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Difference between revisions of "Heart valves"
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'''[[Heart]] valves''' are the domain of the cardiac surgeon and their bread & butter. | '''[[Heart]] valves''' are the domain of the cardiac surgeon and their bread & butter. | ||
=Clinical= | |||
===General=== | ===General=== | ||
*Insufficiency (regurgitant flow) - murmur in diastole. | *Insufficiency (regurgitant flow) - murmur in diastole. | ||
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*Mostly "calcific aortic stenosis". | *Mostly "calcific aortic stenosis". | ||
=Quick approach to valves= | |||
===Gross=== | ===Gross=== | ||
*Calcification? | *Calcification? | ||
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**Myxomatous change? | **Myxomatous change? | ||
=Normal histology= | |||
===Aortic valve=== | ===Aortic valve=== | ||
General: | General: | ||
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*Similar to the aortic valve. | *Similar to the aortic valve. | ||
=Degenerative conditions= | |||
==Calcific aortic stenosis== | ==Calcific aortic stenosis== | ||
===General=== | ===General=== | ||
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*[http://commons.wikimedia.org/wiki/File:Myxomatous_aortic_valve.jpg Myxomatous valve (WC)]. | *[http://commons.wikimedia.org/wiki/File:Myxomatous_aortic_valve.jpg Myxomatous valve (WC)]. | ||
=Infective conditions= | |||
==Rheumatic heart disease== | ==Rheumatic heart disease== | ||
===General=== | ===General=== | ||
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**Look for bacteria. | **Look for bacteria. | ||
=Non-infective conditions= | |||
==Nonbacterial thrombotic endocarditis== | ==Nonbacterial thrombotic endocarditis== | ||
===General=== | ===General=== | ||
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*Elastic fibres through-out (not interrupted by fibrous tissue). (???) | *Elastic fibres through-out (not interrupted by fibrous tissue). (???) | ||
= | =Heart valve tumours= | ||
{{main|Cardiac tumours}} | {{main|Cardiac tumours}} | ||
[[Papillary fibroelastoma]]s are the most common tumour of the valve. | [[Papillary fibroelastoma]]s are the most common tumour of the valve. | ||
=See also= | |||
*[[Heart]]. | *[[Heart]]. | ||
*[[Cardiomyopathy]]. | *[[Cardiomyopathy]]. | ||
*[[Forensic pathology]]. | *[[Forensic pathology]]. | ||
=References= | |||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Cardiovascular pathology]] | [[Category:Cardiovascular pathology]] | ||