Aortic Valve Replacement

AS can occur in the congenital period or later in life, but is more common in adults due to lack of exercise, and nutrition causing calcium buildup. If it is congenital it will occur within the first eight weeks of pregnancy, which the cause is unknown. In a child with AS, the pressure is much higher than normal in the left chamber pumping. Blood that has leaked back into the left ventricle through the valve in between heartbeats, causing the ventricle to be enlarged. There are three stages of AS. Stage A occurs in patients with bicuspid aortic valve or aortic sclerosis who are symptom free but are at risk for AS. In stage B people have progressive AS with mild or moderate calcify valve leaflets, leaflets mobility, or mild or

It was established that the patient’s symptoms were due to an aortic regurgitation this was confirmed by echocardiogram. The use of the SOAPIER model is an effective means of providing rationale for a holistic clinical decision making. The findings and treatment options were discussed in a multidisciplinary meeting including Mr Jones and family. The family were informed that surgery was the safest treatment option. Complications that could happen with or without surgery were also explained ensuring that the patient had adequate understanding to make a valid choice about his treatment. Mr Jones agreed that a replacement of the aortic valve with a mechanical valve was necessary, thus it last for more than twenty years or more . Mr Jones

heart. The old valve is pushed to the side and the new valve gets implanted. This procedure

A doctor may also suggest treatment later in a person’s life, if the disease worsens. If a cardiologist suggests medical treatment, two options include: Mitral Valve Repair or Mitral Valve Replacement. “If the patient chooses to have Mitral Valve Replacement, he or she should find a surgeon who satisfies three criteria; the surgeon should have a 90 percent or greater rate of successful repair, should have an extremely low rate of death from surgery (less than 1 percent) and should be proficient in operating with less invasive approaches, if your surgeon cannot provide these sorts of numbers, you need to move to another” (Gillinov 326). By reconnecting valve leaflets a surgeon can perform Mitral Valve Repair (mayoclinic.org). A surgeon can also remove excess tissue from the valve for a repair (mayoclinic.org). “The traditional approach to most aortic valve problems is to open the chest, remove the old valve, and sew in a new one” (Gillinov

This past Friday in the cardiac catheterization lab I began my day with continuing the work that I was previously assigned to do last week where I collected the data of patient's Cardiothoracic surgery. I continued to familiarize myself with the different types of Cardiothoracic surgery procedures, however, the specific reports I was working with, they are called TAVR report (Transcatheter Aortic Valve Replacement). I later learned and was explained to, the TAVR multiple procedures and its causes, which is aortic stenosis. As for the procedures, a valve needs to be placed in the heart and each procedure delivers it a different way. The three ways the valve can be placed in the heart is through the heart's femoral artery (the transfemoral approach),

Tricuspid atresia is treated from birth and involve a combination of operations within the first two years of life. Initially a cardia catheterization procedure is done to evaluate the defects. Then generally 3 operations are done, including a Blalock-Taussig shunt, Glenn Shunt (done at 4-6 months of age) which replaces the initial shunt, and finally a Fontan procedure (done at 2-3 years of age) which forms a second that directs blood from the inferior vena cava to the right pulmonary artery. The Glenn shunt is left in place. Aortic Valve Stenosis is a heart defect that is either congenital or acquired. The disease itself can be described basically as the inability of the valve to open completely. Atrial Septal defect is caused by an opening the atrial septum, there are 2 ways it can be caused, including a congenital cause, or the hole that is present in the heart of every fetus is not properly closed at the postnatal stage. Coarctation of the aorta is the narrowing of the aorta and is a congenital disease. It can occur anywhere in the aorta however most often is found in the segment just after the aortic arch. Patent Ductus Arteriosus is usually found a

"In 2006, more than 690,000 open heart surgeries were performed in the United States. These included surgeries to correct and repair defective valves as well as coronary artery bypass surgery. As recently as 70 years ago, these surgeries would have been impossible. The heart lung machine had yet to be invented, allowing surgeons to temporarily stop and start the heart. Prior to its invention, the longest a heart could be stopped was 30 to 40 minutes---not enough time to complete extensive surgery" (Smith, 2009). Since then, a number of minimally invasive surgical procedures have been introduced that permit surgeons to perform a variety of surgeries, making smaller incisions that leave smaller scars, reduce the chance of infection, are less painful to the patient and necessitate shorter hospital stays. These include minimally invasive direct coronary artery bypass, off-pump coronary artery bypass, videoscopic surgery and robotic-assisted heart surgery.

Personally I’ve had them all. I get my gene for my disease from my mother’s side. It isn’t a 100% accurate but my mother’s relatives are the only side that has heart issues, such as a reverse heart at berth that needed extensive heart surgery to flip it around. Every person that has aortic valve stenosis can't take medicine to cure the disease. They must have surgery, depending on how bad the back flow of blood is. In conclusion, this is my report on aortic valve

There were no early or late postoperative deaths and we achieved 100% follow-up for included patients. No patient had aortic valve replacement after one year. Preoperatively the mean ejection fraction in group S was 62.33±4.39% while in group R was 59.53±6.10%, the width of the regurgitant jet in group S was 34.67±2.72 % and in the group, R was 35.73±1.87 % ( p-value non-significant). Postoperatively after 1 year follow up the width of the regurgitant jet in group S increased significantly to 37.27±4.67% ( p > 0.5) while in group S almost remained unchanged 34.73±4.13% ( p <

For many patients, surgery is performed on the damaged valves. Surgery types differ for each individual depending upon which valves were affected, how severely they were infected, and if valves had previously been replaced artificially. Before surgery, patients must undergo a series of strenuous tests and careful assessments to be sure he or she qualifies for surgery. In a particular study, several patients were able to undergo valve replacement surgery.

Aortic Stenosis is recognised as the most prevalent form of valvular heart disease in the ageing population. Increasing life expectancy has resulted in a significant increase in the number of older patients being referred for consideration of an aortic valve replacement. Although surgical aortic valve replacement (AVR), or open heart surgery, remains the best type of treatment for symptomatic severe aortic stenosis, other treatment options include: Transcatheter Aortic Valve Implantation (TAVI); balloon aortic valvuloplasty (BAV); medical therapy. Transcatheter Aortic Valve Implantation, also referred to as Transcatheter Aortic Valve Replacement, is one of the least invasive types of aortic valve replacement surgeries. TAVi is important to

“Valvular heart disease is responsible for more than 22 000 deaths each year in the United States. (Patel, Green et al 2014). Thousands of people live long and healthy lives not knowing the they have valvular disease. Due to this, majority of these deaths are from the elderly population. Those who have succumbed to this disease, apart from those who attained it due to congenital reasons, usually have another disease of the heart or vascular system such as coronary disease or hypertension. The risk factors “ include male sex, smoking, hypertension, elevated low‐density lipoprotein cholesterol (LDL), coronary atherosclerosis, congenital bicuspid valve, and advanced age ( Patel, Green et al 2014). According to the article, men are at a higher risk for valvular disease than women, however, advanced age is the most significant risk factor for attaining this disease. When patients become symptomatic, the treatments of valvular stenosis become necessary in order to increase the quantity of blood needed for systemic circulation, thus prolonging quality of life.

Surgery. If the aortic insufficiency becomes severe, you may need surgery to repair or replace the valve. Surgery is usually recommended if the left ventricle enlarges beyond a certain point. If aortic insufficiency occurs suddenly, surgery may be needed immediately.

Heart disease is the leading cause of death in the United States, and diagnosis and treatment can involve invasive procedures including coronary angiography and percutaneous coronary intervention (PCI). In several European countries and Asia the majority of heart catheterizations are performed using transradial artery access (TRA); however, in the United States, the transfemoral artery approach remains the preferred method for coronary angiography and PCI. The purpose of this paper is to review the current literature and discuss the use of TRA for PCI including the history of TRA, comparisons of many important aspects of TRA with the tradition femoral approach, and discuss recommendations and future implications for use of TRA in the

Around the perimeter of the opening were white plastic strips with numbered blue markings. Each number coordinated to a specific string that was first sewed into the heart valve, then back out and attached to the numbered strip. Then the strings went in and around every part of the new valve and finally the valve was pulled down into the heart. Once the valve fit, the surgeon and surgical assistants sewed the valve into the heart and counted the strings. Behind one of the surgical assistants, there were rows of tiny square boxes with sizing numbers. The surgeon shouted a number to the surgical assistant who opened the box and removed a replacement valve. It was a porcine valve and fit the patient