Transcatheter aortic valve implantation Health Dictionary

Transcatheter Aortic Valve Implantation: From 1 Different Sources


(TAVI) replacement of the aortic valve in patients with *aortic stenosis using a catheter-delivered prosthesis rather than open heart surgery. Usually the catheter is passed via the femoral artery, but sometimes it can be passed via the subclavian artery or through the wall of the left ventricle via a localized *thoracotomy.
Health Source: Oxford | Concise Colour Medical Dictionary
Author: Jonathan Law, Elizabeth Martin

Aortic Stenosis

Narrowing of the AORTIC VALVE in the HEART which obstructs the ?ow of blood through it, with serious effects on the heart and the circulation. The muscle in the left ventricle works harder to compensate for the obstruction and thickens as a result. Stenosis is usually caused by the deposition of calcium on the valve and is commonly associated with ATHEROMA. Untreated, the condition leads to heart failure, but nowadays the stenosis can be treated surgically.... aortic stenosis

Mitral Valve

The mitral valve, so-called because of its resemblance to a bishop’s mitre, is the valve which guards the opening between the ATRIUM and VENTRICLE on the left side of the HEART.... mitral valve

Tricuspid Valve

The valve, with three cusps or ?aps, that guards the opening from the right atrium into the right ventricle of the HEART.... tricuspid valve

Aortic Incompetence

See also REGURGITATION. This is the back ?ow of blood through the AORTIC VALVE of the HEART into the left ventricle, caused by an incompetent valve. The failure to close may be caused by a congenital defect or by damage from disease. The defect may be cured by surgical replacement of the damaged valve with an arti?cial valve. (See HEART, DISEASES OF.)... aortic incompetence

Aortic Valve

The valve that controls the ?ow of blood from the AORTA to the left ventricle of the HEART.... aortic valve

Implantation

(1) The placing of a substance such as a drug, or an object such as a pacemaker, in a body tissue.

(2) The surgical replacement of injured or unhealthy tissue or organ with healthy tissue or organ (also known as TRANSPLANTATION).

(3) Attachment of the early EMBRYO to the lining of the UTERUS, which occurs around six days after conception; the site where this happens is where the placenta will develop.... implantation

Valve

A structure that allows fluid or semi-fluid material to flow in 1 direction through a tube or passageway but closes to prevent reflux in the opposite direction. The valves at the exits from the heart chambers and in the veins are essential to the circulatory system. There are also small valves in the vessels of the lymphatic system.... valve

Floppy Valve Syndrome

See mitral valve prolapse.... floppy valve syndrome

Heart Valve

A structure at the exit of a heart chamber that allows blood to flow out of the chamber, but prevents backwash. There are 4 heart valves: aortic, pulmonary, mitral, and tricuspid. Their opening and closing during each heart cycle produces heart sounds.

Any of the 4 heart valves may be affected by stenosis (narrowing), which causes the heart to work harder to force blood through the valve, or by incompetence or insufficiency (leakiness), which makes the valve unable to prevent backwash of blood. These defects cause characteristic heart murmurs.

Heart-valve defects may be present at birth (see heart disease, congenital), or they may be acquired later in life. The most common congenital valve defects are aortic stenosis and pulmonary stenosis. Acquired heart-valve disease is usually the result of degenerative changes or ischaemia affecting part of the heart and leading to aortic stenosis or mitral incompetence. Rheumatic fever can cause mitral stenosis, mitral incompetence, aortic valve defects, tricuspid stenosis and tricuspid incompetence. The heart valves may also be damaged by bacterial endocarditis.

Heart-valve disorders commonly lead to heart failure, arrhythmias, or symptoms resulting from reduced blood supply to body tissues.

Heart-valve defects may be diagnosed by auscultation, chest X-ray, ECG, or echocardiography and may be corrected by heart-valve surgery.... heart valve

Heart-valve Surgery

An operation to correct a heart valve defect or to remove a diseased or damaged valve. A heart valve may have to be repaired, widened, or replaced because it is either incompetent (leaky) or stenotic (narrowed). Widening of a valve may involve valvotomy or valvuloplasty. A damaged valve can be replaced by a mechanical one (fashioned from metal and plastic), a valve constructed from human tissue, a pig valve, or a valve taken from a human donor after death. A heart–lung machine is used during replacement.After heart-valve surgery, symptoms such as breathlessness may take weeks to improve and require medication to be continued. Some people need longterm treatment with anticoagulant drugs to prevent the formation of blood clots around the new valve.... heart-valve surgery

Implantation, Egg

Attachment of a fertilized ovum (egg) to the wall of the uterus.

It occurs about 6 days after fertilization, when the blastocyst (early embryo) comes into contact with the wall of the uterus.

As the cells of the developing embryo continue to divide, the outer cell layer penetrates the lining of the uterus to obtain oxygen and nutrients from the mother’s blood; later, this layer develops into the placenta.

The embryo usually implants in the upper part of the uterus; if it implants low down near the cervix, placenta praevia may develop.

Rarely, implantation occurs outside the uterus, possibly in a fallopian tube, resulting in an ectopic pregnancy.... implantation, egg

Mitral Valve Prolapse

A common, slight deformity of the mitral valve, in the left side of the heart, that can produce a degree of mitral incompetence. The prolapse is most common in women and causes a heart murmur. It may be inherited, but the cause is often unknown.Usually, there are no symptoms, and treatment is not needed. Occasionally, the condition may produce chest pain, arrhythmia, or, rarely, heart failure. Often, no treatment is required for mitral valve prolapse, but some people may be treated with beta-blocker drugs, diuretic drugs, antiarrhythmic drugs, or, rarely, heart-valve surgery.... mitral valve prolapse

Valve Replacement

A surgical operation to replace a defective or diseased heart valve. (See also heart-valve surgery.)... valve replacement

Ahmed Valve

a *shunt used in the treatment of *glaucoma to reduce and control intraocular pressure. The device works by bypassing the *trabecular meshwork and redirecting the outflow of aqueous humour through a small tube into an outlet chamber.... ahmed valve

Aortic Aneurysm

see aneurysm.... aortic aneurysm

Aortic Arch

that part of the aorta that extends from the ascending aorta, upward over the heart and then backward and down as far as the fourth thoracic vertebra. *Stretch receptors in its outer wall monitor blood pressure and form part of the system maintaining this at a constant level.... aortic arch

Aortic Regurgitation

a leak of the aortic valve resulting in reflux of blood from the aorta into the left ventricle during diastole. Aortic regurgitation is most commonly due to degenerative ‘wear and tear’ of the aortic valve. Other causes include dilatation of the aortic root with secondary dilatation of the aortic valve, scarring of the aortic valve as a result of previous acute rheumatic fever, or destruction of the valve by infection (see endocarditis). Mild cases are symptom-free, but patients more severely affected develop breathlessness, angina pectoris, and enlargement of the heart; all have a diastolic murmur. A badly affected valve may be replaced surgically with a prosthesis.... aortic regurgitation

Aortic Replacement

a surgical technique used to replace a diseased length of aorta, most often the abdominal aorta. It usually involves inserting into the aorta a flexible tube of artificial material, which functions as a substitute for the diseased section.... aortic replacement

Ball-and-cage Valve

a form of mechanical prosthesis commonly used in the past for replacing damaged heart valves. Currently, most mechanical valve replacements are of the tilting-disc variety.... ball-and-cage valve

Bicuspid Valve

see mitral valve.... bicuspid valve

Ileocaecal Valve

a valve at the junction of the small and large intestines consisting of two membranous folds that close to prevent the backflow of food from the colon and caecum to the ileum.... ileocaecal valve

Pulmonary Valve

a valve in the heart lying between the right ventricle and the pulmonary artery. It is a *semilunar valve that prevents blood returning to the ventricle from the pulmonary artery.... pulmonary valve

Semilunar Valve

either of the two valves in the heart situated at the origin of the aorta (see aortic valve) and the pulmonary artery (see pulmonary valve). Each consists of three flaps (cusps), which maintain the flow of blood in one direction.... semilunar valve

Spitz–holter Valve

a one-way valve used to drain cerebrospinal fluid in order to control *hydrocephalus. The device is inserted into the ventricles of the brain and passes via a subcutaneous tunnel to drain into either the right atrium or the peritoneum.... spitz–holter valve

Tilting-disc Valve

the most commonly used form of mechanical heart valve replacement.... tilting-disc valve



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