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For neonates and children with congenital aortic valve stenosis, BAV is commonly the first type of procedure performed to relieve the stenosis, but is not always a definitive treatment option. [6] [1] [5] Guidelines suggest performing BAV in pregnant patients with severe aortic stenosis evident by severe symptoms. Changes in blood flow and ...
Pressure overload may affect any of the four chambers of the heart, though the term is most commonly applied to one of the two ventricles. Chronic pressure overload leads to concentric hypertrophy of the cardiac muscle, which can in turn lead to heart failure, myocardial ischaemia or, in extreme cases, outflow obstruction. [1]
Aortic valve repair or aortic valve reconstruction is the reconstruction of both form and function of a dysfunctional aortic valve. Most frequently it is used for the treatment of aortic regurgitation. [1] It can also become necessary for the treatment of aortic aneurysm, less frequently for congenital aortic stenosis.
Nitroprusside or phenylephrine may be used in those with decompensated heart failure depending on the blood pressure. [1] [3] Aortic stenosis is the most common valvular heart disease in the developed world. [4] It affects about 2% of people who are over 65 years of age. [1] Estimated rates were not known in most of the developing world as of ...
While x-ray and ECG might indicate aortic stenosis, echocardiography is the diagnostic procedure of choice. US findings also help in grading the severity of the disease. In cases of symptomatic severe aortic stenosis, AVR is warranted. In cases of asymptomatic but severe aortic stenosis, more factors should be taken into consideration. [6]
A narrow pulse pressure is also caused by aortic stenosis. [3] This is due to the decreased stroke volume in aortic stenosis. [9] Other conditions that can cause a narrow pulse pressure include blood loss (due to decreased blood volume), and cardiac tamponade (due to decreased filling time). In the majority of these conditions, systolic ...
The concept of an apicoaortic conduit to bypass valvular aortic stenosis (AS) was conceived by Carrel [1] in 1910, and performed experimentally by Sarnoff and colleagues on dogs in 1955. [2] In 1962-63, Templeton implanted prostheses similar to those originally described by Sarnoff in five patients with severe aortic valve stenosis; one patient ...
The pressure on the chest is released, allowing the pulmonary vessels and the aorta to re-expand, causing a further initial slight fall in stroke volume (20 to 23 seconds) due to decreased left atrial return and increased aortic volume, respectively. Venous blood can once more enter the chest and the heart; cardiac output increases.
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