Valve disease 2 Flashcards
vascular complications
- aortic dilation
- aneurysm formation
- aortic dissection
- associations:
a. coarctaction
b. PDA
c. Coronary anomalies
Management of Bicuspid Aortic Valve
- Serial assessment of the aortic valve by echo is a valuable tool to evaluate the functional state of the valve as well as to measure the aortic diameter, chamber dimensions, and ventricular function
- Patients with mild-to-moderate valvular dysfunction and normal left ventricular (LV) dimensions and function should be monitored by echocardiography at regular intervals.
Other Forms of Aortic Stenosis
- subvalvular disease
Subvalvular disease
- thin membrane (the most common lesion),
- thick fibromuscular ridge,
- diffuse tunnel-like obstruction,
- Hypertrophic Obstructive Cardiomyopathy
- abnormal mitral valve attachments
- accessory endocardial cushion tissue
Bicuspid aortic valve disease
- is the most common congenital cardiac defect (1-2% of babies) .
- can be found in isolation
- often associated with dilation of the proximal ascending aorta secondary to abnormalities of the aortic media.
Aortic Regurgitation
- valve disease
2. disease of the aorta
Aortic Regurgitation: valve disease
- Rheumatic
- Degenerative
- Endocarditis
- Congenital
a. Bicuspid
b. Quadricuspid
Aortic Regurgitation: disease of the aorta
- Dissection
- Marfan’s
- Atherosclerosis
- Annulo-aortic ectasia
- Syphilis
- Ankylosing spondilitis
- Osteogenesis imperfecta
signs of aortic regurgitation
- corrigan’s pulse
- quicke’s pulse
- de Musset’s sign
- Durozie’s sign
- hill’s sign
corrigan’s sign
Rapid forceful carotid upstroke followed by rapid decline
quicke’s pulse
Diastolic blanching in nail bed when slightly compressed
de Musset’s sign
bobbing of the head
Durozie’s sign
Systolic and diastolic femoral bruits when compressed with stethoscope
Hill’s sign
Systolic BP in legs > 30 mmHg than in arms
types of pulmonic stenosis
- acommissural
- unicommissural
- bicuspid
- dysplastic
Stenosis of the pulmonic valve is
- one of the more common forms of congenital heart disease.
- Most of the patients are children however patients with congenital pulmonic stenosis may come to medical attention during adolescence or adulthood.
In recent years _____ has largely replaced surgical valvotomy except in patients with dysplastic valves.
percutaneous balloon valvuloplasty
