Prosthetic Valves Flashcards

1
Q

What angle do the leaflets move between in the St. Jude mechanical valve?

A

Between 30 and 85 degrees

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2
Q

In the mitral position, are mechanical valves usually implanted in the anatomic or antianatomic position?

A

In the antianatomic position (opening is perpendicular to native MV commissure)

(Blood flow more likely to move leaflets equally and subvalvular apparatus less likely to interfere with leaflets in antianatomic position)

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3
Q

St Jude valve vs. On-X valve: echo signatures

A

St. Jude:
- leaflets hinge above sewing ring
- convergent washing jets

On-X:
- leaflets hinge within plane of sewing ring
- parallel washing jets

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4
Q

What is the normal peak velocity for a mechanical/prosthetic aortic valve?

A

<3m/sec

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5
Q

What is the normal mean gradient for a mechanical/prosthetic aortic valve?

A

MG <20mmHg

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6
Q

What is the normal DVI for a mechanical/prosthetic aortic valve?

A

DVI >/= 0.3

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7
Q

What is the normal EOA for a mechanical/prosthetic aortic valve?

A

EOA >1.2

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8
Q

What is the normal AT for a mechanical/prosthetic aortic valve?

A

AT <80msec

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9
Q

What is the normal peak velocity for a prosthetic mitral valve?

A

<1.9m/sec

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10
Q

What is the normal mean gradient for a prosthetic mitral valve?

A

MG </= 5mmHg

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11
Q

What is the normal EOA for a prosthetic mitral valve?

A

EOA >/= 2.0cm2

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12
Q

What is the normal PHT for a prosthetic mitral valve?

A

<130msec

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13
Q

What is the normal peak velocity for a prosthetic tricuspid valve?

A

<1.7 m/sec

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14
Q

What is the normal mean gradient for a prosthetic tricuspid valve?

A

<6mmHg

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15
Q

What is the normal PHT for a prosthetic tricuspid valve?

A

<230msec

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16
Q

What is the most common single tilting disc valve?

A

Medtronic Hall

17
Q

What is a key feature of the Medtronic Hall valve?

A

A large central washing jet

18
Q

How much should a watchman device be compressed after expansion of the implant in the LAA?

A

It should be compressed at 80-92% of its size

19
Q

After watchman placement, what is the maximum acceptable vena contracta of flow in the LAA?

A

The vena contract should be <0.5cm

20
Q

What width does the LAA ostium need to be (range) in order to place a watchman device?

A

Between 17 and 31mm