1 / 48

“For Every Good Idea”

“For Every Good Idea”. Valve Prostheses. Ideal Prosthesis: Not Thrombogenic Durable Resistant to infection Mimics Normal Flow Ease of insertion/ available.

yanka
Download Presentation

“For Every Good Idea”

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. “For Every Good Idea”

  2. Valve Prostheses Ideal Prosthesis: Not Thrombogenic Durable Resistant to infection Mimics Normal Flow Ease of insertion/ available

  3. Valve Prostheses Biologic: Less Durable Less Thrombogenic More Resistant to Infection Mechanical: More Durable Requires Anticoagulation/ Coumadin

  4. Valve Surgery • Aortic Stenosis • Aortic Insufficiency • Mitral Stenosis • Mitral Insufficiency

  5. Aortic Stenosis • Acquired Calcific- Senile Degeneration • Congenital- Bicuspid Valve • Rheumatic Valvular Disease

  6. Aortic Stenosis Aortic Valve Area 2.5 -3.5 cm Mild 1.5 -2.0 cm Moderate 1.0 -1.5 cm Severe < 1.0 cm

  7. Aortic Stenosis Symptoms: Angina-Chest Pain Syncope CHF/ SOB Exam: Systolic Murmur Harsh Crescendo-decrescendo Pulsus Parvus et Tardus Surgery Indications: Symptoms AVA < 1.0 cm mpg >50 mmHg

  8. Aortic Insufficiency Annulo-Aortic Ectasia Connective Tissue Disorders: Marfan’s Syndrome Ehlers -Danlos Syndrome Rheumatic Valvulitis Endocarditis Syphillis Trauma Aortic Dissection

  9. Aortic Insuffficiency Symptoms : SOB/ DOE Angina Exam: Diastolic Murmur Widened Pulse Pressure (Corrigan’s) Surgery Indications: NYHA III-IV Rule of “50’s” C/T ratio > 50% EF < 50% ESD > 50mm

  10. Mitral Stenosis • Rheumatic Valvulitis • Congenital • Mitral Annular Calcification • Systemic Lupus Erythematosus • Myxoma

  11. Mitral Stenosis Symptoms: SOB/ DOE Cough- Hemoptysis Orthopnea- PND Emboli Exam: Diastolic Murmur-Rumble Opening Snap Increased First Heart Sound

  12. Mitral Stenosis Normal Mitral Valve Area 4- 6 cm Mild: > 2.0cm < 5 mmHg Moderate: 1.0- 2.0 cm 5-10 mmhg Severe: < 1.0 cm > 10mmhg Indications for Surgery: NYHA III-IV Atrial Fibrillation

  13. Mitral Insufficiency Myxomatous Degeneration Barlow’s Syndrome Mitral Valve Prolapse (4-5%) Rheumatic Heart Disease Endocarditis Coronary Ischemia-Infarction

  14. Mitral Insufficiency Symptoms: DOE/ SOB Fatigue Palpitations Exam: Apical holo-systolic murmur Diastolic flow murmur Indications for Surgery: NYHA III-IV NYHA I-II

  15. Aortic Dissection

  16. Debakey Classification

More Related