Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Prosthetic Valves - ESP > Prosethic Valves > Flashcards

Prosethic Valves Flashcards

1
Q

Mechanical valves are durable, but need?

A

Blood thinners

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

A st Jude valve is what kind of valve?

A

Bi leaflet. Creating 3 orifices.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

CarboMedics is what kind of valve?

A

Bi leaflet. 3 orifices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Starr-Edwards is what kind of valve?

A

Caged ball

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Bjork-Shirley is what kind of valve?

A

Tilting disk. 2 orifices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Bjork-Shirley is what kind of valve?

A

Tilting disk. 2 orifices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Medtronic Hall is what kind of valve?

A

Tilting disk. 2 leaflets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

I’m

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Prosthetic valves do not require blood thinners, but are not as?

A

Durable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which type of valves acoustic shadowing?

A

Mechanical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Homografts or allografts are what kind of valves?

A

Homo=human
Human tissue. Valves made from tissue of the same species.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Allografts or homografts are ___ preserved

A

Cryo-perserved

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Allografts or homografts can have what 3 characteristics?

A

-stented
-unsteneted
-due matter brain covering

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Heterografts are also known as?

A

Xenografts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Homografts are also known as?

A

Allografts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a xenograft?

A

AK.A heterograft

They are valves a made from tissue or a different species (animals)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is an autograft?

A

A valve made of the patient own tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Autografts are made of what kind of covering?

A

Fascis lata ( thigh muscle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Carpenter Edward’s is what kind of valve?

A

Bioprosthic- hertrograft (xenograft)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Hancock valve is what kind of valve?

A

Bioprosthetic. Heterograft (xenograft)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

A dura matter covering on a valve belongs to what kind of valve?

A

Homograft (allograft)

22
Q

Another word for xenograft is?

A

Heterograft

23
Q

A biovine valve is made from

A

Cow

24
Q

A porcine valve is made from?

A

Pig

25
Q

What are the three reasons native valves are replaced?

A

Stenosis
Regurgitation
Infection

26
Q

Which valve is the most repaired not replaced?

A

Mitral valve

27
Q

____ valve is the most repaired not replaced

A

MV

28
Q

Valve repairs are becoming more ____, with the ____ & ___ rings or annuloplastises.

A

Common; carpenter ; duran

29
Q

What’s a annuloplasty?

A

A procedure to repair or reinforce a heart valve. With an annuloplasty a ring surrounds your heart valve (annulus). This band reinforces the ring to help your heart valve close.

30
Q

Carpenter or Duran rings are a type of?

A

Annuloplasty for repair of the native valve

31
Q

Describe the Ross procedure

A

Involves moving the pulmonic valve into the aortic valve position Removing the aortic valve. Replacing
the pulmonic valve with the homograft.

The right and left main coronary arteries must be moved and reattached as well.

32
Q

What is the name of the dual valve surgery for congenital aortic stenosis?

A

Ross procedure

33
Q

What is the indication for the Ross procedure to be performed?

A

Congenital AS

34
Q

The Ross procedure is overall what kind of valve replacement?

A

Autograft. Because it’s your own human tissue pulmonic valve replacing the aortic stenotic one.

35
Q

What is the pulmonary autographed procedure called?

A

Ross procedure

36
Q

All prosthetic valves have a?

A

Transvalvular gradient

37
Q

True or false- most mechanical valves do not have built-in regurgitation

A

False. They do.

38
Q

What are some complications of prosthetic valves?

A
  • thrombus formation
    -Perivalvular leak
    -Ring abcesses
  • Pannus formation
    -dehiscene / valve degeneration
    -hemolysis
    -endocarditis
    -systemic embolus
39
Q

What is pannus formation? And is it a complication of prosthetic valves?

A

ingrowth of fibrous tissue into the valve apparatus causing valve disruption. Yes.

40
Q

What is valve dehiscene?

A

Failure of the sutures of the anchoring the valve or ring to stay put. The sutures pull out from tissue. Rare.

41
Q

True or false- bio prosthetic valves will always have a clicking sound

A

False. That’s mechanical valves.

42
Q

True or false- echo findings associated with prosthetic valves are specific to each different valve.

A

True

43
Q

What will prosthetic valves look like on echo?

A

Highly echogenic apparatus. Mechanical valves may hide adjacent structures due to shadowing.

44
Q

Mechanical valve motion is best studied by?

A

M-mode to view maximum disc motion

45
Q

A dehisced valve will ___, ___ to attachment.

A

Rock ; relative

46
Q

Pannus means?

A

Overgrowth of host tissue

47
Q

Which mechanical prosthetic valve will have higher effects of shadowing and masking of structures on TTE,

  1. Aortic mechanical valve
  2. Mitral mechanical valve
A
  1. Mitral mechanical valve
48
Q

On Doppler valves should always be checked for ?

A

Peri prosthetic leaks around the sewing ring

49
Q

True or false- it’s normal for all prosthetic valves to have some trans valvular gradients, and some regurgitation

A

True

50
Q

What modality is necessary for evaluating mitral regurg, especially during intraoperative monitoring of leaks or success of a valvuloplasties?

A

TEE

51
Q

True or false - you should always measure peak and mean ingredients across all prosthetic valves

A

True

52
Q

Which type of valve may have higher general gradient?

A

Starr-Edward’s (ball and cage mechanical)

Prosthetic Valves - ESP (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions