Valve Diseases

Question 1

A. Name the lesions that causes holosystolic murmur?

Answer 1

Regurgitation ( mitral, tricuspid), ventricular septal defect

Question 2

Q. What causes holosystolic murmur that increase with inspiration?

Answer 2

Carvallo’s sign ( ⬆️ tricuspid regurgitation with inspiration because of ⬆️ venous return)

Question 3

Where can you hear murmur caused by aortic valve?

Answer 3

Right parasternal 2nd intercostal space and the murmur radiates up to the carotid because of increased pressure

Question 4

What are the causes of AS?

Answer 4

Senile calcification (most common)

Calcification of congenitally bicusped aortic valve (eg. Tunrer syndrome and many more)

Rheumatic heart disease ( most common in developing countries) also its usually ass. With Mitral valve disease as well

Question 5

After prosthetic valve replacement what is the drug prescribed for the ptn?

Answer 5

Warfarin

Question 6

In the Ross procedure the aortic valve is replaced by …..?

Answer 6

Pulomanry valve

Question 7

What is one of the diagnostic clues seen on chest xray that suggests the presence of AS?

Answer 7

Enlarged ascending aorta

Question 8

What is the most dangerous symptoms of AS that requires urgent surgery?

Answer 8

Syncope