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Valvuloplasty
Heart Valve Repair

Presentation

We present a case where difficulty was encountered in advancing the balloon catheter across the mitral valve by standard technique. [ncbi.nlm.nih.gov]

The clinical condition in-extremis was present in 42.1% of them. [scielo.br]

Cardiovascular

  • Heart Disease

    KEYWORDS: Anticoagulation; Rheumatic heart disease; Thromboembolism; Watchman® [ncbi.nlm.nih.gov]

    Valvular heart disease. In RO Bonow et al., eds., Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 9th ed., vol. 2, pp. 1468–1539. Philadelphia: Saunders. Feltes TF, et al. (2011). [uofmhealth.org]

    Valvular heart disease. In RO Bonow et al., eds., Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 9th ed., vol. 2, pp. 1468-1539. Philadelphia: Saunders. Feltes TF, et al. (2011). [northshore.org]

Skin

  • Skin Edema

    The fetus had hydrops with ascites, and massive scalp, face and skin edema. Fetal amniocentesis was normal. Aortic valvuloplasty was performed under general anesthesia and echocardiographic guidance. [ncbi.nlm.nih.gov]

Psychiatrical

  • Suggestibility

    This review of the recent literature suggests that current SAV provides a safe and durable repair. Furthermore, primary SAV appears to have greater freedom from reintervention and aortic valve replacement when compared to BAD. © The Author(s) 2016. [ncbi.nlm.nih.gov]

Neurologic

  • Encephalopathy

    Finally, her hepatic encephalopathy was dramatically improved. [ncbi.nlm.nih.gov]

Workup

The final diagnostic workup for the underlying malignancy continued the day after valvuloplasty. © 2015 Wiley Periodicals, Inc. [ncbi.nlm.nih.gov]

QT, RR, ST Intervals

  • ST Elevation

    We present a case of an inferior ST-segment elevation associated with angina and hypotension following percutaneous mitral valvuloplasty. Coronary angiography during ST elevation found no abnormalities and no myocardial necrosis was documented. [ncbi.nlm.nih.gov]

Blocks

  • Third Degree Atrioventricular Block

    RESULTS: In the transcatheter aortic valve implantation population undergoing continuous electrocardiogram monitoring, new-onset left bundle branch block (LBBB) or third-degree atrioventricular block occurred in 48 (64%) and 16 (21.3%) patients, with [ncbi.nlm.nih.gov]

Treatment

She became haemodynamically unstable and required treatment with mechanical ventilation and assisted circulation. Urgent surgical treatment was planned. [ncbi.nlm.nih.gov]

It is frequently the preferred treatment for patients with mitral stenosis and pulmonic stenosis. [sharecare.com]

Prognosis

Insights into prognosis of valvular aortic stenosis. Circulation. 1994 Feb;89(2):642-50. [clinicaltrials.gov]

This is not surprising because functional status is a well-known determinant of prognosis in patients with severe AS treated medically ( 18,19 ). [interventions.onlinejacc.org]

While patients can survive for years with asymptomatic AS, the prognosis following symptom onset is quite poor without intervention. [intervalveinc.com]

Outlook (Prognosis) People with mild disease rarely get worse. However, those with moderate to severe disease will get worse. The outcome is often very good when surgery or balloon dilation is successful. [mountsinai.org]

Etiology

The most common etiology of tricuspid stenosis is rheumatic, and in most cases it is associated with valvular regurgitation. [ncbi.nlm.nih.gov]

The main reason for the treatment of patients in the group in extremis with BAV was the presence of a clinical condition of extreme gravity, whether or not with cardiac etiology, in the presence of severe aortic stenosis. [scielo.br]

 Degenerative AS is MC etiology.  Chronic inflammatory process.  Commissural fusion is not the predominant feature in majority of older patients with calcific AS.  Fracture of nodular calcium deposits – leaflet mobility improved – increased valve [slideshare.net]

Etiology Rheumatic mitral valve disease, manifested by commissural leaflet fusion, is the most common cause of mitral stenosis. [emedicine.medscape.com]

Epidemiology

Epidemiology Frequency Rheumatic heart disease remains uncommon in the United States today. It is much more prevalent in developing nations, where patients tend to present at a younger age. [emedicine.medscape.com]

Pathophysiology

Post-operative TMA mostly occurs in adult patients with cardiovascular surgery, with the distinct pathophysiology from classical thrombotic thrombocytopenic purpura (TTP) although the exact pathophysiology remains unclear. [ncbi.nlm.nih.gov]

Pathophysiology of AS A normal aortic valve leaflet consists of 3 layers ( Figure 1 ). [circ.ahajournals.org]

Data on outcome among these patients is scarce, but there appears to be a law of diminishing returns, particularly in patients with less favourable valve anatomy. 15 The pathophysiology of mitral restenosis does not consist solely of commissural re-fusion [heart.bmj.com]

Pathophysiology Commisural fusion of the mitral valve leaflets results in loss of the mitral orifice size. This limits blood flow across the valve from the left atrium to the left ventricle. [emedicine.medscape.com]

Prevention

These medications may include anticoagulants to prevent clot formation and radioactive dye for X-rays. Your groin area is shaved and cleaned with an antiseptic. [wexnermedical.osu.edu]

In patients with Osler's disease, valuvloplasty using autologous pericardium is considered effective for preventing the later recurrence of IE. [ncbi.nlm.nih.gov]

The X-Line catheters are designed with braided inner tubing that optimizes catheter trackability to prevent kinking. [bisusa.org]

Innovative investigational approaches for detecting, understanding, treating and preventing heart failure are studied here. [hospitals.jefferson.edu]

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