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Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...

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Related Experiment Video

Updated: May 16, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Factors affecting long-term survival after aortic valve replacement.

Ewa Orłowska Baranowska1, Elżbieta Abramczuk, Maciej Grabowski

  • 1Department of Valvular Heart Disease, Institute of Cardiology, Warsaw, Poland. eorlowska@ikard.pl

Kardiologia Polska
|November 28, 2012
PubMed
Summary

Long-term outcomes after surgical aortic valve replacement (AVR) for aortic stenosis (AS) are good, with women showing better survival than men initially. Survival factors differ by gender over time.

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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
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Last Updated: May 16, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

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Published on: December 11, 2017

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Valve Disease
  • Aortic Stenosis Management

Background:

  • Significant aortic stenosis (AS) necessitates surgical aortic valve replacement (AVR).
  • Understanding long-term outcomes and survival predictors is crucial for patient management.

Purpose of the Study:

  • To evaluate the long-term results of surgical AVR for severe AS.
  • To assess how factors influencing survival change over a 10-year period post-AVR.

Main Methods:

  • Retrospective analysis of 1143 patients undergoing AVR for AS (1998-2008).
  • Assessment of preoperative demographic, clinical, and operative parameters.
  • Long-term survival analysis correlated with various patient and surgical factors.

Main Results:

  • Ten-year survival was higher in women than men, with this difference diminishing after 3 years.
  • In women, age and preoperative NYHA class significantly impacted 10-year survival.
  • In men, age, NYHA class, hypertension, reduced left ventricular ejection fraction (LVEF), and coronary artery stenosis affected survival.

Conclusions:

  • Surgical AVR for significant AS yields favorable long-term outcomes.
  • Gender-specific survival differences exist but attenuate over time.
  • Predictors of long-term survival after AVR vary significantly between men and women.