lead to heart failure, arrhythmia, infections in the heart, and sudden death may occur in 15 to 20 percent of people who have symptoms. (news-medical.net)
- As a leader in minimally invasive aortic and mitral valve repair and replacement, Ascension Via Christi's Structural Heart team has long been on the forefront in caring for patients with advanced heart disease. (ascension.org)
- Heart valve disease occurs when the valves do not work properly. (rahmanicardiology.com)
- Valve disease can be either congenital or acquired and sometimes it can occur for unknown reasons. (rahmanicardiology.com)
- Heart valve disease is typically caused by rheumatic fever and bacterial (infective) endocarditis. (rahmanicardiology.com)
- Treatment of heart valve disease will depend on the valve that is affected and the severity of the disease. (rahmanicardiology.com)
- This causes of tricuspid regurgitation due to processes that directly affect the tricuspid valve, as occurs in rheumatic heart disease, infectious endocarditis, myocardial infarction, metastatic carcinoid syndrome, trauma, and Marfan syndrome. (myesr.org)
- Mitral stenosis is a valvular heart disease defined by narrowing of the mitral valve orifice and is characterized as the most common valvular involvement in developing countries. (jcmimagescasereports.org)
- incidence and prevalence of cardiac valvular disease in these patients were reported 0.7% over a 30 years follow up and 0-2.3% at the time of multiple sclerosis diagnosis, too .There is no proven association between cardiac MS (mitral stenosis) and demyelinating CNS MS (multiple sclerosis), but there have been hypotheses according to case reports and case series. (jcmimagescasereports.org)
- Mitral stenosis (MS) is a form of valvular heart disease characterized by narrowing of the mitral valve orifice and is the most prevalent valvular involvement in developing countries as a sequel of rheumatic heart disease , although, is seen in developed countries, too. (jcmimagescasereports.org)
Severe tricuspid stenosis1
- To choose balloon valvuloplasty over tricuspid valve replacement surgery in an isolated, symptomatic, severe tricuspid stenosis with mild to less tricuspid regurgitation, the surgical risk of a patient must be too high and outweigh disadvantages of over benefits of balloon valvuloplasty. (statpearls.com)
Apical displacement of the septal1
- The left-sided atrioventricular valve, in this case, the tricuspid valve, showed apical displacement of the septal valve suggesting Ebstein's anomaly. (scirp.org)
Patient underwent aortic valve repla2
Cardiac10
- The tricuspid valve has always been considered less relevant than the left-side valves of the heart, but this "forgotten valve" still represents a great challenge for cardiac surgeons, especially in the most difficult symptomatic scenarios. (medscape.com)
- After dividing the patients and controls into training and validation sets, we tested the correlation of the SNPs with the age-adjusted aortic valve area, determined by echocardiography or cardiac catheterization. (nih.gov)
- A patient presenting with uncontrolled heart failure should be treated supportively with oxygen, cardiac and oximetry monitoring, intravenous access, loop diuretics, nitrates (keep in mind the potential nitrate sensitivity of patients with aortic stenosis), morphine (as needed and tolerated), and noninvasive or invasive ventilatory support (as indicated). (medscape.com)
- We present cases of chronic Q fever that were not diagnosed until after the patients underwent cardiac valve surgery. (cdc.gov)
- The diagnosis of chronic Q fever was not made until after the patients had elective cardiac valve surgery for progressive valvular dysfunction. (cdc.gov)
- Heart valve movement is passive, following blood pressure changes in the cardiac chambers. (frontiersin.org)
- On auscultation, the heart sounds were arrhythmic, with an increased second cardiac sound, systolic murmur III/VI in mitral focus and systolic murmur IV/VI in tricuspid focus. (scirp.org)
- LZD was continued for 4 weeks with cardiac failure medically controlled, and she underwent aortic valve replacement using a mechanical prosthetic valve. (bvsalud.org)
- Balloon valvuloplasty is a cardiac intervention to open up a stenotic or stiffed heart valves (e.g., aortic or mitral) using a catheter with a balloon on the tip. (statpearls.com)
- We encountered three cases of mitral stenosis coexistent with multiple sclerosis who underwent appropriate treatment with good outcome and in our facility, we report one of them who had been previously diagnosed with CNS MS and admitted to our hospital with pulmonary edema due to cardiac MS. she underwent Percutaneous transvenous mitral commissurotomy (PTMC), her mitral valve area and systolic pulmonary artery pressure were improved. (jcmimagescasereports.org)
Echocardiography4
- Transthoracic echocardiography and transesophageal echocardiography, which permit assessment of the tricuspid valve with multilevel imaging, are the techniques of choice for accurate detection and understanding of the etiology and severity of valve regurgitation and for determination of treatment options. (medscape.com)
- Patient with aortic valve stenosis documented by echocardiography accepted to the cardiology department because of evaluation of aortic stenosis severity. (upjs.sk)
- Multiple blood cultures obtained prior to antibiotic therapy were without growth and transesophageal echocardiography demonstrated a vegetation on the tricuspid prosthesis with associated regurgitation and stenosis. (sagepub.com)
- MRSA was detected from blood cultures and echocardiography revealed vegetation on the right coronary cusp of the aortic valve. (bvsalud.org)
Insufficiency5
- The resultant tricuspid regurgitation from percutaneous treatment is better tolerated than the insufficiency occurring during mitral valvuloplasty. (wikipedia.org)
- Four months later, paravalvular insufficiency of the bioprosthesis developed in the patient, requiring a second valve replacement. (cdc.gov)
- Worms in the tricuspid area induce a tricuspid insufficiency (stenosis and regurgitation) which leads to a circulatory disturbance (acute right heart failure). (vin.com)
- The principal cause of circulatory disturbance is tricuspid insufficiency with worms, and pulmonary hypertension is another important cause of circulatory disturbance in dogs with caval syndrome. (vin.com)
- It can be caused by either stenosis or insufficiency. (rahmanicardiology.com)
Narrowing of the aortic valve4
- Aortic stenosis, or narrowing of the aortic valve, is a common but serious heart condition that reduces blood flow out of your heart. (massgeneral.org)
- Aortic valve stenosis (AS) is a devastating disorder characterized by progressive narrowing of the aortic valve (AV) orifice and has a high prevalence ( 1 ) exceeding 2% in a population ≥75 years of age ( 2 ). (frontiersin.org)
- The RAAVE (Rosuvastatin Affecting Aortic Valve Endothelium to Slow the Progression of Aortic Stenosis) trial was conducted at the Hospital Pedro Hispano in Portugal and led by principal investigator Luis Moura, MD, and followed 121 patients with asymptomatic moderate to severe narrowing of the aortic valve for 18 months. (news-medical.net)
- Narrowing of the aortic valve that regulates blood flow from the left ventricle to the aorta. (medicinenet.com)
Progression of aortic stenosis1
- To be published in the February 6 issue of the Journal of the American College of Cardiology , the trial provides the first prospective clinical evidence that aortic valves have an active biology that can be targeted with medical therapy and contradicts research published in 2005 in the New England Journal of Medicine , which concluded statins did not halt the progression of aortic stenosis. (news-medical.net)
Symptomatic3
- Transcatheter aortic valve implantation (TAVI) has evolved as a standard treatment option for patients with symptomatic aortic stenosis, particularly for those with elevated surgical risk. (medscape.com)
- Among symptomatic patients with medically treated moderate-to-severe aortic stenosis, mortality from the onset of symptoms is approximately 25% at 1 year and 50% at 2 years. (medscape.com)
- In patients younger than 15 years, unicuspid valves are most frequent in cases of symptomatic aortic stenosis. (medscape.com)
Murmur4
- A rumbling mid- diastolic murmur can be heard during auscultation caused by the blood flow through the stenotic valve. (mdwiki.org)
- Through a stethoscope, doctors may hear the characteristic murmur of tricuspid stenosis. (msdmanuals.com)
- It is confirmed by the fact that heartworm removal from the tricuspid valve area brings about disappearance of the characteristic caval murmur and amelioration of tricuspid valve function, while a circulatory disturbance is improved quickly after heartworm removal [7]. (vin.com)
- Aortic valve stenosis usually results in a heart murmur, so timely diagnosis can be made simply by using a stethoscope, says Dr. Rajamannan. (news-medical.net)
Valvular Stenosis1
- The following are the indications of balloon valvuloplasty in different valvular stenosis. (statpearls.com)
Severity1
- can produce an image of the narrowed valve opening and show the amount of blood passing through the valve, so that the severity of the stenosis can be determined. (msdmanuals.com)
Outflow tract1
- 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)
Patients with rheumatic2
- Patients with rheumatic aortic stenosis typically present with symptoms after the sixth decade of life. (medscape.com)
- It is primarily performed in patients with rheumatic mitral stenosis. (statpearls.com)
Orifice3
- However, the intravascular hemolysis increases after insertion of combined silicone tubes into the tricuspid orifice in normal dogs without heartworm infection [8]. (vin.com)
- The pathologic narrowing of the orifice of the TRICUSPID VALVE . (bvsalud.org)
- The effective tricuspid valve orifice is enlarged and inferiorly displaced into the right ventricle. (myesr.org)
MmHg3
- However, a systolic blood pressure higher than 200 mmHg is rare in patients with critical aortic stenosis. (medscape.com)
- Percutaneous balloon pulmonary valvulotomy (BPV) is preferred in moderate (gradient 40 to 60 mmHg) to severe (greater than 60 mmHg) pulmonary stenosis and it is the first-line treatment of typical dome-shaped valvular pulmonary stenosis in severe stenosis (gradient greater than 60 mmHg). (statpearls.com)
- In large sample size studies, with echocardiographic follow-up extending for two decades beyond surgery, the mean gradient was 20 mmHg for Perimount and 18 mmHg for Mitroflow pericardial aortic valves [6,7]. (larespubblica.com)
Occurs6
- Aortic regurgitation occurs when your aortic valve does not seal properly, allowing blood to flow backwards into your heart as it relaxes. (massgeneral.org)
- Degenerative calcific aortic stenosis usually manifests in individuals older than 65 years, and occurs most frequently in males . (medscape.com)
- In patients with an anatomically normal trileaflet aortic valve, this process occurs in only a subset of patients with symptoms typically occurring at age 70-80 years. (bmj.com)
- By analogy with atherosclerosis, our underlying assumption is that endothelial disruption occurs, possibly caused by low shear stress on the aortic side of the valve. (bmj.com)
- Mitral valve stenosis occurs when the valve becomes narrowed. (rahmanicardiology.com)
- It occurs when the tricuspid valve doesn't form, or only partly forms. (childrensnational.org)
Prosthesis5
- Figure 5 - Measurement of aortic valve annulus diameter for aortic valve prosthesis size determination. (upjs.sk)
- Figure 6 -Simple sutures implantation to the biological prosthesis of aortic valve. (upjs.sk)
- Figure 8 - Stitching of individual stitches during aortic valve prosthesis implantation. (upjs.sk)
- A 42-year-old woman with antiphospholipid syndrome (APLS) secondary to systemic lupus erythematosus (SLE) complicated with thrombocytopenic purpura was successfully treated by mitral valve replacement with a mechanical prosthesis and tricuspid valve annuloplasty for mitral valve stenosis and regurgitation due to Libman-Sacks endocarditis. (bvsalud.org)
- It includes the use of multiple views with attention to determine the type of prosthesis, confirm the good valve leaflet morphology and mobility, and identify the presence of calcification or abnormal structures on the THV. (larespubblica.com)
Ventricle14
- Tricuspid stenosis is a narrowing of the tricuspid valve opening that slows blood flow from the right atrium to the right ventricle. (msdmanuals.com)
- The tricuspid valve is in the opening between the right atrium and the right ventricle. (msdmanuals.com)
- The tricuspid valve opens to allow blood from the right atrium to fill the right ventricle and closes to prevent blood from flowing backwards into the right atrium as the right ventricle contracts to pump blood into the lungs. (msdmanuals.com)
- Tricuspid Regurgitation Tricuspid regurgitation is leakage of blood backward through the tricuspid valve each time the right ventricle contracts. (msdmanuals.com)
- The pulmonary valve, which controls blood flow from the right ventricle to the lungs, is absent or nonfunctioning. (medicinenet.com)
- The left side of the heart ( left atrium , left ventricle, and aortic valve) is underdeveloped. (medicinenet.com)
- The mitral valve , which controls blood flow between the left atrium and left ventricle, is narrowed or restricted. (medicinenet.com)
- Functional mitral valve regurgitation is a condition caused by damaged heart muscle involving the left ventricle which results in mitral valve leakage. (nih.gov)
- If the valve opening becomes narrowed, aortic stenosis will result, causing the heart to work harder and the walls of the ventricle to become thicker. (rahmanicardiology.com)
- Normally the tricuspid valve is located between the right upper chamber (atrium) and the right lower chamber (ventricle) of the heart. (childrensnational.org)
- Instead of a valve, a piece of tissue forms which restricts blood flow between the right atrium and right ventricle. (childrensnational.org)
- Because blood doesn't pass through the tricuspid valve, the right ventricle remains small. (childrensnational.org)
- Tricuspid valve stenosis can be associated with right atrial enlargement, but the right ventricle is normal. (myesr.org)
- Fig.5) Four-chamber axis and (Fig. 6) axial plane steady-state free precession cine-MRI images show displacement of the septal tricuspid valve leaflet towards the apex, atrialisation of the right ventricle, and considerable dilatation of the right atrium and right ventricle. (myesr.org)
Ebstein's Anomaly2
- Tricuspid valve is abnormal with varying degrees of apical displacement into the ventricular cavity resembling Ebstein's anomaly [3]. (scirp.org)
- Abi was born on July 24th, 2009 with several heart defects that were detected prenatally at 18 weeks: Congenitally Corrected Transposition of the Great Arteries ( Congenitally Corrected Transposition of the Great Vessels) (CCTGA = LTGA = L-TGA), Ebstein's Malformation (Ebstein's Anomaly) (malformed tricuspid valve), Pulmonary Stenosis and VSD. (care4abi.com)
Intervention2
- Even early-stage AV sclerosis associates with increased cardiovascular morbidity and mortality ( 9 , 10 ), and recent clinical studies have suggested that intervention prior to late-stage stenosis may improve overall cardiovascular outcomes ( 11 - 13 ). (frontiersin.org)
- Cardiovascular soft tissue repair patches must be used during minimally invasive treatments such as Transcatheter Aortic Valve Replacement (TAVR) and Percutaneous Coronary Intervention (PCI) to restore the tissues that have been injured. (reportsanddata.com)
Calcification4
- Degenerative calcific aortic stenosis (also called senile calcific aortic stenosis) involves progressive calcification of the leaflet bodies, resulting in limitation of the normal cusp opening during systole. (medscape.com)
- Immunohistochemical studies of trileaflet aortic valves with varying degrees of valve stenosis have demonstrated the presence of inflammation, lipid infiltration, and production of proteins that mediate tissue calcification. (bmj.com)
- In addition, several proteins associated with tissue calcification have been localised in sclerotic and stenotic trileaflet aortic valves. (bmj.com)
- Regarding the prosthetic valve selection, it is reasonable to select the mechanical valve because 1) anticoagulation therapy is necessary for APLS, 2) the risk of the dialysis induction due to the lupus-induced renal failure leading to a high calcium turnover, which results in accelerated bioprosthetic valve calcification. (bvsalud.org)
Balloon valvuloplasty4
- The treatment is usually by surgery (tricuspid valve replacement) or percutaneous balloon valvuloplasty. (wikipedia.org)
- 11. Transcatheter aortic valve implantation without prior balloon valvuloplasty is associated with less pronounced markers of myocardial injury. (nih.gov)
- The balloon valvuloplasty can be used for treating stenosis of tricuspid, pulmonary, mitral, and aortic valves, but in some cases, its potential risks outweigh its potential benefits. (statpearls.com)
- For patients with severe tricuspid valve stenosis, valve replacement surgery is preferred over balloon valvulotomy as most cases are associated with tricuspid regurgitation, and balloon valvuloplasty can worsen regurgitation. (statpearls.com)
RHEUMATIC FEVER2
- Tricuspid valve stenosis is almost always due to RHEUMATIC FEVER . (bvsalud.org)
- On other hand, Mitral stenosis often follow rheumatic fever and persistent inflammatory valve damage [6]. (jcmimagescasereports.org)
Transcatheter aortic valve implantation2
- Aims RESPOND is a prospective, open-label, single-arm study evaluating the outcomes following transcatheter aortic valve implantation (TAVI) with the repositionable and fully retrievable Lotus Valve used in routine clinical practice for the treatment of patients with aortic valve stenosis. (medscape.com)
- Since the introduction of transcatheter aortic valve implantation (TAVI), the long-term durability of transcatheter heart valves (THV) has been debated. (larespubblica.com)
Dysplasia1
- Right ventricular enlargement is one finding of arrhythmogenic right ventricular dysplasia/cardiomyopathy, but the tricuspid valve is in a normal position. (myesr.org)
Mild1
- If stenosis is mild, monitoring the condition closely suffices. (wikipedia.org)
Atrial fibrillation1
- Increased left atrial size and pressure, developing atrial fibrillation (AF) rhythm, reduced left atrium (LA) contractility and blood stasis in LA promote thrombus formation which can be a source of cardio-embolic stroke in mitral stenosis patient [1-3]. (jcmimagescasereports.org)
Septal1
- PM 10 and traffic density may contribute to the occurrence of pulmonary valve stenosis and ventricular septal defects, respectively. (cdc.gov)
Surgical risk1
- 13. Performance and Safety of Transfemoral TAVI With SAPIEN XT in Australian Patients With Severe Aortic Stenosis at Intermediate Surgical Risk: SOLACE-AU Trial. (nih.gov)
Left ventricular3
- 7. Outcomes after transcatheter aortic valve replacement in patients with low versus high gradient severe aortic stenosis in the setting of preserved left ventricular ejection fraction. (nih.gov)
- 12. [Left ventricular guidewire pacing during transcatheter aortic valve replacement]. (nih.gov)
- For the AV, the valve opens when left ventricular (LV) pressure exceeds aortic pressure during systole and closes when LV pressure falls below the aortic pressure during diastole. (frontiersin.org)