This paper details the new design and dynamic simulation of an electro-hydraulic camless engine valve actuator (EH-CEVA) and experimental verification with lift position sensors. In general, camless engine technologies have been known for improving fuel efficiency, enhancing power output, and reducing emissions of internal combustion engines. Electro-hydraulic valve actuators are used to elimin...

OPINION STATEMENT More attention has been paid to the mitral valve (MV) than the tricuspid valve (TV), and this relative paucity of data has led to confusion regarding the timing of TV surgery. We review the American College of Cardiology/American Heart Association and European Society of Cardiology guidelines to identify areas of concordance (severe tricuspid regurgitation [TR] in a patient un...

Research has shown that variable valve timing (VVT) can improve significantly the performance of internal combustion (IC) engines, including higher fuel efficiencies, lower emissions, and larger torque outputs at each point of the engine map. To achieve independent and continuous VVT for each valve, an electromechanical valve drive (EMV) system with a custom-designed limited-angle actuator was ...

The aortic heart valve undergoes geometric and mechanical changes over time. The cusps of a normal, healthy valve thicken and become less extensible over time. In the disease calcific aortic stenosis (CAS), calcified nodules progressively stiffen the cusps. The local mechanical changes in the cusps, due to either normal aging or pathological processes, affect overall function of the valve. In t...

This paper presents a detailed model of a novel electropneumatic valve actuator for both engine intake and exhaust valves. The valve actuator’s main function is to provide variable valve timing and variable lift capabilities in an internal combustion engine. The pneumatic actuation is used to open the valve and the hydraulic latch mechanism is used to hold the valve open and to reduce valve sea...

Standard echocardiographic evaluation of aortic stenosis (AS) severity includes measurement of aortic velocity, mean transaortic pressure gradient, and continuity equation valve area. Although these measures are adequate for decision making in most patients, there is no single value that defines severe stenosis. Aortic stenosis affects not just the valve, but the entire vascular system, includi...

OBJECTIVES We studied the rate of thromboembolism in patients undergoing bioprosthetic replacement of the aortic or mitral valve, or both, at serial intervals after operation and the effects of anticoagulant or antiplatelet treatment and risk factors. BACKGROUND Thromboembolism appears to occur early after operation, but the incidence, timing and risk factors for thromboembolism and the role,...