Cineradiographic Studies of the Early Systolic Click in Aortic Valve Stenosis.
نویسندگان
چکیده
sul'0 consider that it originates in the aortic valve. Further recent studies have favored the valvular hypothesis.11' 12 WVe have recorded heart sounds simultaneously with hemodynamic and cineradiographic studies in a series of patients with aortic valvular stenosis in order to relate the early systolic sound to pressure changes and to movements of the aortic valve. The purpose of this paper is to present further evidence for the valvular origin of the early systolic click in aortic stenosis. Patients with valvular aortic stenosis can be classified by cineradiography on the basis of the mobility of the valve.13 14 There appears to be a continuous gradation from the
منابع مشابه
Bicuspid Aortic Valve: An Unusual Cause of Aneurysm of Left Coronary Sinus of Valsalva
Bicuspid aortic valve is traditionally considered an innocuous congenital anomaly. Due to a better and widespread availability of non-invasive imaging techniques, it has come to the fore that 30% of these cases develop complications, viz., valve abnormality (aortic regurgitation and stenosis), and aneurysm of aortic root and ascending aorta. Sinus of Valsalva aneurysm is an uncommon complicatio...
متن کاملTranscatheter Aortic Valve Replacement: A Review Article
Transcatheter aortic valve replacement (TAVR) is a novel therapeutic intervention for the replacement of severely stenotic aortic valves in high-risk patients for standard surgical procedures. Since the initial PARTNER trial results, use of TAVR has been on the rise each year. New delivery methods and different valves have been developed and modified in order to promote the minimally invasive p...
متن کاملMechanism of early systolic closure of the aortic valve in discrete membranous subaortic stenosis.
The mechanism of the apparent early closure of the aortic valve in patients with discrete membranous subaortic stenosis was studied. Discrete membranous subaortic stenosis was simulated in vitro to assess the fluid dynamic characteristics in the region of the aortic valve that may be responsible for the early closure. In the presence of a simulated fixed membranous subaortic obstruction, early ...
متن کاملVarious types of systolic clicks in patients with muscular subaortic stenosis.
Four clinical cases of subaortic hypertrophic muscular stenosis are discussed. All four, in addition to a loud systolic murmur, had a loud systolic click. However, the timing of the click and its relationship to the phase of the carotid pulse were different in each case varying from close to medium and to distant (or midsystolic). The comparison of the sound tracing with the carotid tracing dem...
متن کاملAssessment of site and severity in congenital aortic stenosis.
It has frequently been stated that congenital aortic valve stenosis cannot be distinguished with any confidence from discrete subvalvar aortic stenosis on clinical grounds, and that their separation rests on the results of hmmodynamic investigation and angiocardiography (Nadas, 1957; Ongley et al., 1958; Dotter et al., 1961; Braunwald et al., 1963; Engle and Ehlers, 1964). Our experience has le...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Circulation
دوره 31 شماره
صفحات -
تاریخ انتشار 1965