Tricuspid valve surgery, review of the literature, M.D, Thesis

A tétel rövid nézete
dc.contributor.advisorSzentkirályi, István
dc.contributor.advisordeptDebreceni Egyetem::Általános Orvostudományi Kar::Kardiológiai Intézet::Szívsebészeti Nem Önálló Tanszék
dc.contributor.authorSouslian, Simon
dc.contributor.departmentDE--Általános Orvostudományi Kar
dc.contributor.opponentFülöp, László
dc.contributor.opponentHorváth, Ambrus
dc.contributor.opponentdeptDebreceni Egyetem::Általános Orvostudományi Kar::Kardiológiai Intézet
dc.contributor.opponentdeptDebreceni Egyetem::Általános Orvostudományi Kar::Kardiológiai Intézet::Szívsebészeti Nem Önálló Tanszék
dc.date.accessioned2022-10-11T12:47:49Z
dc.date.available2022-10-11T12:47:49Z
dc.date.created2022-09-07
dc.description.abstractThe heart receives blood and pumps blood from and to the whole body. To do this, it has many parts: There are four chambers: the left atrium, left ventricle, the right atrium, the right ventricle, Four valves, the sinoatrial node (SA Node) and the atrioventricular node (AV Node), the aortic valve with three cusps, the tricuspid valve with three leaflets, the pulmonary valve with three cusps and the mitral valve, that has 2 leaflets, the right atrium and left atrium, the intraventricular septum, great vessels, and coronaries. The heart is the size of a human fist. Its anatomy is complex, its physiology even more so. So many things can and do go wrong with the heart, and cause it to not function optimally. One such thing is that the tricuspid valve can start to malfunction for several reasons: Due to stenosis causing regurgitation; various microbes can grow on it, leading to endocarditis; congenital absence leads to a hole in the heart and valve replacement every few years; the tricuspid valve can over work and over stress leading to ripping of its papillae and the valve’s ultimate collapse. Left sided valve disease causes functional tricuspid regurgitation, and is the prevailing heart disease in man. The prognosis and treatment options of the left sided valve disease will govern the future of the functional tricuspid regurgitation. As noted earlier, tricuspid valve disease is mostly found in conjunction with other ailments of the heart, most notably aortic valve regurgitation (AVR) and mitral valve regurgitation (MVR). In the rare case(s) that isolated tricuspid valve regurgitation is found, the prognosis is less favorable than if it is found together with AVR or MRV due to the fact that there is not the experience needed to treat it alone; doctors are used to treating it together with regurgitation of other heart valves. Medications taken for these ailments can lead to Epstein’s Anomaly. This results in overgrown, miss-shaped and out of place valves. Add an atrial septal defect and the patient can turn into a blue baby with an over grown heart and various edemas. Tricuspid valve regurgitation, because the leaflets have too wide a space between them, allowing the backward flow of the valve, has such symptoms as abnormal heart rhythms and shortness of breath while moving. Tricuspid stenosis is the exact opposite. This causes pressure build up in the right atrium, which leads to right sided congestion, which leads to cardiac output drop, peripheral edema, and systemic venous congestion. Treatment options are: At least in Tricuspid Valve Regurgitation, repair is the main idea of therapy, and only when repair is not effective, do we replace the tricuspid valve. Medications including vasodilators and diuretics, surgeries including valve repair techniques such as Kay Procedure and De Vega Procedure, ring and total valve replacement with biological tissue valves or mechanical valves.
dc.description.correctorLB
dc.description.courseáltalános orvos
dc.description.courselangangol
dc.description.degreeegységes, osztatlan
dc.format.extent26
dc.identifier.urihttps://hdl.handle.net/2437/337535
dc.language.isoen
dc.rights.accessHozzáférhető a 2022 decemberi felsőoktatási törvénymódosítás értelmében.
dc.subjectTricuspid valve surgery
dc.subject.dspaceDEENK Témalista::Orvostudomány
dc.titleTricuspid valve surgery, review of the literature, M.D, Thesis
Fájlok
Gyűjtemények
Theses (Faculty of Medicine)