valvular heart disease pathology

Question 1

aortic valve is in close proximity to the

Answer 1

AV node and bundle of HIs

Question 2

subaortic curtain is continuous with

Answer 2

anterior leaflet of mitral valve

Question 3

jet lesions are associated with

Answer 3

valvular heart disease

Question 4

congenital aortic stenosis is often

Answer 4

bicuspid

Question 5

congenital AS is associated with what type of ventricular hypertrophy

Answer 5

concentric 
and 
SAD
syncope
angina
dyspnea

Question 6

marked fibrosis and focal calcification of valve cusps associated with

Answer 6

Chronic rheumatic valvulitis

Question 7

2 features of a bicuspid aortic valve

Answer 7

• raphe

- conjoined cusp - absent commisure

Question 8

individuals with bicuspid valves also have other pathologies such as

Answer 8

Ascending aortic aneurysms

Question 9

aortic stenosis can lead to what type of heart failure

Answer 9

Diastolic dysfunction with preserved ejection fraction

Question 10

aortic insufficiency can be the result of

Answer 10

ascending aortic aneurysm

myocardial hypertrophy

Question 11

Syphilitic/Luetic aortitis can lead to

Answer 11

aortic insufficiency

Question 12

most common cause of rheumatic valvulitis is

Answer 12

mitral stenosis

Question 13

what process is dominant in mitral stenosis

Answer 13

Fibrosis NOT calcification

Question 14

“fish mouth” deformity of which valve is classic

Answer 14

mitral valve stenosis

Question 15

Aschoff nodules are present where?

Answer 15

in mitral valve acute rheumatic valvulitis

Question 16

most common cause of mitral regurgitation is

Answer 16

myxomatous mitral valve disease - associated with prolapse

Question 17

in mitral regurg there is increased ground substance deposition where?

Answer 17

middle layer of the leaflets - spongiosa

associates with marfan

Question 18

acute Mitral regurg can be the result of

Answer 18

papillary muscle rupture

Question 19

ischemic Mitral regurg is worse with what type of MI

Answer 19

• Inferior wall MI of the left ventricle

Question 20

emboli from valve endocarditis can result in

Answer 20

Lung thrombi
infarcted bowel
stroke
gangrene

Question 21

3 things that can cause non-bacterial thrombotic endocarditis

Answer 21

• mucin secreting cancers
• hypercoagulable state
• Collagen vascular disease

Question 22

2 complications of prosthetic valvles

Answer 22

• thrombosis

- pannus overgrowth - fibrosis