41. Florida State University College Of Medicine Digital Library aortic valve disease Clinical Resources. General Access document; aortic valve diseaseAccess document. Family Practice Handbook 4th Ed.2001 Table of contents http://fsumed-dl.slis.ua.edu/clinical/cardiology/valvular/aorticvalvedisease.htm

Clinical Resources by Topic: Cardiovascular Disorders Aortic Valve Disease Clinical Resources Emergency Pediatrics Geriatrics Radiology ... Miscellaneous Resources See also: Aortic Stenosis Clinical Resources Cardiovascular Clinical Procedure Resources General Cardiovascular Disorders Clinical Resources Aortic Valve Disease Patient/Family Resources Harrison's Principles of Internal Medicine 15th Ed.-2001: Table of contents Medical Library subscription INFO Chapter 234: Congenital Heart Disease in the Adult: Table of contents Introduction Access document Etiology and Prevention Access document Pathophysiology Access document Infective Endocarditis Access document Exercise Access document Insurability and Employability Access document Specific Cardiac Defects Access document Introduction Access document Acyanotic Congenital Heart Disease without a Shunt Access document Congenital Aortic Stenosis Access document Valvular Aortic Stenosis Access document Treatment Access document Subaortic Stenosis Access document Treatment Access document Cyanotic Congenital Heart Disease with Increased Pulmonary Blood Flow Access document Single Ventricle Access document Surgically Modified Congenital Heart Disease Access document Chapter 236: Valvular Heart Disease: Table of contents Introduction Access document Aortic Stenosis: Access document Introduction: Access document Etiology: Access document Other Forms of Obstruction to Left Ventricular Outflow: Access document Pathophysiology: Access document Symptoms: Access document Physical Findings: Access document Laboratory Examination:

42. Florida State University College Of Medicine Digital Library aortic valve disease Patient/Family Resources. Miscellaneous Aortic ValveDisease Patient/Family Resources Healthfinder (US DHHS) Homepage http://fsumed-dl.slis.ua.edu/patientinfo/cardiology/valvular/aorticvalvedisease.

Patient/Family Resources by Topic: Cardiovascular Disorders Aortic Valve Disease Patient/Family Resources Spanish Miscellaneous See also: Aortic Stenosis Patient/Family Resources General Cardiovascular Disorders Patient/Family Resources Aortic Valve Disease Clinical Resources MD Consult: Homepage Medical Library subscription INFO Patient Handouts Table of content Aortic Valve Stenosis: Access document Image American Heart Association: Homepage Heart and Stroke A-Z Guide: Table of contents Aortic Regurgitation: Access document Congenital Heart Disease: Access document MEDLINEPlus and the Patient Education Institute: Homepage Interactive Health Tutorials: Table of contents Heart Valve Replacement: Table of contents (Flash Plug-in Required) MEDLINE plus Medical Encyclopedia: Table of contents Aortic Stenosis: English Spanish Aortic Insufficiency: English Spanish Aortic Arch Syndrome: English Spanish Merck Manual Home Edition Table of contents Chapter 19. Heart Valve Disorders: Access document Complete Home Medical Guide: Table of contents Heart and Blood Vessel Diseases: Table of contents Types of Cardiovascular Disease: Access document Heart Valve Disease: Access document Spanish MEDLINE plus Medical Encyclopedia: Table of contents Aortic Stenosis: English Spanish Aortic Insufficiency: English Spanish Aortic Arch Syndrome: English Spanish Miscellaneous Aortic Valve Disease Patient/Family Resources Healthfinder (US DHHS): Homepage Mitral Valve Prolapse: List of documents National Library of Medicine MEDLINE plus Health Topics: Index Heart Valve Diseases:

43. Inova Heart Center | About Heart Valves And Heart Valve Disease What is aortic valve disease? The aortic valve is located at What causesaortic valve disease? Aortic valve stenosis and/or regurgitation http://www.inova.org/heart/aortic.html

What is aortic valve disease? The aortic valve is located at the junction of the left ventricle and the origin of the ascending aorta. The valve has three leaflets or cusps, a ring of tissue surrounding the valve leaflets (called the annulus) and structures called the Sinuses of Valsalva which are pouches between the leaflets and the wall of the aorta. What causes aortic valve disease? Aortic valve stenosis and/or regurgitation may be the result of a number of conditions that affect the valve leaflets and/or the valvular annulus (ring). A variety of conditions can cause aortic valve disease. They include: Congenital malformations (malformations present at birth) are a common cause of aortic valve disease. The most common cause is a bicuspid aortic valve (the valve has two, instead of three cusps or leaflets) that causes stenosis (narrowing). This malformation is rarely symptomatic at birth, but turbulent blood flow across the tighter opening causes fibrosis (excess tissue), stiffening and calcification of the valve that eventually leads to symptoms by the sixth decade of life. Although it is less common with a bicuspid valve, aortic regurgitation may also be present.

44. Inova Heart Services | Cardiac Valve Repair And Replacement What are the surgical options for aortic valve disease? Aortic replacement The surgicaltechnique of choice for aortic valve disease is aortic replacment. http://www.inova.org/heart/aortic2.html

For more information about the aortic valve or aortic valve disease, see our " About Heart Valves and Heart Valve Disease " section. What are the surgical options for aortic valve disease? The cardiac surgeons at the Inova Heart Center have worked diligiently to refine their techniques for heart valve surgery. At present, patients can benefit from a variety of possible interventions. Decisions regarding the timing and selection of the procedure (repair or replacement) are determined on an individual basis and are influenced by the extent of the valve disease and damage to coronary anatomy, age of the patient, past medical history, symptoms and patient's lifestyle. In addition, patients are considered for surgery before symptoms become severe and permanent heart damage (secondary to the valve disorder) develops. Aortic repair aortic valve has a precise chosing mechanism. For this reason, techniques to repair aortic valves, as compared to replacing them, are less common. However, patients who are unable to tolerate anticoagulants or undergo a second heart valve surgery may receive temporary benefits from balloon valvuloplasty (performed by a cardiologist in the cardiac catheterization laboratory), or surgical debridement of calcium particles on the valve under direct visualization.

45. Kardiologia Polska AWA TRACZ, PIOTR PODOLEC MARTA HLAWATY, MIECZYS£AW PASOWICZ aortic valve diseaseHEMODYNAMIC CHANGES in PREGNANT WOMEN with aortic valve disease Department of http://www.ptkardio.pl/kardio/wydania/kp99/kp9_99_2-e.html

Polish Heart Journal, September 1999, Vol. L, Nr 3 Contents ORIGINAL CONTRIBUTIONS D. Zy¶ko, M. Negrusz-Kawecka, J. Gajek REACTIVITY of the AUTONOMIC NERVOUS SYSTEM in PATIENTS with PAROXYSMAL ATRIAL FIBRILLATION and CORONARY HEART DISEASE. Evaluation by means of heart rate variability analysis - page 189 A. Le¶niak, W. Tracz, P. Podolec, M. Hlawaty, M. Pasowicz AORTIC VALVE DISEASE HEMODYNAMIC CHANGES in PREGNANT WOMEN with AORTIC VALVE DISEASE - page 201 J. Korewicki, T. Zieliñski, P. Leszek, M. Kabat, K. Mazurek, E. £astowiecka, B. Ku¶mierczyk HEART FAILURE. Comparison of the effects of trandolapril and captopril on 24-hour blood pressure profile - page 214 CASE REPORTS R. Krynicki, H. Koniecko, I. Szantula ACUTE TYPE A AORTIC DISSECTION COMPLICATED with HAEMOPERICARDIUM and CARDIOGENIC SHOCK - A CASE REPORT - page 227 L. Bryniarski, J. Dragan, A. Klecha, K. Kawecka-Jaszcz, K. ¯mudka TOTAL OCCLUSION of the LEFT MAIN CORONARY ARTERY RECOGNIZED DURING LIFE - A CASE REPORT - page 232 J. Ju¶ciñski, D. Tomaszewski, W. Jusza, R. Lango, L. Anisimowicz, K. Roszak, W. Pawliszak, M. Narkiewicz CONCOMITANT MID CABG and LEFT LOWER LOBECTOMY - A CASE REPORT - page 236 AGATA LE¦NIAK, WIES£AWA TRACZ, PIOTR PODOLEC MARTA HLAWATY, MIECZYS£AW PASOWICZ

46. Surgery Door - Medical Conditions aortic valve disease Medical Conditions last reviewed October 2000. Whatis aortic valve disease ? Why does aortic valve disease occur ? http://www.surgerydoor.co.uk/medcon/detail2.asp?level2=Aortic Valve Disease

47. Surgery Door - Medical Conditions Valve Disease Aortic Medical Conditions last reviewed October 2000. Why doesaortic valve disease occur ? Treatment Involved in aortic valve disease. http://www.surgerydoor.co.uk/medcon/detail2.asp?level2=Valve Disease

48. Gulfcoast Ultrasound Institute - Videotapes 4 aortic valve disease VWC1 (1998, 53 minutes) 2 AMA Cat.1 CME ( meets requirementsfor SDMS and ASRT CME) After viewing this video presentation, you should http://www.gcus.com/video4.htm

The Cardiac Video Interpretation Workshop Series The VideoInterpretation Workshop Series is designed for the medical professional with a minimum of six months experience performing and/or interpreting ultrasound examinations. The videotape series features several case studies illustrating various types of pathology. Initially the clinical history is provided and the case is viewed. The ultrasound case is then reviewed a second time along with a narrated discussion of the actual ultrasound findings. After completing each video workshop, a series of written questions can be completed and returned to obtain CME credit. The objective of The Video Workshop Series is to enhance the physician and sonographer's ability to recognize and identify disease. The workshops are also an excellence source for registry preparation in conjunction with the P.A.S.S. Audiocassettes and Workbooks. Any 1 tape: $75.00 each

49. Philips Medical Systems, News Center, Theme Cache Echo in Context 2003 aortic valve disease 18 th Annual Echo in Context WorldTeleconference, aortic valve disease is common in clinical practice. http://www.medical.philips.com/main/news/theme/echo/

News Center Theme Cache Press Releases Media Contacts ... Publications var menuroot=78;buildMenu(menuroot); Echo in Context 2003: Aortic Valve Disease th Annual Echo in Context World Teleconference On February 22 nd , 2003 the 18 th Annual Echo in Context World Teleconference will take place. The topic of this year's worldwide educational conference is "Aortic Valve Disease: New Dimensions in Evaluation and management". This event is Sponsored by Duke University School of Medicine. Supported by an unrestricted educational grant and in-kind support from Philips Medical Systems. The teleconference will be a four-hour program and will air in Europe, the Middle East, the Americas and Asia Pacific. Participants will be able to interact via phone, fax or e-mail to send comments and/or questions. Aortic valve disease is common in clinical practice. New imaging and functional tests to critically assess valve performance as well as new medical and surgical approaches (to regress degenerative disease or repair functional disorders without valve replacement) are available to alter outcome. Echo in Context 2003 brings you new and useful information about the care of patients with aortic valve disease.

50. CCHS Clinical Digital Library aortic valve disease Clinical Resources. General Access document; aortic valve diseaseAccess document. Family Practice Handbook 4th Ed.2001 Table of contents http://cchs-dl.slis.ua.edu/clinical/cardiology/valvular/aorticvalvedisease.html

Clinical Resources by Topic: Cardiovascular Disorders Aortic Valve Disease Clinical Resources Emergency Pediatrics Geriatrics Radiology ... Miscellaneous Resources See also: Aortic Stenosis Clinical Resources Cardiovascular Clinical Procedure Resources General Cardiovascular Disorders Clinical Resources Aortic Valve Disease Patient/Family Resources Harrison's Principles of Internal Medicine 15th Ed.-2001: Table of contents Health Sciences Library subscription INFO Chapter 234: Congenital Heart Disease in the Adult: Table of contents Introduction Access document Etiology and Prevention Access document Pathophysiology Access document Infective Endocarditis Access document Exercise Access document Insurability and Employability Access document Specific Cardiac Defects Access document Introduction Access document Acyanotic Congenital Heart Disease without a Shunt Access document Congenital Aortic Stenosis Access document Valvular Aortic Stenosis Access document Treatment Access document Subaortic Stenosis Access document Treatment Access document Cyanotic Congenital Heart Disease with Increased Pulmonary Blood Flow Access document Single Ventricle Access document Surgically Modified Congenital Heart Disease Access document Chapter 236: Valvular Heart Disease: Table of contents Introduction Access document Aortic Stenosis: Access document Introduction: Access document Etiology: Access document Other Forms of Obstruction to Left Ventricular Outflow: Access document Pathophysiology: Access document Symptoms: Access document Physical Findings: Access document Laboratory Examination:

51. Aortic Valve Disease The summary for this Japanese page contains characters that cannot be correctly displayed in this language/character set. http://ns.cvc-ohno.or.jp/~ohkawa/NS_Study/aortic2.html

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52. Aortic Valve Disease The summary for this Japanese page contains characters that cannot be correctly displayed in this language/character set. http://ns.cvc-ohno.or.jp/~ohkawa/NS_Study/aortic.html

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53. Aortic Valve Disease Resource Updates aortic valve disease resources. We analyzed 183 patients with aortic valvedisease who underwent a complete echocardiographic evaluation. http://www.health.xq23.com/inst/Research_Updates/Aortic_Valve_Disease.html

Aortic Valve Disease resources. Information for medical researchers, health professionals, bioscientists, and policy makers. Recommended References. [see index for total category] KEY ABSTRACTS: PUBMED Citations: Innovations and emerging technologies in Aortic Valve Disease, Patent List (when available) for Aortic Valve Disease: 6,384,088: Comprehensive pharmacologic therapy for treatment of obesity 6,359,194: Compositions and methods for the treatment and diagnosis of cardiovascular disease 6,342,495: Agonists and antagonists of peripheral-type benzodiazepine receptors 6,306,398: Compositions which inhibit apoptosis, methods of purifying the compositions and uses thereof 6,182,664: Minimally invasive cardiac valve surgery procedure 6,129,758: Products and methods for circulatory system valve repair 6,010,531: Less-invasive devices and methods for cardiac valve surgery 5,807,326: Retrograde coronary sinus catheter 5,752,526: Minimally invasive cardiac surgery procedure 5,635,187: Compositions which inhibit apoptosis, methods of purifying the compositions and uses thereof 5,620,418: Retrograde coronary sinus catheter

54. Program Information aortic valve disease New Dimensions in Evaluation and Management” willair live to Europe, the Middle East, the Americas and AsiaPacific. http://www.registeramerica.net/duke2003/programinfo/general.htm

Home Program Information Program Information General Information Program Outline Registration Schedule Participants (speakers) Background Now in its 18th year, Echo in Context is the longest standing and most watched recurring telemedicine educational event in the world will air live to Europe, the Middle East, the Americas and Asia-Pacific. Broadcast time will be four and one half hours. The audience is able to interact by phone, FAX, or E-mail comments and questions. The program always begins and ends precisely on time. The program occurs on World Echo Day, a day so named because the audience is so large and the reach so vast. Indeed, the program has become a focus to both celebrate and critically examine echocardiography in a global perspective. You may contact the program at any time by e-mail at: echo@mc.duke.edu Past program excerpts (available in short and easy-to-access viewing segments) and educational materials are available at the program website: www.echoincontext.org

55. High Cholesterol And Calcification Are To Blame For Aortic Valve Disease High cholesterol and calcification are to blame for aortic valve disease. No medicaltherapy has been proven to alter the progression of aortic valve disease. http://www.globaltechnoscan.com/12thJune-18thJune02/cholesterol.htm

Please register here to Search or Submit B usiness O pportunities REGISTER HERE LOGIN High cholesterol and calcification are to blame for aortic valve disease High cholesterol levels can lead to fatty deposits in the aortic valve. These deposits may induce undifferentiated cells to transform to bone-forming cells that calcify and narrow the aortic valve, according to researchers. Narrowing of the aortic valve is a common condition that causes the heart to have to squeeze harder to support normal blood flow, causing the heart muscle to enlarge and eventually fail. A study published today in Circulation authored by researchers at Northwestern and the Mayo Clinic is the first to explain the mechanism responsible for this process. Contact: Amanda Widtfeldt awidtfel@nmh.org Northwestern Memorial Hospital Home Technology transfer opportunities ... Contact

56. ResearchChannel: Daily Schedule Medicine. 0430am, Heart Center Grand Rounds, University of Washington,Valve Replacement aortic valve disease, Health and Medicine. http://www.researchchannel.org/schedule/day.asp?os=3

57. Adults With Congenital Heart Disease -- Aortic Valve Stenosis And Insufficiency Adults With Congenital Heart Disease Aortic Valve Stenosis and Insufficiency WhatIt Is Medical. Everyone with aortic valve disease needs routine followup. http://216.185.102.50/Heart_and_Stroke_A_Z_Guide/adultchd/adultchd_avsi.html

Adults With Congenital Heart Disease Aortic Valve Stenosis and Insufficiency What It Is The aortic valve lets blood flow from the heart's left ventricle into the aorta. (The aorta is the main artery and distributes oxygen-rich blood throughout the body.) The aortic valve closes after each heartbeat, to keep blood from leaking back into the left ventricle. A normal aortic valve has three leaflets or cusps (tricuspid). Aortic valves abnormal from birth usually have two leaflets (bicuspid), but other variations occur. Only about 2 percent of the population have biscuspid valves. Most bicuspid valves work normally for a long time - sometimes a lifetime. But some can become thick and narrowed (stenotic) or curled at the edges and leaky (insufficient). Surgical Treatment If the valve becomes very stenotic, severe pressure builds up in the left ventricle, which can injure the heart. When this occurs, the valve must be opened either 1) in the catheterization lab with a balloon valvotomy catheter or 2) in the operating room by open-heart surgery. You may have had one or both of these procedures as an infant or child. Valvotomy by either technique doesn't repair the valve. Instead, it helps to lessen the stenosis and pressure in the left ventricle. Some valve leakage is likely to develop after balloon or surgical valvotomy. If your aortic valve no longer responds to valvotomy or has become severely insufficient (leaky), it will probably need to be replaced.

58. Valve Disease Procedures The Ross Procedure for aortic valve disease The Ross Procedure is a procedure designedfor younger patients (usually 11 to 55 years of age) with a damaged or http://www.hoag.org/Heart/ValveDiseaseProcedures.html

Valve Repair Surgery Drs. Raney, Zusman and Joyo try to use repair techniques whenever possible. Although repair cannot always be done, the precise information obtained from a TEE allows the cardiologist and surgeon to determine with a high level of confidence if valve repair techniques can be utilized in each individual case. Valve Replacement Surgery Mechanical (metal) valve A bioprosthesis valve made from animal tissue (porcine or bovine) A human valve (homograft) that has been prepared and frozen At Hoag Hospital, all three valve types are available. Each prosthetic valve has advantages and disadvantages. Prior to valve replacement surgery, the patient, cardiologist and cardiac surgeon discuss the options and make the decision based on lifestyle, age, medical history and other factors. The Ross Procedure for Aortic Valve Disease Heart surgery is considered a major surgical operation. It is associated with the following risks: stroke, intraoperative heart attack, bleeding, infection, arrhythmias and death. Fortunately, these risks are usually low in an otherwise healthy patient. At Hoag, we are proud that the risks from surgery occur only 1% to 2% of the time, compared to the national average of 4% to 5%. Additional Information: Preparing for Valve Surgery at Hoag Hospital Valve Repair vs. Replacement

59. Best Practice Of Medicine - Aortic Valve Disease - Print Report article url /bpm.asp?page= BPM01CA15. Best Practice of Medicine Cardiology AorticValve Disease by David M . Shavelle , MD , Best Practice of Medicine . http://merck.micromedex.com/bpm/bpmviewall.asp?page=BPM01CA15

60. The Pulmonary Autograft (Ross Procedure) For Aortic Stenosis - HEART DISEASE - 0 UK and along with Brian BarrattBoyes in the early 1960s, was one of the first surgeonsin the world to attempt the homograft procedure for aortic valve disease http://www.chdinfo.com/aa/aa062297.htm

Heart Disease information EVEN your child can understand ! The Pulmonary Autograft (Ross Procedure) for Aortic Stenosis Dateline: 06/22/97 In the previous weeks' articles, we discussed the different treatment options for Aortic Stenosis. This article is the last one of the series, and deals with the pulmonary autograft operation for aortic stenosis. What is the Ross Operation ? Donald Ross was one of the pioneers in cardiac surgery in the U.K. and along with Brian Barratt-Boyes in the early 1960s, was one of the first surgeons in the world to attempt the homograft procedure for aortic valve disease . In view of the uncertain longevity of aortic homografts in that era, Ross was trying to find a more durable and reliable alternative to replace the aortic valve when he struck upon the idea of using the very same patient's pulmonary valve ! In 1967, the first pulmonary autograft operation was performed. The Ross operation involves removing the patient's diseased aortic valve, and replacing it with the patient's own pulmonary valve (the valve that guards the junction between the right ventricle and pulmonary artery). The pulmonary valve is then replaced with a homograft. Some technical details: The Ross operation is an open heart procedure performed with the assistance of the heart-lung machine. After the patient is hooked up onto the machine and the heart stopped, the surgeon evaluates the pathology for suitability for a pulmonary autograft. If it is feasible, the pulmonary valve is then harvested. Great care is taken not to injure branches of the coronary arteries that lie very close to this structure.

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