Continuing Education

Get Cardiology related Articles, Journals, Videos and more details at Radcliffe Cardiology site.

Online Cardiovascular Disease

Go to read Online Cardiovascular Disease relarted articles via atrial fibrillation association afa.

Cardiology Mayo Clinic

Cardiology Mayo Clinic provides informative info about cardiology at RC site.

Cardiovascular Research Foundation

Free and register PDF and journales available at here!!!

Cardiology Video

Arrange seminar and online video conference by expert cardiologist, Visit at site.

Wednesday 18 February 2015

Aortic Valve Implantation for Valvular Heart Diseases

European Cardiology Review - Volume 9 Issue 2 Winter 2014
The human heart has four valves – mitral, tricuspid, aortic and pulmonary. The main function of these heart valves is to ensure the one-way blood flow throughout the heart’s chambers. Mitral and tricuspid valves take control of flow of blood into the ventricles. Pulmonary valves allow blood flow to the pulmonary artery. Whereas, aortic valve allows the blood flow from left ventricle to aorta - a major artery that carries oxygen-rich blood throughout the body. Flaps of the valve tissues shut and open according to the contractions of the atria and ventricles, thereby preventing the chance of backward leakage. But whenever there is damage in the valve tissues, it will affect the whole blood flow system of the heart leading to severe complications. Heart valve disease occurs due to valvular stenosis or valvular insufficiency organic and functional mitral regurgitation.

An obstruction in the blood flow to the heart due to the narrowing of valves is called valve stenosis. Tissues of the valve flaps become stiffer or thickened due to the stenosis, which further cuts down the blood supply and reduces the performance of the heart. Whenever the valve doesn’t close tightly, there will be a backflow of blood and it is known as regurgitation (valvular insufficiency). Organic and functional mitral regurgitation is a case in point. Valvular heart disease can be congenital or acquired. In most cases, the congenital valvular disease involves pulmonary or aortic valves, whereas the acquired disease involves aortic or mitral valves. Angina, shortness of breath, dizziness and excess fatigue are some of the main symptoms of valvular heart diseases. Both the stenosis and leakage issues can lead to severe cardio vascular events and complications. Advanced aortic valve implantation procedure is a preferred surgical approach to treat valve stenosis and regurgitation.

Advanced aortic valve implantation is an open heart surgery procedure during which the damaged aortic valve is removed and replaced with a prosthesis. Aortic valve balloon valvuloplasty and transcatheter aortic valve implantation (TAVI) are minimally invasive treatment alternatives available for managing valvular diseases. Even after the valve implantation, the physician will advise the patients to follow some medications. Oral anticoagulants are prescribed to prevent the risks of valve-associated thrombosis and strokes. Evidencebased vitamin k antagonist guidelines are followed by the physicians for the antithrombotic and thrombolytic therapy for patients with artificial valves.