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Prosthetic Cardiac Valve Dehiscence

Prosthetic Heart Valve Malfunction Dehiscence


Presentation

  • The purpose of this series of volumes is to present a comprehensive view of the complications that result from the use of acceptable diagnostic and therapeutic proce dures.[books.google.com]
  • Includes a practical outline called The Echo Exam at the end of each chapter that presents necessary calculations, diagnoses, and examples along with guidance on how to interpret outcomes.[books.google.com]
  • We present a case of an atypical early presentation of Aspergillus endocarditis (AE) with an echogenic valvular mass in a previously operated female for mitral valve repair.[heartviews.org]
  • Pericardial effusion was not present or scored as physiological ( 1 .[link.springer.com]
  • Patients usually present with heart failure and /or infective endocarditis, they can also present with one or more local complications of aortic valve dehiscence.[omicsonline.org]
Surgical Procedure
  • The causes of PVE vary from surgical procedure to superficial skin infection. Sometimes it is difficult to identify latent infections in the body and recognize them as the true causes of PVE.[hoajonline.com]
  • Procedures, Constriction, Pathologic, Diagnostic Imaging, Echocardiography, Echocardiography, Transesophageal, Embolism, Endocarditis, Heart Valve Diseases, Heart Valve Prosthesis, Magnetic Resonance Imaging, Thrombosis, Tomography, Tomography, X-Ray[acc.org]
  • The prognosis depends on a set of factors that include: The overall health condition of the individual The type of organism causing infection The presence of any heart disease or heart abnormality Surgical procedures involving the heart The severity of[dovemed.com]
  • Although the indications for the various surgical procedures can overlap, there are distinct conceptual differences.[link.springer.com]
  • Any major surgical procedure can be associated with a low-grade fever (100 F or 37.8 C) for a few days.[medtextfree.wordpress.com]
Congestive Heart Failure
  • Summary points of the indications for surgery in infective endocarditis Congestive Heart Failure · Congestive heart failure caused by severe aortic or mitral regurgitation or, more rarely, by valve obstruction caused by vegetations · Severe acute aortic[bcs.com]
  • On physical examination, he had diaphoresis with normal vital signs and without evidence of congestive heart failure, acute aortic regurgitation, or abnormal prosthetic heart sounds.[nejm.org]
  • The occurrence of any two of three features (nonstreptococcal etiology, a new regurgitant murmur, and moderate-to-severe congestive heart failure) carried a high mortality. Surgery should be strongly considered. Kluge RM, et al.[medtextfree.wordpress.com]
  • PVE can lead to complications including congestive heart failure, cardiac arrhythmias, and neurological complications The treatment of Prosthetic Valve Endocarditis is based on the organism type causing the infection.[dovemed.com]
Physician
  • The term iatrogenic, derived from two Greek words, means physician-induced. Originally, it applied only to psychiatric disorders generated in the patient by autosug gestion, based on misinterpretation of the doctor's attitude and comments.[books.google.com]
  • […] that these patients are being followed closely by a primary physician.[ahcmedia.com]
  • In order to diagnose Prosthetic Valve Endocarditis, the physician will initially perform a physical exam with evaluation of medical history.[dovemed.com]
  • Emergency medicine physicians must be able to rapidly identify patients at risk and begin appropriate diagnostic testing, stabilization, and treatment.[emedicine.medscape.com]
  • Diagnostic testing Anatomy Your heart valves Your heart and blood vessels Webchats Our webchats and video chats give patients and visitors another opportunity to ask questions and interact with our physicians.[my.clevelandclinic.org]
Hunting
Heart Disease
  • Each section covers a different disease or group of heart diseases, including coronary artery disease, heart failure and cardiomyopathy, valvular heart disease, pericardial disease, congenital heart disease, cardiac arrhythmias, peripheral vascular disease[books.google.com]
  • Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. ‏[books.google.com]
  • Provides a clinically based approach to echocardiography, with an in-depth discussion of the main cardiac events seen in practice, including adult congenital heart disease.[books.google.com]
  • disease Mitral valve prolapse Age-related degenerative heart disease Heart disease due to underlying connective tissue disorders Heart disease due to syphilis Any cause of bacteremia that may include medical procedures such as: Oral surgery, tooth extraction[dovemed.com]
Heart Disease
  • Each section covers a different disease or group of heart diseases, including coronary artery disease, heart failure and cardiomyopathy, valvular heart disease, pericardial disease, congenital heart disease, cardiac arrhythmias, peripheral vascular disease[books.google.com]
  • Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. ‏[books.google.com]
  • Provides a clinically based approach to echocardiography, with an in-depth discussion of the main cardiac events seen in practice, including adult congenital heart disease.[books.google.com]
  • disease Mitral valve prolapse Age-related degenerative heart disease Heart disease due to underlying connective tissue disorders Heart disease due to syphilis Any cause of bacteremia that may include medical procedures such as: Oral surgery, tooth extraction[dovemed.com]
Heart Failure
  • Failure 1330 Pathophysiology of the Heart Failure Clinical Syndrome 1339 Acute Heart Failure 1352 Chronic Heart Failure Management 1373 1377 Diagnosis and Medical Treatment of Inflammatory 1392 Nonischemic Cardiomyopathies 1406 Cardiac Transplantation[books.google.com]
  • Each section covers a different disease or group of heart diseases, including coronary artery disease, heart failure and cardiomyopathy, valvular heart disease, pericardial disease, congenital heart disease, cardiac arrhythmias, peripheral vascular disease[books.google.com]
  • Summary points of the indications for surgery in infective endocarditis Congestive Heart Failure · Congestive heart failure caused by severe aortic or mitral regurgitation or, more rarely, by valve obstruction caused by vegetations · Severe acute aortic[bcs.com]
  • On physical examination, he had diaphoresis with normal vital signs and without evidence of congestive heart failure, acute aortic regurgitation, or abnormal prosthetic heart sounds.[nejm.org]
Hypertension
  • Syndromes 251 Early Diagnosis 280 Complications 303 PostMyocardial Infarction Management 327 Mitral Valve Disease 346 Aortic Valve Disease 366 Prosthetic Valve Disease 389 Infective Endocarditis 402 Diseases of the Pericardium Restrictive 420 Pulmonary Hypertension[books.google.com]
  • Abd, MD, MPH 1800 Orleans Street, Zayed 7125 Baltimore, MD 21286 History The patient is a 49 year-old man with history of hypertension, end stage renal disease and pulmonary embolism on chronic Warfarin therapy.[scct.org]
  • […] severe aortic or mitral regurgitation or, more rarely, by valve obstruction caused by vegetations · Severe acute aortic or mitral regurgitation with echocardiographic signs of elevated left ventricular end diastolic pressure or significant pulmonary hypertension[bcs.com]
  • 高血圧[症] hypertensive heart disease高血圧性心疾患 hypertrophic cardiomyopathy (HCM) 肥大型心筋症 hypertrophic nonobstructive cardiomyopathy(HNCM)非閉塞性肥大型心筋症 hypertrophic obstructive cardiomyopathy(HOCM)閉塞性肥大型心筋症 hypertrophy肥大(厚) hypoplastic left heart syndrome 左心低形成症候群[tokyo-med.ac.jp]
  • A 64-year-old female with multiple comorbidities of diabetes mellitus, hypertension, hypercholesterolemia, renal impairment, and rheumatic mitral valve disease; had recently undergone mitral valve and ascending aortic aneurysm repair electively, a month[heartviews.org]
Tachycardia
  • System 613 Chapter35D Cardiac Manifestations of Selected Neurologic 626 Chapter35E Cardiovascular Manifestations of Rheumatic 638 Chapter35F The Heart and Infectious Diseases 656 Chapter36 Substance Abuse and the Heart 669 Chapter 63 961 Ventricular Tachycardia[books.google.com]
  • (PSVT)発作性上室性頻拍 paroxysmal ventricular tachycardia (PVT)発作性心室頻拍 patent ductus arteriosus (PDA) 動脈管開存[症] percardial friction rub心膜摩擦音 percussion 打診[法]、叩打法〈マッサージの一法〉 percutaneous transluminal coronaryangioplasty (PTCA)経皮的冠[状][動脈]形成[術] percutaneous transluminal[tokyo-med.ac.jp]
  • A cardiac pacemaker was implanted for recurrent nonsustained ventricular tachycardia resulting from atrioventricular dissociation during the postoperative recovery period. Then, the patient recovered and was discharged uneventfully. Figure 1.[circ.ahajournals.org]
  • Electrocardiogram (ECG) showed sinus tachycardia without significant changes.[heartviews.org]
  • […] listed under asymptomatic patients with severe AS; Class III AVR is also recommended in asymptomatic patients with severe AS and the following: LV systolic dysfunction; Class IIa Abnormal response to exercise (eg, hypotension); Class IIa Ventricular tachycardia[emedicine.medscape.com]

Workup

  • […] implantation (TAVI)/transcatheter aortic valve replacement (TAVR), except those in whom CT is contraindicated, [3, 4] and that the CT images should be interpreted with a member of the TAVI/TAVR team or reviewed with the operator before the procedure See Workup[emedicine.medscape.com]
Hypercholesterolemia
  • A 64-year-old female with multiple comorbidities of diabetes mellitus, hypertension, hypercholesterolemia, renal impairment, and rheumatic mitral valve disease; had recently undergone mitral valve and ascending aortic aneurysm repair electively, a month[heartviews.org]
  • 上大静脈右肺動脈吻合術 gold standardゴールドスタンダード h heart rate (HR)心拍数 hemiblock束枝(ヘミ、片)ブロック hemodynamics 血行動態、血行力学 high-density lipoprotein (HDL) cholesterolHDLコレステロール、高比重リポたんぱく[質]コレステロール high-output heart failure高拍出性心不全 hilar shadow肺門陰影 Holter monitoringホルターモニタ hypercholesterolemia[tokyo-med.ac.jp]

Treatment

  • الصفحة 24 - Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). ‏ الصفحة 134 - Sacks FM, Pfeffer MA, Moye LA et al.[books.google.com]
  • As clinically used, it now pertains to the inadvertent side-effects and complications created in the course of diagnosis and treatment.[books.google.com]
  • Steroids Local steroid sprays are effective in the treatment of allergic rhinitis. Small nasal polyps may even disappear after a few weeks of treatment.[ots1.narod.ru]
  • Diagnostics may help to distinguish functional from morphological causes and thus direct treatment. Operative therapy is indicated if conservative treatment fails to adequately relieve symptoms.[link.springer.com]
  • Treatment Guides Diagnostic Tests Diagnostic tests are used to diagnose your valve disease and the most effective treatment method.[my.clevelandclinic.org]

Prognosis

  • Whether you are attempting to choose a course of therapy, ascertain the optimal timing for intervention, arrive at a prognosis, or determine the possible need for periodic diagnostic evaluation, this is an essential resource you'll consult time and time[books.google.com]
  • What is the Prognosis of Prosthetic Valve Endocarditis? (Outcomes/Resolutions) Prosthetic Valve Endocarditis, if left untreated is almost always fatal.[dovemed.com]
  • Late prosthetic valve endocarditis: immediate and long-term prognosis . Chest 101 : 37 – 41 . 107. Townsend , T. R. , , B. A. Reitz , , W. B. Bilker , , and J. G. Bartlett . 1993 .[asmscience.org]
  • Favorable prognosis of patients with prosthetic valve endocarditis caused by gram-negative bacilli of the HACEK group. Am J Med 1988;85:104.[medtextfree.wordpress.com]
  • Early administration of appropriate antifungal treatment and prompt surgical intervention should improve the prognosis, which remains dismal. 1. Attia RQ, Nowell JL, Roxburgh JC.[heartviews.org]

Etiology

  • Etiologies and Basic Management of Acute Mitral Regurgitation Native Valve – Etiologies of Acute MR: Flail leaflet – due to Mitral valve prolapse, endocarditis, or trauma Chordae tendinae rupture – due to trauma, spontaneous rupture, endocarditis, acute[errolozdalga.com]
  • The occurrence of any two of three features (nonstreptococcal etiology, a new regurgitant murmur, and moderate-to-severe congestive heart failure) carried a high mortality. Surgery should be strongly considered. Kluge RM, et al.[medtextfree.wordpress.com]
  • Knowledge of the etiology, clinical and imaging features and potential local complications due to breakdown of the fibrous skeleton are important for timely management.[omicsonline.org]
  • (Etiology) Prosthetic Valve Endocarditis is caused by a large number of organisms, mostly bacteria or fungus. Early Prosthetic Valve Endocarditis is usually caused by Staphylococcus sp.[dovemed.com]
  • The etiology of the thromboembolism after surgery is multifactorial [9]. Several thromboembolic events caused by vegetation, thrombus and abnormal flow conditions of the prosthesis.[file.scirp.org]

Epidemiology

  • "The Changing Epidemiology of Infective Endocarditis in the Twenty-First Century". Current Infectious Disease Reports. 19 (5): 21. doi : 10.1007/s11908-017-0574-9. PMID 28401448.[en.wikipedia.org]
  • Aspergillus endocarditis after open heart surgery: An epidemiological investigation. J Hosp Infect 1990;15:245-53. 8. Stavridis GT, Shabbo FP. Aspergillus prosthetic valve endocarditis. Eur J Cardiothorac Surg 1993;7:50-1. 9.[heartviews.org]
  • Epidemiologic aspects of infective endocarditis in an urban population: a 5-year prospective study. Medicine 1995;74:324-339. 12.[dhm.mhn.de]
  • Epidemiology of fecal incontinence; the silent affliction. Am J Gastroenterol. 1996;91:33–6. PubMed Google Scholar 4. Nelson R, Norton N, Cautley E, et al. Community based prevalence of anal incontinence. JAMA. 1995;274:559–61.[link.springer.com]
  • Infective endocarditis: changing epidemiology and predictors of 6-month mortality: a prospective cohort study. Eur Heart J 2007; 28: 196-203 Shapira Y, Weisenberg DE, Vaturi M, Sharoni E, Raanani E, Sahar G, Vidne BA, Battler A, Sagie A.[wikiecho.org]
Sex distribution
Age distribution

Pathophysiology

  • 1243 Percutaneous Coronary Intervention 1258 Percutaneous Cardiac Procedures 1273 Coronary Artery Bypass Surgery 1290 Approaches to the Patient with Prior Bypass Surgery 1306 Percutaneous Valve Dilatations 1316 Global Pandemic of Heart Failure 1330 Pathophysiology[books.google.com]
  • Early infection ( Microbiology: Staph aureus (40%) Coag neg staph (20%) Cx neg (20%) Fungal (10% Late infection: pathophysiology more similar to native valve endocarditis (adherence to platelet-fibrin thrombi on valve), as foreign material has become[errolozdalga.com]
  • No significant differences were seen in major embolism or endocarditis. [11] Pathophysiology Valve failure Primary valve failure may occur abruptly from the tearing or breakage of components or from a thrombus suddenly impinging on leaflet mobility.[emedicine.medscape.com]

Prevention

  • Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. ‏[books.google.com]
  • Patients with IE have a greater chance of developing IE again and should take precautions to prevent future episodes. Fungal infections may require life-long treatment to prevent recurrence.[my.clevelandclinic.org]
  • Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC).[bcs.com]
  • A variety of problems can complicate prosthetic heart valves: Thrombosis: this is a major potential problem with mechanical heart valves, requiring that the patient remain on anticoagulant therapy, though this will not entirely prevent thrombosis and[library.med.utah.edu]
  • […] edit ] Not all people with heart disease require antibiotics to prevent infective endocarditis.[en.wikipedia.org]

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