For aortic valve disease by bicuspid aortic valve

The newspaper and the like according to reporting, Tetuya Takeda of the singer recently with the actor, because of the aorta valve stenosis which is based on innate aorta bicuspid, substitution operation of the aorta valve could be received at the hospital inside capital, so is.With lapse favorableness it is from something.As we pray the complete recovery of Takeda’s early stage, we would like to explain this sickness, think.

Innate aorta bicuspid

Usually 3 valves apex to be plugged and do the aorta valve flutteringly and the part which it opens and closes operating, it does the help which sends the blood unidirectionally.The blood is sent by the entire body from the pump of the heart, left cardiac ventricle with this favor, that blood returns to the left cardiac ventricle, (it flows backward) it is there is no thing.

Aorta valve: Three apex valves (the left) and bicuspid (the left)

There are times however when 1-2 in the ratio, the valve apex of this aorta valve is born in 100 from, be no other choice but to 2.It is not to be the case that as for this itself remedy is needed at once in the sickness, but when the valve apex 2 being, considerable power is applied to the valve apex when opening and closing the valve, in the long term the valve to be broken is to become easy.The aorta valve strangulation where because of that the valve does not open aorta bicuspid with various ages and becomes narrow (the present fence) the symptom and the aorta valve closed incomplete symptom where the valve flows backward (the fence the hu [ze] it is to do, the yo [u]) there are times when it emerges.In case of Takeda it is the case that it is former.

aortic stenosis

in aortic stenosis initially, aida i do not have light symptoms, especially stenosis, there is no problem. not be opened and only the size of the fingertip of the little finger or less stenosis progressed but, next

syncopal attack is extremely dangerous sign

it comes out the second symptom, heart also begins to take unreasonable. for the exit of the left ventricle becomes narrow after all, trying to send blood to overcome it, left ventricle does the impossible. as a result, wall of the left ventricle is thicker, we will gradually lose the structure of the original. when the attack to occur, such as fainting or chest pain or heart failure and, 1hazardous condition that his death will be found in approximately half of the year. you may also be sudden death. it is recommended that you consult a specialist such symptoms begin to appear and vigilantly. if you have been pointed out, such as abnormal heart murmur before it, so as not to waste the precious early diagnosis of, consult a specialist first, plan that is more secure future visits.

diagnosis: and diagnostic means for patients to hear the story of interview, idea is fairly and with noise is heard on auscultation of the heart. at this point, the presence and extent of aortic stenosis will notice some. further chest x-ray, electrocardiogram, degree of depth and narrowness of the valve of the burden of heart can see at echocardiography. you know almost as well as whether you need surgery at this point. before surgery or cardiac catheterizationCTappropriate conduct and inspection, we will strive to ensure the safety.

surgery is required aortic valve disease is going to be severe

treatment: between light, but can be addressed such as salt restriction and limitation of motion-stenosis drug, they are in danger avoidance is not possible and heavy. the valve was not open hard by surgery, or replace valve replacement surgery in prosthetic valve to open and close cleanly, valvuloplasty to repair the valve is required. it was hard to repair the valve is generally, it is often difficult unless you use a material, such as a pericardial patch, also less likely to even long-lasting. it is often when the valve is stiff valve replacement is selected, there. so too was the case of mr. takeda.

is an example of a mechanical heart valve. durability is a major advantage.

mechanical heart valve: to use prosthetic valve replacement surgery when the valve is roughly2there are. and mechanical heart valve made of metal, bioprosthetic valve is a valve was processed beef and pork. mechanical valve itself100there is a durability of the year, meanwhile, must continue to take medication called warfarin for thromboprophylaxis, to ensure that effectiveness is so appropriate for receiving a monthly blood test that is not essential. is not quite a time consuming process that is. the old man still in every year1－2%has been reported with cerebral hemorrhage or cerebral infarction happens.

is an example of a bioprosthetic valve. maintenance-free operation is a major advantage.

bioprosthetic valve: on the other hand, bioprosthetic valve is usually warfarin is not required. it is usually called, if there is a cardiac arrhythmia such as atrial fibrillation, means that warfarin may be needed for that arrhythmia. thanks to this, many of the patients with tissue valves are free to escape freely and monthly inspection, can live. instead, tissue valves in the elderly10few years－20years, in young10years of life, not only, you need to put in a new tissue valve surgery and then also.

TAVIa case of. future, shall be considered to spread

would like to hear the patient’s lifestyle and there, to select the type of valve is not suitable for their patients. in the tissue valve reoperation in the future is to be noted whenTAVI (this is called a journey) putting in a new bioprosthetic valve bioprosthetic valve to the original without turning off the valve body in the catheter body is said to be (another valve in the valve means valve-in-valve) becoming able to, is good news for patients.

aortic regurgitation

diagnosis: shortness of breath and fainting will become stronger and backflow valve regurgitation that is due to congenital bicuspid valve aortic valve, symptoms such as chest pain occurs. body sway feel will come out. in this case also, the above tests with a diagnostic interview and auscultation and.

treatment: if aortic regurgitation is the time symptoms dell unto the left ventricle is larger expansion that is, you may become corrupted. so as not to return to the original even if you let go of the rubber hand is stretched just. in this way until, valve cured by surgery, it is recommended that it be restored to health, have been made to the same effect in the society of the united states also provides guidelines. from information such as size and movement of the left ventricle such as echocardiography, i recommend surgery to the left ventricle before destroying much.

is a case of aortic valve formation. the engagement of optimizing the valve in several ways.

valvuloplasty and valve replacement surgery: in the surgery of aortic valve regurgitation due to bicuspid valve surgery may be different depending on the age of the patient. 10from the die50you may die of a young age up to about valvuloplasty is performed to repair the valve cure. this is a high degree of difficulty can only surgery by an experienced cardiac surgeon of valvular surgery, particularly valve surgery. when the state or unsuitable for valve annuloplasty, 60if over the age of patients with valve replacement surgery using an artificial valve is made. surgery is relatively safe any highly. usually if there is no particular problem, after the surgery2it is often able to leave hospital in about a week.

MICSaortic valve surgery1months after the wound is. relatively clean wound and early rehabilitation can be expected.

MICS (mix, small incision minimally invasive surgery) : in the creation of a relatively small skin, partially or incision instead of the normal median sternotomy, in some cases is surgery to replace the aortic valve without cutting or forming bone also.

surgery is required for this rich experience for the surgery to ensure that operations in the narrow field of view is required. it has been done only in some facilities for that, such as reduction of pain and early rehabilitation of patients will be possible by appropriate selection of surgical procedures.

merger of aortic aneurysm points, another notes

there is another thing to be aware of congenital bicuspid aortic valve. although this disease once it had been considered mere valve disease, the current study advances, large motion on the line

shows the position and shape of aneurysm of ascending aorta. care must be taken in order for this to merger bicuspid valve often.

we have found that there is a disease also fragile, such as pulse. aortic valvular disease often not only for its, aortic root and ascending aorta is the aortic root that is extended, and so-called aortic aneurysm, it is as it is may be at risk of life suffered torn on the inside and outside walls to rupture or dissection.

for patients with bicuspid aortic valve, such as echocardiography, in addition to there, CTcheck the status of the aorta such as inspection, if larger than a certain, it is necessary to cure along with aortic valve surgery at. replace the portion of the aneurysm or vascular prosthesis in, i cure it or covered. will make it easier to ensure safety in the long term by this.

summary

please consult a specialist doctor, especially

or more, aortic stenosis based on a bicuspid aortic valve, aortic regurgitation, i explained to aortic aneurysm and the. been pointed out the noise of the heart or in the diagnosis, such as health, please consult your doctor promptly if you have symptoms such as syncope, chest pain, breath is cut. i hope it becomes your reference because it is curable disease even if no alert.

reference site: department of cardiovascular surgery informationWEB surgery and treatment of aortic valve and aortic, MICSinformation about the surgery can be obtained.