Operative Management

Feb 21, 2019 by in CARDIOLOGY Comments Off on Operative Management

In the operating room, standard monitoring techniques (e.g., central venous line, arterial line, bladder catheter) are used. Swan-Ganz catheter monitoring is useful in high-risk patients with elevated pulmonary pressure or…

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Carcinoid Valvular Disease

Feb 21, 2019 by in CARDIOLOGY Comments Off on Carcinoid Valvular Disease

Carcinoid tumors are rare with an incidence of about 4 per 100,000 general population per year. They originate from enterochromaffin cells, which are localized in 70% of cases in the…

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Reoperations

Feb 21, 2019 by in CARDIOLOGY Comments Off on Reoperations

Reoperations are uncommon following a successful valvular reconstruction. When they become necessary, the circumstances of the recurrent dysfunction, the mechanisms involved, and the surgical management are important considerations since accurate…

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Reconstructive Valve Surgery Made Simple

Feb 21, 2019 by in CARDIOLOGY Comments Off on Reconstructive Valve Surgery Made Simple

Surgeons who prefer valve replacement over valve reconstruction often claim that they are uncertain about the long-term benefits of valve reconstruction. Another assertion is that failure following valve repair is…

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Traumatic Valvular Injury

Feb 21, 2019 by in CARDIOLOGY Comments Off on Traumatic Valvular Injury

Although rare, various types of trauma can be responsible for valvular lesions that may not be recognized unless a systematic search is conducted after major penetrating or blunt trauma or…

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Radiation-Induced Valvular Lesions

Feb 21, 2019 by in CARDIOLOGY Comments Off on Radiation-Induced Valvular Lesions

Mediastinal irradiation, such as that used in the treatment of Hodgkin’s disease or breast cancer, may induce cardiac lesions namely constrictive pericarditis, restrictive cardiomyopathy, coronary artery disease, conduction disturbances, and/or…

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Primary Valve Tumors

Feb 21, 2019 by in CARDIOLOGY Comments Off on Primary Valve Tumors

Primary cardiac valve tumors are rare and comprise about 10% of all cardiac tumors, which are rare themselves. The most common tumors are papillary fibroelastoma followed by myxoma and fibroma…

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Medication-Induced Valvulopathy

Feb 21, 2019 by in CARDIOLOGY Comments Off on Medication-Induced Valvulopathy

In the 1990s several studies reported the association between appetite suppressant medications and valvular heart disease, particularly aortic and mitral regurgitation. These medications included fenfluramine and its D-isomer dexfenfluramine used…

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Hypertrophic Obstructive Cardiomyopathy

Feb 21, 2019 by in CARDIOLOGY Comments Off on Hypertrophic Obstructive Cardiomyopathy

Hypertrophic cardiomyopathy is a disease of the left and/or right ventricle characterized by the development of myocardial hypertrophy predominant at the interventricular septum. There is no direct cause, such as…

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Degenerative Valvular Diseases

Feb 21, 2019 by in CARDIOLOGY Comments Off on Degenerative Valvular Diseases

Degenerative valvular diseases are the main cause of mitral valve dysfunction in developed countries today and the “pain quotidien” * * See Glossary . of the valvular surgeon. They are…

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