WorksheetsProsthetic Valves
Total questions: 80
Worksheet time: 46mins
What Justifies a Prosthetic Valve?
Stenosis
Regurg
Infective Endocarditis
Aortic Dissection w/ severe regurg
What are 2 main types of prosthetic heart valves?
Bioprosthetic
Tissue
Mechanical
Man-Made
Bioprosthetic Valves are?
Synthetic
Mechanical
Lab Grown
Tissue Valves
Bioprosthetic Vales estimated to last?
2-5 years
10-15 years
5-10 years
20-30 years
What type of PT's are more likely to get Bioprosthetic valves due to life expectancy?
Elderly
Younger
New Born
Heterograft Valve
Transfers from an animal to a human
Transfers from human to human
Transfers from animal to animal
Heterograft common brand names?
Medtronic
Marc-Jackson
Carpentier-Edwards
Handcock
T/F Heterograft Valves can be either Stended or Stentless?
True
False
Stented Heterograft has
Trivial or no regurg
Improved Hemodynamics
Durability
Common types of Heterograft Stented/Stentless Valves ?
Porcine
Stentless
Bovine Pericardium
Porcine uses
on a supporting stent
pericardium
No stent
3 leaflets on a supporting stent
Stentless Heterograft Valves are developed to improve?
Stenosis
Hemodynamics
Regurg
Durability of bioprosthetic Valves
Autograft Valves also know as?
Allograft
Single Disk
Self-to-Self
Ball and Cage
Autograft Valves are transferred from?
Human to animal
One position to another on the same individual
one person to another
animal to human
Ross Procedure
Native Pulmonary valve sewn into Tricuspid Valve
Native Pulmonary valve sewn into aortic position
Native Aortic Valve sewn into Pulmonary Valves position
Native pulmonary valves sewn into Mitral valves position
With the Ross Procedure what must me repositioned?
Coronary Arteries
Valves
Aorta
Coronary sinus
What could be used for an Autograft valve?
Thigh Graft
Fascia Lata
Calf Muscle
Cartilage Graft
Autograft Valves attains ability to?
Become Stenotic
Grow
Not work
Have regurg
T/F With Autograft Valves there is trivial or no regurg?
True
False
Homograft also known as?
Self-to-Self
Ball and Cage
Allograft
Single Disk
Homograft is a transfer from?
Self
Animal
Human to Human
Mechanical
Homograft Valves are developed from?
Aortic Valve
Dura Mater
Pulmonary Valve
Mitral Valve
What is Dura Mater?
Heart covering
Valve covering
Brain covering
Skin covering
Homograft valves are?
Stented
Stentless
Both
Homograft Valves appears very similar to a?
Mechanical valve
Native valve
Bileaflet
Single Disk
T/F Homograft Valves will have trivial to no regurg?
True
Fasle
Percutaneous Bioprosthesis refers to?
MV Replacement
TV Replacement
TAVR
PV Replacement
TAVR Stands for?
Transcranial Aortic Valve Replacement
Transcatheter Annulus Valve Replacement
Transcatheter Aortic Valve Replacement
Transdoppler Aortic Valve Replacement
Percutaneous Bioprosthesis is _____ Invasive?
Highly
Severely
Minimally
Not
TAVR is?
Stentless
Stented
A (a) catheter is used with a TAVR to inflate in the AoV.
Porcine is?
Cow
Monkey
Dog
Pig
Bovine is?
Pig
Dog
Monkey
Cow
With a TAVR they first enter through the ___ to get to the AO?
LA
MV
CFA
Coronary Artery
After a Bioprosthetic Valves is place a serial ultrasounds to check for change in?
Stenosis
Velocities
Regurg
Function
T/F All prosthetic valves are inherently stenotic?
True
False
Thrombus can form on ?
Stents
Leaflets
Discs
Valves
Pannus is?
Growth of tissue
Fibrous tissue
Fibrous ingrowth of tissue
Tissue loss
Pannus may lead to?
Regurg
Stenosis
Both
Perivalvular Leak is?
a leak in the valve
a leak outside the valve
a leak close to the valve
a leak around the valve
Dehiscence means?
Come off the hinges
Stenotic Hinges
Leak around the Hinges
Complications of Bioprosthetic Valves
Regurg (small, central jet)
Abscess
Prosthetic Valve Endocarditis
Dehiscence
Bioprosthetic Valves include?
Heterograft
Autograft
Homograft
TAVR
Mechanical Vales include?
Bileaflet
Tilting
Ball and Cage
Single Disk
Name of Valve?
Bileaflet
Ball and Cage
Tilting
Single Disk
Two semicircular disks attached to a rigid valve ring by small hinges?
Tilting
Ball and Cage
Allograft
Bileaflet
(Bileaflet) leaflets create __ orifices?
2; one small and one large, consistent flow
3; one large two small, more central flow
4; two large and two small, to create high flow
3; two large and one small central orifice, to create central flow
What is the most common Bileaflet valve in the U.S?
Stented
Porcine
St. Jude
Bovine
Least obstructive mechanical prothesis; allows more laminar blood flow?
Ball and Cage
Bileaflet
Tilting
T/F Normal leakage volume at margin of central discs and at the edge between disc and sewing ring w/ Bileaflet?
True
False
Single Circular disk rotates within a rigid annulus, with the disk secured by lateral or central metal struts.
Tilting
Ball and Cage
Bileaflet
Single Disk
What is the original version of the tilting disc?
Hancock
Medtronic
Marc-Jackson
Bjork-Shiley
The original Tilting (single disk) was used in?
1996
1965
1970
1969
What valve creates a Major and Minor orifice?
Tilting
Bileaflet
Ball and Cage
Autograft
Which valve is no longer used?
Allograft
self-to-self
Single Disk
Ball and Cage
Circular sewing ring with several metal struts that "cage" a small hollow ball?
Heterograft
Ball and Cage
Tilting
Bileaflet
What causes the ball to move with a Ball and Cage valve?
Change in Velocity
Change in blood flow
Change in Regurg
Change in pressure
Which valve is the least optimal hemodynamics?
Ball and Cage
Tilting
Bileaflet
Homograft
Ball and Cage valves were used on PT's with?
Small amount of Regurg
Stenosis
Small leaflets
Small ventricles
When was the Ball and Cage valve first used?
1956
1962
1996
1960
Most common type of Ball and Cage?
Starr-Edwards
Mike Jones
Marc-Jackson
St. Jude
Complications of Mechanical Valves?
Mechanical Failure
Valves completely shut
Hemolysis
Valves don't open
what is Hemolysis?
Damage of Leaflets
Damage of valves
Damage of ventricles
Damage of RBC
Advantages of Tissue Prostheses?
Less obstructive
better hemodynamics
Fewer complications due to thromboembolism
May not require anticoagulants
Disadvantages of Tissue Prostheses?
Less durable
Leaflets may become regurgitant or stenotic
limited availability of homografts
More durable
Advantages of Mechanical Prostheses?
Less Obstructive
Fewer complications
Extremely Durable
Better Hemodynamics
Disadvantages of Mechanical Prostheses?
More obstructive
More vulnerable to thromboembolism
Requires anticoagulants
May experience catastrophic failure
2D Echo of bioprosthetic valves?
Evaluate leaflet mobility and thickness
Evaluate disc motion
TTE is very helpful to rule out veggies or thrombi
TTE is partially helpful
2D Echo of Mechanical Valves?
TTE is very helpful
Evaluate disc motion
Evaluate leaflet mobility
TTE is partially helpful due to artifacts
T/F Pt's don't need to have documentation of valve info w/ normal ranges.
True
False
Which type of valve is also known as porcine or bovine valve?
Homograft
Heterograft
Tilting
Ball and Cage
In which valve does flow occur as a central jet through a trileaflet valve, much like a native valve?
Homograft
Autograft
Allograft
Heterograft
Which valve is also know as a mono leaflet valve?
Ball and Cage
Bileaflet
Tilting
Autograft
T/F Prosthetic valves are implanted when the pt has hemodynamically significant valvular heart disease?
True
False
All prosthetic valves are inherently stenotic; the degree of stenosis depends on?
Prosthesis type
prosthesis site
prosthesis size
all of the above
If a pt pulmonic valve annulus and truck are removed and relocated to the aortic position, they now have a___?
Homograft
Bileaflet
Autograft
Self-to-self
T/F A Bioprosthetic valve is expected to last 20+ years?
True
False
Name this valve?
Ball and Chain
Ping Ball
Cage and Ball
Ball and Cage
T/F With a Ball & Cage valve, blood flows centrally?
True
False
What valve is this?
Ball and Chain
Tilting
Bileaflet
Homograft
