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Sample records for aortic cusp guided

  1. A fibrous band associated with the non-coronary aortic valve cusp in a dog.

    Science.gov (United States)

    Ajithdoss, Dharani K; Arenas-Gamboa, Angela M; Edwards, John F

    2011-06-01

    A fibrous band connecting the middle of the free edge (nodulus Arantii) of the non-coronary aortic valve cusp to the ascending aorta just above the level of the non-coronary sinus of Valsalva was observed in an asymptomatic, 11-year-old, male Border Collie. The fibrous band was unrelated to the cause of the death in this dog. Such fibrous bands are usually reported in humans with congenital bicuspid aortic valves. To our knowledge, this is the first report of a fibrous band in the aortic valve in a domestic animal. PMID:21641896

  2. Cardiomyopathy Due to Nonsustained Ventricular Tachycardia Originating from the Aortic Sinus Cusp

    Directory of Open Access Journals (Sweden)

    Hamidreza Bonakdar

    2013-03-01

    Full Text Available We report a case of idiopathic nonsustained ventricular tachycardia (VT originating from the aortic sinus cusp referred for presyncope and LV dysfunction and frequent premature ventricular complex with no response to 3 months anti-arrhythmic medication for heart failure and arrhythmia. She was then referred to us for frequent PVC's and runs of nonsustained VT. ECG recorded during the nonsustained VT showed a left bundle branch block pattern in the precordial leads and an inferior axis and early transition in precordial leads in V3-V4. QS morphology in lead V1 was noticed with notching on the downward deflection. Electrophysiologic study was conducted to map ventricular outflow tract as a classic method, although pace map failed to find any matched QRS with the spontaneous PVCs. The mapping of aortic cusps was also performed. The best potential was recorded in a region located at the commissure of left-right aortic cusps. A single radiofrequency energy was delivered which resulted in immediate elimination of PVCs. The patient was discharged the day after ablation without any PVC recorded on monitor. Left ventricular ejection fraction(LVEF improved to normal level two months later. There was no PVC detected at serial holter monitoring. It seems logical not to overlook even an isolated or nonsustained ventricular arrhythmia considering the available and effective treatments such as ablation rather than congestive heart failure(CHF therapy especially in a young patient.

  3. Streptococcus agalactiae infective endocarditis complicated by large vegetations at aortic valve cusps along with intracoronary extension: An autopsy case report.

    Science.gov (United States)

    Ro, Ayako

    2016-01-01

    Streptococcus agalactiae infective endocarditis is a rare condition with high mortality owing to complications of large vegetations and systemic emboli. A 49-year-old man was found dead in his house. He had a history of hepatic cirrhosis and had been diagnosed with type 2 diabetes 2years previously. He had presented with a high fever 10days before his death. An autopsy revealed 50mL of purulent pericardial effusion, and S. agalactiae was detected from the culture of this pericardial effusion. Two slender rope-like vegetations were present at the right aortic valve cusp and noncoronary aortic valve cusp. The vegetation at the right aortic valve cusp extended into the right coronary artery. The right coronary artery was broadly occluded by white rod-like material. The mitral valves were also affected, and the posterior papillary muscle was ruptured. Myocardial infarction was not observed. Systemic microscopic Gram-positive bacterial masses were observed in several organs. The death was attributed to acute myocardial ischemia caused by occlusive intracoronary extension of the vegetation at the proximal right coronary artery. PMID:26926519

  4. Imaging analysis of collagen fiber networks in cusps of porcine aortic valves: effect of their local distribution and alignment on valve functionality.

    Science.gov (United States)

    Mega, Mor; Marom, Gil; Halevi, Rotem; Hamdan, Ashraf; Bluestein, Danny; Haj-Ali, Rami

    2016-07-01

    The cusps of native aortic valve (AV) are composed of collagen bundles embedded in soft tissue, creating a heterogenic tissue with asymmetric alignment in each cusp. This study compares native collagen fiber networks (CFNs) with a goal to better understand their influence on stress distribution and valve kinematics. Images of CFNs from five porcine tricuspid AVs are analyzed and fluid-structure interaction models are generated based on them. Although the valves had similar overall kinematics, the CFNs had distinctive influence on local mechanics. The regions with dilute CFN are more prone to damage since they are subjected to higher stress magnitudes. PMID:26406926

  5. Externalization of a stiff guide wire via the radial artery: a new technique to facilitate advancement of an Inoue balloon across the aortic valve in patients with aortic stenosis undergoing antegrade balloon aortic valvuloplasty.

    Science.gov (United States)

    Kato, Hiroshi; Kubota, Shoichi; Goto, Takuya; Haba, Toshihiro; Yamamoto, Makoto

    2016-04-01

    An 84-year-old woman with aortic stenosis underwent antegrade balloon aortic valvuloplasty (BAV). After transseptal puncture, we introduced a 7-Fr wedge catheter into the left ventricle and across the aortic valve. We then inserted a 0.032-inch soft guide wire, and the tip of the guide wire was advanced into the brachial artery and exchanged for a stiff guide wire. We externalized the tip of the stiff guide wire from the radial artery. Finally, we advanced an Inoue balloon (Toray, Tokyo, Japan) across the aortic valve and inflated the balloon. Transradial externalization makes antegrade BAV an even less invasive procedure. PMID:25862651

  6. Loss of Guide Wire: A Rare Complication of Intra-Aortic Balloon Pump Insertion

    Directory of Open Access Journals (Sweden)

    Manouchehr Hekmat

    2015-10-01

    Full Text Available At the final stages of a coronary artery bypass graft operation on a 64-year-old man, an experienced physician attempted to insert an intra-aortic balloon pump into the femoral artery via the Seldinger technique. However, while the balloon pump was being passed over the guide wire, the latter was completely lost.The guide wire should be held at the tip at all times to prevent passage into the vessel. Strict adherence to this rule will prevent guide-wire loss, which is, albeit rare and completely avoidable, a potentially life-threatening complication of central vein or artery catheterization, with reported fatality rates of up to 20% when the whole wire is lost. The literature contains several reports on guide-wire loss during central venous, arterial, and hemodialysis catheterization, but we report for the first time the loss of a guide wire as a rare complication of intra-aortic balloon pump insertion.

  7. Congenital aortic regurgitation in a child with a tricuspid non-stenotic aortic valve.

    OpenAIRE

    Hashimoto, R; Miyamura, H; Eguchi, S

    1984-01-01

    After follow up for seven years a 10 year old boy with congenital aortic regurgitation was found to have a tricuspid non-stenotic aortic valve at operation. The right coronary cusp was dysplastic, thickened, and contracted; the gap between its free margin and aortic wall was bridged with two fibrous bands; and the left coronary and non-coronary cusps were almost normal. The aortic valve was replaced with a prosthesis (St Jude Medical No 23), and the postoperative course was uneventful.

  8. Facial talon cusps.

    LENUS (Irish Health Repository)

    McNamara, T

    1997-12-01

    This is a report of two patients with isolated facial talon cusps. One occurred on a permanent mandibular central incisor; the other on a permanent maxillary canine. The locations of these talon cusps suggests that the definition of a talon cusp include teeth in addition to the incisor group and be extended to include the facial aspect of teeth.

  9. Bicuspid aortic valves: Diagnostic accuracy of standard axial 64-slice chest CT compared to aortic valve image plane ECG-gated cardiac CT

    International Nuclear Information System (INIS)

    Objectives: To assess the diagnostic accuracy of standard axial 64-slice chest CT compared to aortic valve image plane ECG-gated cardiac CT for bicuspid aortic valves. Materials and methods: The standard axial chest CT scans of 20 patients with known bicuspid aortic valves were blindly, randomly analyzed for (i) the appearance of the valve cusps, (ii) the largest aortic sinus area, (iii) the longest aortic cusp length, (iv) the thickest aortic valve cusp and (v) valve calcification. A second blinded reader independently analyzed the appearance of the valve cusps. Forty-two age- and sex-matched patients with known tricuspid aortic valves were used as controls. Retrospectively ECG-gated cardiac CT multiphase reconstructions of the aortic valve were used as the gold-standard. Results: Fourteen (21%) scans were scored as unevaluable (7 bicuspid, 7 tricuspid). Of the remainder, there were 13 evaluable bicuspid valves, ten of which showed an aortic valve line sign, while the remaining three showed a normal Mercedes-Benz appearance owing to fused valve cusps. The 35 evaluable tricuspid aortic valves all showed a normal Mercedes-Benz appearance (P = 0.001). Kappa analysis = 0.62 indicating good interobserver agreement for the aortic valve cusp appearance. Aortic sinus areas, aortic cusp lengths and aortic cusp thicknesses of ≥3.8 cm2, 3.2 cm and 1.6 mm respectively on standard axial chest CT best distinguished bicuspid from tricuspid aortic valves (P < 0.0001 for all). Of evaluable scans, the sensitivity, specificity, positive and negative predictive values of standard axial chest CT in diagnosing bicuspid aortic valves was 77% (CI 0.54–1.0), 100%, 100% and 70% respectively. Conclusion: The aortic valve is evaluable in approximately 80% of standard chest 64-slice CT scans. Bicuspid aortic valves may be diagnosed on evaluable scans with good diagnostic accuracy. An aortic valve line sign, enlarged aortic sinuses and elongated, thickened valve cusps are specific CT

  10. Cusps of Picard modular surfaces

    OpenAIRE

    Stover, Matthew

    2010-01-01

    We determine the number of cusps of minimal Picard modular surfaces. The proof also counts cusps of other Picard modular surfaces of arithmetic interest. Consequently, for each N > 0 there are finitely many commensurability classes of nonuniform arithmetic lattices in SU(2, 1) that contain an N-cusped surface. We also discuss a higher-rank analogue.

  11. Bicuspid aortic valves: Diagnostic accuracy of standard axial 64-slice chest CT compared to aortic valve image plane ECG-gated cardiac CT

    Energy Technology Data Exchange (ETDEWEB)

    Murphy, David J., E-mail: david.murphy@st-vincents.ie [Department of Radiology, St Vincent' s University Hospital, Elm Park, Dublin 4 (Ireland); McEvoy, Sinead H., E-mail: s.mcevoy@st-vincents.ie [Department of Radiology, St Vincent' s University Hospital, Elm Park, Dublin 4 (Ireland); Iyengar, Sri, E-mail: sri.iyengar@nhs.net [Department of Radiology, Plymouth Hospitals NHS Trust, Plymouth Devon PL6 8DH (United Kingdom); Feuchtner, Gudrun, E-mail: Gudrun.Feuchtner@i-med.ac.at [Department of Radiology, Innsbruck Medical University, Anichstr. 35, A-6020 Innsbruck (Austria); Cury, Ricardo C., E-mail: r.cury@baptisthealth.net [Department of Radiology, Baptist Cardiac and Vascular Institute, 8900 North Kendall Drive, Miami, FL 33176 (United States); Roobottom, Carl, E-mail: carl.roobottom@nhs.net [Department of Radiology, Plymouth Hospitals NHS Trust, Plymouth Devon PL6 8DH (United Kingdom); Plymouth University Peninsula Schools of Medicine and Dentistry (United Kingdom); Baumueller, Stephan, E-mail: Hatem.Alkadhi@usz.ch [Institute for Diagnostic and Interventional Radiology, University Hospital Zurich, Raemistrasse 100, CH-8091 Zurich (Switzerland); Alkadhi, Hatem, E-mail: stephan.baumueller@usz.ch [Institute for Diagnostic and Interventional Radiology, University Hospital Zurich, Raemistrasse 100, CH-8091 Zurich (Switzerland); Dodd, Jonathan D., E-mail: jonniedodd@gmail.com [Department of Radiology, St Vincent' s University Hospital, Elm Park, Dublin 4 (Ireland)

    2014-08-15

    Objectives: To assess the diagnostic accuracy of standard axial 64-slice chest CT compared to aortic valve image plane ECG-gated cardiac CT for bicuspid aortic valves. Materials and methods: The standard axial chest CT scans of 20 patients with known bicuspid aortic valves were blindly, randomly analyzed for (i) the appearance of the valve cusps, (ii) the largest aortic sinus area, (iii) the longest aortic cusp length, (iv) the thickest aortic valve cusp and (v) valve calcification. A second blinded reader independently analyzed the appearance of the valve cusps. Forty-two age- and sex-matched patients with known tricuspid aortic valves were used as controls. Retrospectively ECG-gated cardiac CT multiphase reconstructions of the aortic valve were used as the gold-standard. Results: Fourteen (21%) scans were scored as unevaluable (7 bicuspid, 7 tricuspid). Of the remainder, there were 13 evaluable bicuspid valves, ten of which showed an aortic valve line sign, while the remaining three showed a normal Mercedes-Benz appearance owing to fused valve cusps. The 35 evaluable tricuspid aortic valves all showed a normal Mercedes-Benz appearance (P = 0.001). Kappa analysis = 0.62 indicating good interobserver agreement for the aortic valve cusp appearance. Aortic sinus areas, aortic cusp lengths and aortic cusp thicknesses of ≥3.8 cm{sup 2}, 3.2 cm and 1.6 mm respectively on standard axial chest CT best distinguished bicuspid from tricuspid aortic valves (P < 0.0001 for all). Of evaluable scans, the sensitivity, specificity, positive and negative predictive values of standard axial chest CT in diagnosing bicuspid aortic valves was 77% (CI 0.54–1.0), 100%, 100% and 70% respectively. Conclusion: The aortic valve is evaluable in approximately 80% of standard chest 64-slice CT scans. Bicuspid aortic valves may be diagnosed on evaluable scans with good diagnostic accuracy. An aortic valve line sign, enlarged aortic sinuses and elongated, thickened valve cusps are specific CT

  12. Randomized trial of guiding hypertension management using central aortic blood pressure compared with best-practice care: principal findings of the BP GUIDE study.

    Science.gov (United States)

    Sharman, James E; Marwick, Thomas H; Gilroy, Deborah; Otahal, Petr; Abhayaratna, Walter P; Stowasser, Michael

    2013-12-01

    Arm cuff blood pressure (BP) may overestimate cardiovascular risk. Central aortic BP predicts mortality and could be a better method for patient management. We sought to determine the usefulness of central BP to guide hypertension management. This was a prospective, open-label, blinded-end point study in 286 patients with hypertension randomized to treatment decisions guided by best-practice usual care (n=142; using office, home, and 24-hour ambulatory BP) or, in addition, by central BP intervention (n=144; using SphygmoCor). Therapy was reviewed every 3 months for 12 months, and recommendations were provided to each patient and his/her doctor on antihypertensive medication titration. Outcome measures were as follows: medication quantity (daily defined dose), quality of life, and left ventricular mass (3-dimensional echocardiography). There was 92% compliance with recommendations on medication titration, and quality of life improved in both groups (post hoc P0.10), but with intervention there was a significant stepwise decrease in daily defined dose from baseline to 3 months (P=0.008) and each subsequent visit (all P0.05). We conclude that guidance of hypertension management with central BP results in a significantly different therapeutic pathway than conventional cuff BP, with less use of medication to achieve BP control and no adverse effects on left ventricular mass, aortic stiffness, or quality of life.

  13. Fused aortic valve without an elliptical-shaped systolic orifice in patients with severe aortic stenosis: cardiac computed tomography is useful for differentiation between bicuspid aortic valve with raphe and tricuspid aortic valve with commissural fusion

    Energy Technology Data Exchange (ETDEWEB)

    Bak, So Hyeon; Ko, Sung Min [Konkuk University School of Medicine, Departments of Radiology, Konkuk University Medical Center, Seoul (Korea, Republic of); Song, Meong Gun; Shin, Je Kyoun; Chee, Hyun Kun; Kim, Jun Suk [Konkuk University School of Medicine, Departments of Thoracic Surgery, Konkuk University Medical Center, Seoul (Korea, Republic of)

    2015-04-01

    The objective is to determine cardiac computed tomography (CCT) features capable of differentiating between bicuspid aortic valve (BAV) and tricuspid aortic valve (TAV) in severe aortic stenosis (AS) patients with fused cusp and without elliptical-shaped systolic orifices. We retrospectively enrolled 53 patients who had severe AS with fused cusps and without an elliptical-shaped systolic orifice on CCT and who had undergone surgery. CCT features were analyzed using: (1) aortic valve findings including cusp size, cusp area, opening shape, midline calcification, fusion length, calcium volume score, and calcium grade; (2) diameters of ascending and descending aorta, and main pulmonary artery; and (3) rheumatic mitral valve findings. The variables were evaluated using univariate and multivariate logistic regression analyses. At surgery, 19 patients had BAV and 34 had TAV. CCT features including uneven cusp size, uneven cusp area, round-shaped systolic orifice, longer cusp fusion, and dilatation of ascending aorta were significantly associated with BAV (P < 0.05). In particular, fusion length (OR, 1.76; P = 0.001), uneven cusp area (OR, 10.46; P = 0.012), and midline calcification (OR, 0.08; P = 0.013) were strongly associated with BAV. CCT provides diagnostic clues that helps differentiate between BAV with raphe and TAV with commissural fusion in patients with severe AS. (orig.)

  14. Cusp effects in meson decays

    CERN Document Server

    Kubis, Bastian

    2009-01-01

    The pion mass difference generates a pronounced cusp in the pi0 pi0 invariant mass distribution of K+ --> pi0 pi0 pi+ decays. As originally pointed out by Cabibbo, an accurate measurement of the cusp may allow one to pin down the S-wave pion-pion scattering lengths to high precision. We present the non-relativistic effective field theory framework that permits to determine the structure of this cusp in a straightforward manner, including the effects of radiative corrections. Applications of the same formalism to other decay channels, in particular eta and eta' decays, are also discussed.

  15. Aortic insufficiency

    Science.gov (United States)

    ... Heart valve - aortic regurgitation; Valvular disease - aortic regurgitation; AI - aortic insufficiency ... BA. Valvular heart disease. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine . 25th ed. Philadelphia, PA: ...

  16. THE CUSP ECR ION SOURCE

    OpenAIRE

    Sudlitz, K.

    1989-01-01

    A Cusp ECR ion source is being developed in Warsaw University to be used on U-200 heavy ion cyclotron. The main goal of the work is the test of the idea of an ECR source constructed without permanent magnets and by means of an inexpensive 2.45GHz generator.

  17. Transretroperitoneal CT-guided Embolization of Growing Internal Iliac Artery Aneurysm after Repair of Abdominal Aortic Aneurysm: A Transretroperitoneal Approach with Intramuscular Lidocaine Injection Technique

    International Nuclear Information System (INIS)

    This study was designed to evaluate the efficacy and safety of CT-guided embolization of internal iliac artery aneurysm (IIAA) after repair of abdominal aortic aneurysm by transretroperitoneal approach using the lidocaine injection technique to iliacus muscle, making window for safe needle path for three patients for whom CT-guided embolization of IIAA was performed by transretroperitoneal approach with intramuscular lidocaine injection technique. Transretroperitoneal access to the IIAA was successful in all three patients. In all three patients, the IIAA was first embolized using microcoils. The aneurysmal sac was then embolized with glue and coils without complication. With a mean follow-up of 7 months, the volume of the IIAAs remained stable without residual endoleaks. Transretroperitoneal CT-guided embolization of IIAA using intramuscular lidocaine injection technique is effective, safe, and results in good outcome

  18. Transretroperitoneal CT-guided Embolization of Growing Internal Iliac Artery Aneurysm after Repair of Abdominal Aortic Aneurysm: A Transretroperitoneal Approach with Intramuscular Lidocaine Injection Technique

    Energy Technology Data Exchange (ETDEWEB)

    Park, Joon Young, E-mail: pjy1331@hanmail.net; Kim, Shin Jung, E-mail: witdd2@hanmail.net; Kim, Hyoung Ook, E-mail: chaos821209@hanmail.net [Chonnam National University Hospital, Department of Radiology (Korea, Republic of); Kim, Yong Tae, E-mail: mono-111@hanmail.net [Chonnam National University Hwasun Hospital, Department of Radiology (Korea, Republic of); Lim, Nam Yeol, E-mail: apleseed@hanmail.net; Kim, Jae Kyu, E-mail: kjkrad@jnu.ac.kr [Chonnam National University Hospital, Department of Radiology (Korea, Republic of); Chung, Sang Young, E-mail: sycpvts@jnu.ac.kr; Choi, Soo Jin Na, E-mail: choisjn@jnu.ac.kr; Lee, Ho Kyun, E-mail: mhaha@hanmail.net [Chonnam National University Hospital, Department of Surgery (Korea, Republic of)

    2015-02-15

    This study was designed to evaluate the efficacy and safety of CT-guided embolization of internal iliac artery aneurysm (IIAA) after repair of abdominal aortic aneurysm by transretroperitoneal approach using the lidocaine injection technique to iliacus muscle, making window for safe needle path for three patients for whom CT-guided embolization of IIAA was performed by transretroperitoneal approach with intramuscular lidocaine injection technique. Transretroperitoneal access to the IIAA was successful in all three patients. In all three patients, the IIAA was first embolized using microcoils. The aneurysmal sac was then embolized with glue and coils without complication. With a mean follow-up of 7 months, the volume of the IIAAs remained stable without residual endoleaks. Transretroperitoneal CT-guided embolization of IIAA using intramuscular lidocaine injection technique is effective, safe, and results in good outcome.

  19. Results of surgery for aortic regurgitation due to aortic valve prolapse.

    Directory of Open Access Journals (Sweden)

    Shigenobu,Masaharu

    1988-12-01

    Full Text Available The clinical, hemodynamic and pathological findings of 13 patients with aortic regurgitation due to aortic valve prolapse caused by advanced myxomatous degeneration were evaluated. Eleven patients showed a favorable outcome with no complications resulting from surgery. One patient died from aortic dissection, and another died suddenly from an unknown cause. Five patients had mitral valve prolapse as a complication. Ten patients (77% had a long-standing history of hypertension. Twelve patients (92% were male. None of the patients had the stigmata of Marfan's syndrome. All patients had marked myxomatous degeneration of the aortic valves without any inflammatory changes. Two patients showed microcalcification; 7 demonstrated moderate fibrosis. Five patients showed severe fragility of the cusps which appeared redundant, gelatinous and softened by degenerative changes. Myxomatous degeneration of the aortic valve is not rare, and, in fact, it may be one of the most common pathologic and clinical entities associated with pure aortic insufficiency.

  20. Assessment of radiation doses to the para-aortic, pelvic, and inguinal lymph nodes delivered by image-guided adaptive brachytherapy in locally advanced cervical cancer

    DEFF Research Database (Denmark)

    Mohamed, Sandy M I; Aagaard, Torben; Fokdal, Lars U;

    2015-01-01

    PURPOSE: This study evaluated the dose delivered to lymph nodes (LNs) by brachytherapy (BT) and the effect of BT image-guided optimization on the LN dose. METHODS AND MATERIALS: Twenty-five patients with locally advanced cervical cancer were retrospectively analyzed, 16 patients of them had LN...... involvement. The patients received whole pelvis intensity-modulated radiation therapy (45-50 Gy/25-30 fx) to whole pelvis and two fractions of MRI pulsed-dose-rate BT. The delineated LN groups were para-aortic, inguinal, common iliac (CI), external iliac, internal iliac, obturator, and presacral. For each LN...

  1. Cassini observations of Saturn's southern polar cusp

    CERN Document Server

    Arridge, C S; Achilleos, N; Bogdanova, Y V; Bunce, E J; Cowley, S W H; Fazakerley, A N; Khurana, K K; Lamy, L; Leisner, J S; Roussos, E; Russell, C T; Zarka, P; Coates, A J; Dougherty, M K; Jones, G H; Krimigis, S M; Krupp, N

    2016-01-01

    The magnetospheric cusps are important sites of the coupling of a magnetosphere with the solar wind. The combination of both ground- and space-based observations at Earth have enabled considerable progress to be made in understanding the terrestrial cusp and its role in the coupling of the magnetosphere to the solar wind via the polar magnetosphere. Voyager 2 fully explored Neptune's cusp in 1989 but highly inclined orbits of the Cassini spacecraft at Saturn present the most recent opportunity to repeatedly studying the polar magnetosphere of a rapidly rotating planet. In this paper we discuss observations made by Cassini during two passes through Saturn's southern polar magnetosphere. Our main findings are that i) Cassini directly encounters the southern polar cusp with evidence for the entry of magnetosheath plasma into the cusp via magnetopause reconnection, ii) magnetopause reconnection and entry of plasma into the cusp can occur over a range of solar wind conditions, and iii) double cusp morphologies are...

  2. Delayed aortic regurgitation caused by a right coronary stent protruding into the aorta.

    Science.gov (United States)

    Quintana, Eduard; Mestres, Carlos A; Congiu, Stefano; Josa, Miguel; Cartañá, Ramon

    2009-11-01

    Aortic valve perforation is an extremely rare complication after percutaneous coronary intervention. The case is presented of a 49-year-old male with aortic valve regurgitation secondary to the intra-aortic protrusion of a right coronary stent. The patient had undergone an apparently successful rescue percutaneous transluminal coronary angioplasty with a drug-eluting stent following failed fibrinolysis, but one month later was readmitted for acute pulmonary edema. Further investigations demonstrated new-onset aortic regurgitation. Medical stabilization was achieved and an elective aortic valve replacement and coronary revascularization performed. Intraoperatively, the stent was found to be partially deployed within the aortic lumen, causing perforation to the non-coronary cusp.

  3. Annular sizing using real-time three-dimensional intracardiac echocardiography-guided trans-catheter aortic valve replacement

    Science.gov (United States)

    Rendon, Alejandro; Hamid, Tahir; Kanaganayagam, Gajen; Karunaratne, Devinda; Mahadevan, Vaikom S

    2016-01-01

    Objective Transcatheter aortic valve replacement (TAVR) has been established as an alternative therapy for patients with severe aortic stenosis who are unfit for the surgical aortic valve replacements. Pre and periprocedural imaging for the TAVR procedure is the key to procedural success. Currently transesophageal echocardiography (TOE), including real-time three-dimensional (RT-3D) imaging TOE, has been used for peri-interventional monitoring and guidance for TAVR. We describe our initial experience with real-time three-dimensional intracardiac echocardiography (RT-3DICE), imaging technology for the use in the TAVR procedure. Methods We used RT-3DICE using an ACUSON SC2000 2.0v (Siemens Medical Solution), and a 10F AcuNav V catheter (Siemens-Acuson, Inc, Mountain View, California, USA) in addition to preoperative multislice CT (MSCT) in total of five patients undergoing TAVR procedure. Results Aortic annulus and sinus of valsalva diameters were measured using RT-3DICE. Aortic valve measurements obtained using RT-3DICE are comparable to those obtained using MSCT with no significant difference in our patients. Conclusions This small study of five patients shows the safe use of RT-3DICE in TAVR Procedure and may help the procedures performed under local anaesthesia without the need for TOE. PMID:27158522

  4. Cassini observations of Saturn's southern polar cusp

    OpenAIRE

    Arridge, Christopher Stephen; Jasinski, J. M.; Achilleos, Nicholas; Bogdanova, Y. V.; E. J. Bunce; Cowley, S. W. H; A. N. Fazakerley; Khurana, K K; Lamy, Laurent; J. S. Leisner; Roussos, E; Russell, C. T.; Zarka, P.; Coates, A. J.; Dougherty, M. K.

    2016-01-01

    The magnetospheric cusps are important sites of the coupling of a magnetosphere with the solar wind. The combination of both ground- and space-based observations at Earth have enabled considerable progress to be made in understanding the terrestrial cusp and its role in the coupling of the magnetosphere to the solar wind via the polar magnetosphere. Voyager 2 fully explored Neptune’s cusp in 1989 but highly inclined orbits of the Cassini spacecraft at Saturn present the most recent opportunit...

  5. Cusps in K --> 3 pi decays

    CERN Document Server

    Colangelo, G; Kubis, B; Rusetsky, A; Colangelo, Gilberto; Gasser, Juerg; Kubis, Bastian; Rusetsky, Akaki

    2006-01-01

    The pion mass difference generates a pronounced cusp in K --> 3 pi decays. As has recently been pointed out by Cabibbo and Isidori, an accurate measurement of the cusp may allow one to pin down the S-wave pi pi scattering lengths to high precision. Here, we present and illustrate an effective field theory framework that allows one to determine the structure of this cusp in a straightforward manner. The strictures imposed by analyticity and unitarity are respected automatically.

  6. Understanding the focusing of charged particle for 2D sheet beam in a cusped magnetic field

    CERN Document Server

    Banerjee, Tusharika S; Reddy, K T V

    2016-01-01

    The requirement of axial magnetic field for focusing and transportation of sheet beam using cusped magnets is less as compared to solenoid magnetic fields which is uniform. There is often some confusion about how a cusped magnetic field focuses high current density sheet beam because it is generally understood that non-uniform magnetic field cannot guide the particle beam along its axis of propagation .In this paper, we perform simple analysis of the dynamics of sheet beam in a cusped magnetic field with single electron model and emphasize an intuitive understanding of interesting features (as beam geometry, positioning of permanent magnets, particle radius,particle velocity,radius of curvature of particle inside cusped magnetic field)

  7. Aortic Aneurysm

    Science.gov (United States)

    ... Most aneurysms are in the aorta, the main artery that runs from the heart through the chest and abdomen. There are two types of aortic aneurysm: Thoracic aortic aneurysms (TAA) - these occur in the part of the aorta running through the chest Abdominal aortic aneurysms (AAA) - these occur in the part ...

  8. Cassini observations of Saturn's southern polar cusp

    Science.gov (United States)

    Arridge, C. S.; Jasinski, J. M.; Achilleos, N.; Bogdanova, Y. V.; Bunce, E. J.; Cowley, S. W. H.; Fazakerley, A. N.; Khurana, K. K.; Lamy, L.; Leisner, J. S.; Roussos, E.; Russell, C. T.; Zarka, P.; Coates, A. J.; Dougherty, M. K.; Jones, G. H.; Krimigis, S. M.; Krupp, N.

    2016-04-01

    The magnetospheric cusps are important sites of the coupling of a magnetosphere with the solar wind. The combination of both ground- and space-based observations at Earth has enabled considerable progress to be made in understanding the terrestrial cusp and its role in the coupling of the magnetosphere to the solar wind via the polar magnetosphere. Voyager 2 fully explored Neptune's cusp in 1989, but highly inclined orbits of the Cassini spacecraft at Saturn present the most recent opportunity to repeatedly study the polar magnetosphere of a rapidly rotating planet. In this paper we discuss observations made by Cassini during two passes through Saturn's southern polar magnetosphere. Our main findings are that (i) Cassini directly encounters the southern polar cusp with evidence for the entry of magnetosheath plasma into the cusp via magnetopause reconnection, (ii) magnetopause reconnection and entry of plasma into the cusp can occur over a range of solar wind conditions, and (iii) double cusp morphologies are consistent with the position of the cusp oscillating in phase with Saturn's global magnetospheric periodicities.

  9. Double Cusp Observed By The Cluster Spacecraft

    Science.gov (United States)

    Escoubet, C. P.; Bosqued, J. M.; Berchem, J.; Anderson, P. C.; Fehringer, M.; Laakso, H.; Reme, H.

    The polar cusp is characterised by a direct entry of solar wind plasma into the magne- tosphere. Depending on the orientation of the interplanetary magnetic field (IMF), Bz positive or negative, the precipitation of the ions in the cusp presents a dispersion in energy directed poleward or equatorward. In addition the polar cusp moves in latitude according to the IMF, from about 75 deg. ILAT for Bz negative to about 82 deg. ILAT for Bz positive. The Cluster spacecraft are crossing the mid-altitude polar cusp, in a "string of pearl" configuration, and are therefore the ideal tool to study the motion and evolution of the cusp on time scale of a few minutes up to 45 min. On 30 August 2001, the four Cluster spacecraft crossed the mid-altitude polar cusp (4-6 Re) around 12.5 H local time with SC4 entering the cusp at 1532 UT, SC2 following 1.5 min later, SC1, 3 min later and finally SC3, 45 min later. SC4 and SC1 observed a typical poleward dispersion associated with Bz negative. SC3 observed first the same disper- sion starting at about 74 deg. ILAT, however at 81 deg. ILAT a second dispersion was observed. The IMF was southward during the dispersion and became slightly positive during the second dispersion. Two hypothesis can be proposed, a fast motion of the cusp poleward during the SC3 crossing or a double injection in the cusp. Preliminary analysis of DMSP satellites, although not exactly in the same sector, indicates that the cusp moved poleward around that time. Cluster observations will be compared with the results from a global MHD simulation model to investigate the geometry of the reconnection between the IMF and the Earth magnetic field.

  10. Towards real-time cardiovascular magnetic resonance-guided transarterial aortic valve implantation: In vitro evaluation and modification of existing devices

    Directory of Open Access Journals (Sweden)

    Ladd Mark E

    2010-10-01

    Full Text Available Abstract Background Cardiovascular magnetic resonance (CMR is considered an attractive alternative for guiding transarterial aortic valve implantation (TAVI featuring unlimited scan plane orientation and unsurpassed soft-tissue contrast with simultaneous device visualization. We sought to evaluate the CMR characteristics of both currently commercially available transcatheter heart valves (Edwards SAPIEN™, Medtronic CoreValve® including their dedicated delivery devices and of a custom-built, CMR-compatible delivery device for the Medtronic CoreValve® prosthesis as an initial step towards real-time CMR-guided TAVI. Methods The devices were systematically examined in phantom models on a 1.5-Tesla scanner using high-resolution T1-weighted 3D FLASH, real-time TrueFISP and flow-sensitive phase-contrast sequences. Images were analyzed for device visualization quality, device-related susceptibility artifacts, and radiofrequency signal shielding. Results CMR revealed major susceptibility artifacts for the two commercial delivery devices caused by considerable metal braiding and precluding in vivo application. The stainless steel-based Edwards SAPIEN™ prosthesis was also regarded not suitable for CMR-guided TAVI due to susceptibility artifacts exceeding the valve's dimensions and hindering an exact placement. In contrast, the nitinol-based Medtronic CoreValve® prosthesis was excellently visualized with delineation even of small details and, thus, regarded suitable for CMR-guided TAVI, particularly since reengineering of its delivery device toward CMR-compatibility resulted in artifact elimination and excellent visualization during catheter movement and valve deployment on real-time TrueFISP imaging. Reliable flow measurements could be performed for both stent-valves after deployment using phase-contrast sequences. Conclusions The present study shows that the Medtronic CoreValve® prosthesis is potentially suited for real-time CMR-guided placement

  11. Reinterpreting several narrow `resonances' as threshold cusps

    CERN Document Server

    Bugg, D V

    2004-01-01

    The threshold pbar-p peak in BES data for J/\\Psi to gamma-pbar-p may be fitted as a cusp. It arises from the well known threshold peak in pbar-p elastic scattering due to annihilation. Several similar examples are discussed. The PS185 data for pbar-p to Lambdabar-Lambda require an almost identical cusp at the Lambdabar-Lambda threshold. There is also a cusp at the Sigma-N threshold in Kminus-d to piminus-Lambda-p. Similar cusps are likely to arise at thresholds for all 2-body de-excitation processes, providing the interaction is attractive; likely examples are Lambda-pbar, Sigma-pbar, and Kbar-Lambda. The narrow peak observed by Belle at 3872 MeV in piplus-piminus-J/Psi may be a 1++ cusp due to the Dbar-D* threshold. The narrow Xi*(1862) observed by NA49 may be due to a threshold cusp in Sigma(1385)-Kbar coupled to Xi-pi and Sigma-Kbar. The relation of cusps to known resonances such as fo(980) is discussed.

  12. Reconstructive surgery of the aortic valve

    Directory of Open Access Journals (Sweden)

    Mendonça José Teles de

    2003-01-01

    Full Text Available OBJECTIVE: Lacking an ideal valve substitute and motivated by the good results of mitral valve repair since 1990, we faced with determination aortic valve reconstruction surgery. The objective of this paper is to show our experience with this procedure. METHOD: Between January of 1990 and December of 2001; 136 aortic valve repair surgeries were performed. Seventy-five (55.1% of the patients were female and the ages ranged from 4 to 70 years (mean 23.3 ± 1.2 years. Every patient had rheumatic valve disease and insufficiency was the most prevalent type (108 patients - 79.4%, followed by double aortic lesion in 16 (11.7% patients and stenosis in 12 (8.8%. The surgical techniques used were: subcommissural annuloplasty in 74 (54.4% patients, commissurotomy in 38 (27.9%, cusp extension with pericardium in 17 (12.5%, substitution of one cusp in 2 (1.4%, cusp suspension by annuloplasty in 37 (27.2% and Valsalva sinus remodeling in 27 (19.8%. The surgery exclusively involved the aortic valve in 57 (41.9% patients and was associated in 79 (mitral valve replacement in 12, mitral repair in 65, coronary artery bypass grafting in 1 and pulmonary commissurotomy in 1. RESULTS: Hospital mortality was 2.2% and 22 (16.2% patients underwent a new surgery during the follow-up period (57.7 ± 3.5 months. CONCLUSIONS: Aortic valve repair is a safe surgical procedure that can be used in an increasing number of patients with promising results.

  13. Quadricuspid aortic valve complicated with infective endocarditis: report of a case.

    Science.gov (United States)

    Mizoguchi, Hiroki; Sakaki, Masayuki; Inoue, Kazushige; Kobayashi, Yasuhiko; Iwata, Takashi; Suehiro, Yasuo; Miura, Takuya

    2014-12-01

    Congenital quadricuspid aortic valve is a rare cardiac malformation with an unknown risk of infective endocarditis. We report a case of quadricuspid aortic valve complicated with infective endocarditis. A 53-year-old Japanese woman was hospitalized with leg edema and a fever of unknown origin. Corynebacterium striatum was detected in the blood culture. Echocardiography demonstrated a quadricuspid aortic valve with vegetation and severe functional regurgitation. The condition was diagnosed as a quadricuspid aortic valve with infective endocarditis, for which surgery was performed. The quadricuspid aortic valve had three equal-sized cusps and one smaller cusp (type B according to Hurwitz classification). We dissected the vegetation and infectious focus and implanted a mechanical valve. Following the case report, we review the literature.

  14. Use of short roll C-arm computed tomography and fully automated 3D analysis tools to guide transcatheter aortic valve replacement.

    Science.gov (United States)

    Kim, Michael S; Bracken, John; Eshuis, Peter; Chen, S Y James; Fullerton, David; Cleveland, Joseph; Messenger, John C; Carroll, John D

    2016-07-01

    Determination of the coplanar view is a critical component of transcatheter aortic valve replacement (TAVR). The safety and accuracy of a novel reduced angular range C-arm computed tomography (CACT) approach coupled with a fully automated 3D analysis tool package to predict the coplanar view in TAVR was evaluated. Fifty-seven patients with severe symptomatic aortic stenosis deemed prohibitive-risk for surgery and who underwent TAVR were enrolled. Patients were randomized 2:1 to CACT vs. angiography (control) in estimating the coplanar view. These approaches to determine the coplanar view were compared quantitatively. Radiation doses needed to determine the coplanar view were recorded for both the CACT and control patients. Use of CACT offered good agreement with the actual angiographic view utilized during TAVR in 34 out of 41 cases in which a CACT scan was performed (83 %). For these 34 cases, the mean angular magnitude difference, taking into account both oblique and cranial/caudal angulation, was 1.3° ± 0.4°, while the maximum difference was 7.3°. There were no significant differences in the mean total radiation dose delivered to patients between the CACT and control groups as measured by either dose area product (207.8 ± 15.2 Gy cm(2) vs. 186.1 ± 25.3 Gy cm(2), P = 0.47) or air kerma (1287.6 ± 117.7 mGy vs. 1098.9 ± 143.8 mGy, P = 0.32). Use of reduced-angular range CACT coupled with fully automated 3D analysis tools is a safe, practical, and feasible method by which to determine the optimal angiographic deployment view for guiding TAVR procedures. PMID:27091735

  15. The Energetics of Cusp Destruction

    CERN Document Server

    Maxwell, Aaron J; Couchman, H M P

    2015-01-01

    We present a new analytic estimate for the energy required to create a constant density core within a dark matter halo. Our new estimate, based on more realistic assumptions, leads to a required energy that is orders of magnitude lower than is claimed in earlier work. We define a core size based on the logarithmic slope of the dark matter density profile so that it is insensitive to the functional form used to fit observed data. The energy required to form a core depends sensitively on the radial scale over which dark matter within the cusp is redistributed within the halo. Simulations indicate that within a region of comparable size to the active star forming regions of the central galaxy that inhabits the halo, dark matter particles have their orbits radially increased by a factor of 2--3 during core formation. Thus the inner properties of the dark matter halo, such as halo concentration, and final core size, set the energy requirements. As a result, the energy cost increases slowly with halo mass as M$_{\\r...

  16. Estudo comparativo da eficácia do etanol e do ácido L-glutâmico na prevenção da calcificação das cúspides e parede aórtica porcina: estudo experimental em ratos Comparative study on the efficacy of ethanol and of l-glutamic acid for preventing calcification of pig cusps and aortic wall: experimental study in rats

    Directory of Open Access Journals (Sweden)

    George Ronald Soncini da ROSA

    2002-06-01

    álcio/ mg tecido, E80% 30 dias (9,47 ± 2,59mg cálcio/mg tecido e E80% 60 dias (23,56±7,75 mg cálcio/mg tecido no grupo de AG 0,8% 15 dias (4,31±0,85 mg cálcio/mg tecido, AG 0,8% 30 dias (7,69±1,48 mg cálcio/mg tecido e AG 0,8% 60 dias (20,50± 1,22 mg cálcio/mg tecido com o grupo controle GDA 15 dias (7,34±1,32 mg cálcio/mg tecido, GDA 30 dias (9,28±0,76 mg cálcio/mg tecido e GDA 60 dias (27,60±1,08 mg cálcio/mg tecido. Na avaliação microscópica da cúspide aórtica houve uma progressiva calcificação naquelas submetidas à fixação com GDA. Este processo foi parcialmente encontrado com o AG 0,8% e totalmente ausente com o E80%. Quanto à avaliação referente aos segmentos da parede aórtica, também evidenciou-se progressiva calcificação, não sendo inibida pelos tratamentos com AG 0,8% e E80%. CONCLUSÕES: O pré-tratamento com etanol a 80% inibiu a calcificação nas cúspides aórticas porcinas, entretanto, não teve a mesma eficácia na parede aórtica. Contudo, o ácido L-glutâmico a 0,8% demonstrou minimizar a calcificação na parede aórtica. Estudos devem ser feitos para evidenciar se a ação anticalcificante do etanol a 80% mantém-se nas biopróteses aórticas porcinas se estas forem implantadas no sistema circulatório.INTRODUCTION: The glutataldehyde (GDA treated pigs cusps are one of most employed tissues in bioprosthesis, but is late post-implant calcification is main cause of its failure. BACKGROUND: This study aims at comparing and analyzing two methods (ethanol 80% and l-glutamic acid 0.8% to prevent calcification in pig cusps and aortic wall implanted subcutaneously in rats, the cusps and aortic wall segments of the control were in glutaraldehyde (GDA, during a 15, 30 and 60 days period after the implant. MATERIAL AND METHODS: We used 45 young rats, distributed in 3 groups of 15 rats each, which in turn were subdivided in 3 subgroups of 5 rats each, in which we implanted one cusp and one aortic wall segment in 2 subcutaneous

  17. [Pannus Formation Two Years after Bioprosthetic Aortic Valve Implantation;Report of a Case].

    Science.gov (United States)

    Ono, Kimiyo; Kuroda, Hiroaki

    2015-08-01

    We report a case of early deterioration of the bioprosthetic aortic valve 23 months postoperatively. A 77-year-old man who had undergone aortic valve replacement with a 23-mm Epic valve( St. Jude Medical [SJM])presented to us after a syncopal episode. Echocardiography revealed severe aortic stenosis, and redo aortic valve replacement with a 21-mm SJM mechanical valve was performed. All 3 cusps of the tissue valve were thickened by fibrous pannus overgrowth. Neither calcification nor invasion of inflammatory cells was observed. The cause of pannus formation at such an early stage after implantation remains unknown. PMID:26329714

  18. Dependency of the Cusp Density Anomaly on the Variability of Forcing Inside and Outside the Cusp

    Science.gov (United States)

    Brinkman, D. G.; Walterscheid, R. L.; Clemmons, J. H.

    2014-12-01

    The Earth's magnetospheric cusp provides direct access of energetic particles to the thermosphere. These particles produce ionization and kinetic (particle) heating of the atmosphere. The increased ionization coupled with enhanced electric fields in the cusp produces increased Joule heating and ion drag forcing. These energy inputs largely determine the neutral density structure in the cusp region. Measurements by the CHAMP satellite (460-390- km altitude) have shown a region of strong enhanced density attributed to the combination of cusp particle and Joule heating. The Streak mission (325-123 km), on the other hand, observed a relative depletion in density in the cusp. While particle precipitation in the cusp is comparatively well constrained, the characteristics of the steady and fluctuating components of the electric field in the cusp are poorly constrained. Also, the significance of harder particle precipitation in areas adjacent to the cusp in particular at lower altitudes has not been addressed as it relates to the cusp density anomaly. We address the response of the cusp region to a range electrodynamical forcing with our high resolution two-dimensional time-dependent nonhydrostatic nonlinear dynamical model. We take advantage of our model's high resolution and focus on a more typical cusp width of 2 degrees in latitude. Earlier simulations have also shown a significant contribution from soft particle precipitation. We simulate the atmospheric response to a range of realizable magnitudes of the fluctuating and steady components of the electric field to examine the dependence of the magnitude of the cusp density anomaly on a large range of observed characteristics of the electrodynamical forcing and examine, in particular, the importance of particle heating relative to Joule heating. In addition we investigate the role of harder particle precipitation in areas adjacent to the cusp in determining the lower altitude cusp density and wind structure. We compare

  19. Hemispherical asymmetry in cusp precipitation near solstices

    International Nuclear Information System (INIS)

    A statistical comparison of the peak flux in electron and ion polar cusp precipitation in the summer and winter hemispheres as observed by the low-altitude DMSP F7 satellite is performed. Data studied encompass four consecutive solstices from December 1983 to June 1985, comprising 77 days of data with a total of 292 individual cusp passes. On each day, observations were restricted to those few hours UT in which the interhemispherical MLT variation of DMSP F7 was smallest. After the remaining local time effect was averaged out, the summer hemisphere ion (electron) precipitating energy flux was larger, on the average, by 61 +- 11% (51 +- 5%) than that in the winter hemisphere. However, the average particle energy was always lower for both species in the summer hemisphere. These effects generally hold true for northward as well as southward interplanetary magnetic fields (IMF). It is argued that the observed asymmetry is very hard to explain if the most intense part of the cusp lies on closed field lines, but it is shown that the standard open field line model of the cusp virtually requires the observed differences to occur. The present results thus suggest that the most intense portion of the cusp lies on open field lines even for northward IMF. copyright American Geophysical Union 1988

  20. Atomic nitrogen densities near the polar cusp

    Science.gov (United States)

    Engebretson, M. J.; Nelson, J. T.

    1986-01-01

    The neutral atmospheric composition spectrometer on board the Dynamics Explorer 2 spacecraft sampled several major and minor thermospheric gases including atomic nitrogen. A selection of passes over the polar cusp that provide a quantitative measure of N densities in this region and provide evidence of localized density increases due to soft particle precipitation is presented. Increases in N densities are frequently observed but are smaller than accompanying increases in N2 densities. The observations support earlier studies suggesting that N densities increase more rapidly than O densities during periods of high solar EUV flux and N densities are larger in the summer hemisphere than in the winter hemisphere. A series of passes in February 1983, late in the lifetime of DE 2, indicated N densities at 200 km altitude were a factor of 2 larger near the southern cusp than near the northern cusp.

  1. Cusp geometry of fibered 3-manifolds

    CERN Document Server

    Futer, David

    2011-01-01

    Let F be a surface and suppose that \\phi: F -> F is a pseudo-Anosov homeomorphism fixing a puncture p of F. The mapping torus M = M_\\phi\\ is hyperbolic and contains a maximal cusp C about the puncture p. We show that the area and height of the cusp torus bounding C are equal, up to explicit multiplicative error, to the stable translation distance of \\phi\\ acting on the arc complex A(F,p). Our proofs rely on elementary facts about the hyperbolic geometry of pleated surfaces. In particular, we do not use any deep results in Teichmueller theory, Kleinian group theory, or the coarse geometry of A(F,p). A similar result holds for quasi-Fuchsian manifolds N = (F x R). In that setting, we prove a combinatorial estimate on the area and height of the cusp annulus in the convex core of N and give explicit multiplicative and additive errors.

  2. The ASACUSA CUSP: an antihydrogen experiment

    Energy Technology Data Exchange (ETDEWEB)

    Kuroda, N., E-mail: kuroda@phys.c.u-tokyo.ac.jp [University of Tokyo, Graduate School of Arts and Sciences (Japan); Ulmer, S. [RIKEN, Ulmer Initiative Research Unit (Japan); Murtagh, D. J.; Gorp, S. Van [RIKEN, Atomic Physics Laboratory (Japan); Nagata, Y. [Tokyo University of Agriculture and Technology, Department of Applied Physics (Japan); Diermaier, M. [Boltzmangasse 3, Stefan Meyer Institut für Subatomare Physik (Austria); Federmann, S. [CERN (Switzerland); Leali, M. [Università di Brescia & Instituto Nazionale di Fisica Nucleare, Dipartimento di Chimica e Fisica per l’Ingegneria e per i Materiali (Italy); Malbrunot, C. [CERN (Switzerland); Mascagna, V. [Università di Brescia & Instituto Nazionale di Fisica Nucleare, Dipartimento di Chimica e Fisica per l’Ingegneria e per i Materiali (Italy); Massiczek, O. [Boltzmangasse 3, Stefan Meyer Institut für Subatomare Physik (Austria); Michishio, K. [Tokyo University of Science, Department of Physics (Japan); Mizutani, T. [University of Tokyo, Graduate School of Arts and Sciences (Japan); Mohri, A. [Kyoto University, Graduate School of Human and Environmental Sciences (Japan); Nagahama, H.; Ohtsuka, M. [University of Tokyo, Graduate School of Arts and Sciences (Japan); Radics, B. [RIKEN, Atomic Physics Laboratory (Japan); Sakurai, S. [Hiroshima University, Graduate School of Advanced Science of Matter (Japan); Sauerzopf, C.; Suzuki, K. [Boltzmangasse 3, Stefan Meyer Institut für Subatomare Physik (Austria); and others

    2015-11-15

    In order to test CPT symmetry between antihydrogen and its counterpart hydrogen, the ASACUSA collaboration plans to perform high precision microwave spectroscopy of ground-state hyperfine splitting of antihydrogen atom in-flight. We have developed an apparatus (“cusp trap”) which consists of a superconducting anti-Helmholtz coil and multiple ring electrodes. For the preparation of slow antiprotons and positrons, Penning-Malmberg type traps were utilized. The spectrometer line was positioned downstream of the cusp trap. At the end of the beamline, an antihydrogen beam detector was located, which comprises an inorganic Bismuth Germanium Oxide (BGO) single-crystal scintillator housed in a vacuum duct and surrounding plastic scintillators. A significant fraction of antihydrogen atoms flowing out the cusp trap were detected.

  3. Cusps in eta' --> eta pi pi decays

    CERN Document Server

    Schneider, Sebastian P

    2009-01-01

    The discovery of the cusp effect in the decay K+ --> pi+ pi0 pi0 has spurred the search for other decay channels, where this phenomenon, which is generated by strong final-state interactions, should also occur. A very promising candidate is eta' --> eta pi0 pi0. The cusp effect offers an excellent opportunity to experimentally extract pi pi S-Wave scattering lengths. We adapt and generalize the non-relativistic effective field theory framework developed for K --> 3 pi decays to eta' --> eta pi pi. The cusp effect is predicted to have an effect of more than 8 % on the decay spectrum below the pi+ pi- threshold. We also show that with our current theoretical information about eta' --> eta pi pi decays, it is not possible to extract pi eta threshold parameters.

  4. Medical treatments in aortic stenosis: Role of statins and angiotensin-converting enzyme inhibitors

    Directory of Open Access Journals (Sweden)

    Davičević Žaklina

    2010-01-01

    Full Text Available Calcific arotic stenosis and atherosclerosis. Aortic stenosis is the most frequent valvular heart disease in-western world and its incidence continues to rise. Aortic sclerosis is the first characteristic lesion of the cusps, which is today considered a process similar to atherosclerosis. The progression of the disease is an active process leading to forming of bone matrix and heavily calcified stiff cusps by inflammatory cells and osteopontin. Aortic stenosis is a chronic, progressive disease which can remain asymptomatic for a long time even in the presence of severe aortic stenosis. Medical treatment for aortic stenosis. The need for alternative to aortic valve surgery is highlighted by increasing longevity of the population and new therapeutic strategies to limit disease progression are needed to delay or potentially avoid, the need for valve surgery. Currently, there are no established disease modifying treatments in regard to the progression of aortic stenosis. The first results about influence of angiotenzin-converting enzyme inhibitors and statins on aortic sclerosis and stenosis progression are promising. Statins are likely to reduce cardiovascular events rather than disease progression, but may be potentially a valuable preventive treatment in these patients. The prejudice against the use of angiotenzin-converting enzyme inhibitors by patients with aortic stenosis is changing. The cautious use of angiotenzin-converting enzyme inhibition by patients with concomitant hypertension, coronary artery disease, and heart failure seems appropriate. Definite evidence from large clinical trials is awaited.

  5. Aortic stenting.

    Science.gov (United States)

    Droc, Ionel; Calinescu, Francisca Blanca; Droc, Gabriela; Blaj, Catalin; Dammrau, Rolf

    2015-01-01

    The approach to aortic pathology is nowadays more and more endovascular at both thoracic and abdominal levels. Thoracic stenting has gained worldwide acceptance as first intention to treat pathologies of the descending thoracic aorta. Indications have been extended to aortic arch aneurysms and also to diseases of the ascending aorta. The current devices in use for thoracic endovascular repair (TEVAR) are Medtronic Valiant, Gore TAG, Cook Tx2 and Jotec. The choice of the endograft depends on the thoracic aortic pathology and the anatomical suitability. The technological evolution of the abdominal aortic endografts was very rapid, arriving now at the fourth generation. We report the results of 55 elective cases of endovascular abdominal aortic repair (EVAR) performed in two vascular surgical centers in Romania and Germany. The prostheses used were 16 E-vita Abdominal XT, 12 Excluder, eight Talent, seven PowerLink, three Endurant and nine custom-made, fenestrated or branched from Jotec. The mean follow-up was 18 months with CT-scan, duplex ultrasound and contrast-enhanced ultrasound. The mortality was 2%. EVAR tends to become the gold standard for abdominal aortic aneurysm repair. Technological development of the devices with lowest profile introduction systems will permit to extend the anatomical indications to new frontiers. PMID:26200430

  6. Opening the cusp. [using magnetic field topology

    Science.gov (United States)

    Crooker, N. U.; Toffoletto, F. R.; Gussenhoven, M. S.

    1991-01-01

    This paper discusses the magnetic field topology (determined by the superposition of dipole, image, and uniform fields) for mapping the cusp to the ionosphere. The model results are compared to both new and published observations and are then used to map the footprint of a flux transfer event caused by a time variation in the merging rate. It is shown that the cusp geometry distorts the field lines mapped from the magnetopause to yield footprints with dawn and dusk protrusions into the region of closed magnetic flux.

  7. Talon Cusp in Maxillary Permanent Incisor Teeth: Case Report

    OpenAIRE

    YAPAR, Arş. Gör. Dt. Merve İŞCAN; İLDAY, Yrd. Doç. Dr. Nurcan ÖZAKAR; ÇAĞLAYAN, Yrd. Doç. Dr. Fatma; NilgünSEVEN, Prof. Dr.

    2013-01-01

    Talon cusp is an uncommon developmental dental anomaly referring to an accessory cusp projecting from the cingulum area, or cemento-enamel junction of maxillary or mandibular anterior teeth, in both the primary and permanent dentition. The etiology of talon cusp is not well understood , but appears to have both genetic and environmental components. Permanent dentition have been involved three times more often than the primary dentition. This anomalous cusp may or may not cantain pulpal tissue...

  8. High Energy Electron Confinement in a Magnetic Cusp Configuration

    OpenAIRE

    Park, Jaeyoung; Krall, Nicholas A.; Sieck, Paul E.; Offermann, Dustin T.; Skillicorn, Michael; Sanchez, Andrew; Davis, Kevin; Alderson, Eric; Lapenta, Giovanni

    2014-01-01

    We report experimental results validating the concept that plasma confinement is enhanced in a magnetic cusp configuration when beta (plasma pressure/magnetic field pressure) is order of unity. This enhancement is required for a fusion power reactor based on cusp confinement to be feasible. The magnetic cusp configuration possesses a critical advantage: the plasma is stable to large scale perturbations. However, early work indicated that plasma loss rates in a reactor based on a cusp configur...

  9. 21 CFR 872.3350 - Gold or stainless steel cusp.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Gold or stainless steel cusp. 872.3350 Section 872...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3350 Gold or stainless steel cusp. (a) Identification. A gold or stainless steel cusp is a prefabricated device made of austenitic alloys or...

  10. The Magnetospheric Cusps Structure and Dynamics

    CERN Document Server

    Fritz, Theodore A

    2005-01-01

    This collection of papers will address the question "What is the Magnetospheric Cusp?" and what is its role in the coupling of the solar wind to the magnetosphere as well as its role in the processes of particle transport and energization within the magnetosphere. The cusps have traditionally been described as narrow funnel-shaped regions that provide a focus of the Chapman-Ferraro currents that flow on the magnetopause, a boundary between the cavity dominated by the geomagnetic field (i.e., the magnetosphere) and the external region of the interplanetary medium. Measurements from a number of recent satellite programs have shown that the cusp is not confined to a narrow region near local noon but appears to encompass a large portion of the dayside high-latitude magnetosphere and it appears that the cusp is a major source region for the production of energetic charged particles for the magnetosphere. Audience: This book will be of interest to space science research organizations in governments and industries, ...

  11. Cusp formation in drops inside Taylor cones

    Science.gov (United States)

    Marin, Alvaro G.; Loscertales, Ignacio G.; Barrero, Antonio

    2005-11-01

    Here, we report the formation of cusp in insulating drops inside compound Taylor cones. The action of the electrical shear stress acting on the outer interface, which is transmitted by viscous forces inside the Taylor cone, tends to deform the drop of insulating liquid placed inside. For appropriate values of the capillary number, the insulating drop develops a steady cusp angle which depends on both the capillary number and the conducting to insulating viscosity ratio. A self-similar analysis has been developed to qualitatively describe the flow inside these compounds Taylor cones. Any perturbation of the cusp gives rise to an intermittent emission of tiny droplets; this effect may recall the tip-streaming observed by G.I. Taylor in his four-roll mill device. This emission can be stabilized by an appropriate control of the injected flow rate of the insulating liquid. When the capillary number increases, the cusped interface turns into a spout which flows coated by the conducting liquid forming the electrified coaxial jet which has been successfully employed for the production of nanocapsules, coaxial nanofibers and nanotubes (Science 295, n. 5560, 1695, 2002; JACS 126, 5376, 2004).

  12. Cusp relation for the Pauli potential

    Science.gov (United States)

    Levämäki, H.; Nagy, Á.; Kokko, K.; Vitos, L.

    2014-12-01

    In orbital-free density functional theory, only a Schrödinger-like equation has to be solved for the square root of the electron density. In this equation, however, there is an extra potential in addition to the Kohn-Sham potential, the so-called Pauli potential. Cusp relations are now presented for this Pauli potential for spherically symmetric systems.

  13. Turbulence in a cusp Q device

    DEFF Research Database (Denmark)

    D'Angelo, N.; Pécseli, Hans; Petersen, P. I.

    1974-01-01

    Spectral measurements are reported of plasma turbulence in the Cs plasma of a Q device, modified to a magnetic cusp geometry. The excitation mechanism for the fluctuations appears to be the centrifugal instability discussed by Chen. A transition from an f−5 to an f−3 power spectrum is observed as...

  14. Chaotic musical murmur in aortic regurgitation.

    Science.gov (United States)

    Miyahara, K; Amitani, S; Sohara, H; Kurose, M; Iwamura, H; Toyohira, H; Taira, A

    1996-12-01

    We report an interesting case of aortic regurgitation. Phonocardiographically, the shape of the diastolic musical murmur in this case changed in each cardiac cycle despite being in sinus rhythm, in the same posture and in the same breathing phase. Experimentally, we were able to obtain a similar noise pattern using an artificial respirator and a hemispherical silicone membrane. We concluded that the irregular and chaotic change in the shape of the diastolic musical murmur in the present case occurred due to irregular swaying of the non-coronary cusp under the influence of the Venturi effect owing to a regurgitant jet stream.

  15. [Aortic aneurysm].

    Science.gov (United States)

    Villar, Fernando; Pedro-Botet, Juan; Vila, Ramón; Lahoz, Carlos

    2013-01-01

    Aortic aneurysm is one important cause of death in our country. The prevalence of abdominal aortic aneurism (AAA) is around 5% for men older than 50 years of age. Some factors are associated with increased risk for AAA: age, hypertension, hypercholesterolemia, cardiovascular disease and, in particular, smoking. The medical management of patients with an AAA includes cardiovascular risk treatment, particularly smoking cessation. Most of major societies guidelines recommend ultrasonography screening for AAA in men aged 65 to 75 years who have ever smoked because it leads to decreased AAA-specific mortality. PMID:24238836

  16. Lowering plasma cholesterol levels halts progression of aortic valve disease in mice

    Science.gov (United States)

    Miller, Jordan D.; Weiss, Robert M.; Serrano, Kristine M.; Brooks, Robert M.; Berry, Christopher J.; Zimmerman, Kathy; Young, Stephen G.; Heistad, Donald D.

    2009-01-01

    Background Treatment of hyperlipidemia produces functional and structural improvements in atherosclerotic vessels. However, the effects of treating hyperlipidemia on the structure and function of the aortic valve has been controversial, and any effects could be confounded by pleiotropic effects of hypolipidemic treatment. The goal of this study was to determine whether reducing elevated plasma lipid levels with a “genetic switch” in Reversa mice (Ldlr−/−/Apob100/100/Mttpfl/fl/Mx1Cre+/+) reduces oxidative stress, reduces proosteogenic signaling, and retards the progression of aortic valve disease. Methods and Results After 6 months of hypercholesterolemia, Reversa mice exhibited increases in superoxide, lipid deposition, myofibroblast activation, calcium deposition, and pro-osteogenic protein expression in the aortic valve. Maximum aortic valve cusp separation, as judged by echocardiography, was not altered. During an additional 6 months of hypercholesterolemia, superoxide levels, valvular lipid deposition, and myofibroblast activation remained elevated. Furthermore, calcium deposition and pro-osteogenic gene expression became more pronounced and the aortic cusp separation decreased from 0.85 ± 0.04 to 0.70 ± 0.04 mm (mean ± SE; p < 0.05). Rapid normalization of cholesterol levels at 6 months of age (by inducing expression of Cre recombinase) normalized aortic valve superoxide levels, decreased myofibroblast activation, reduced valvular calcium burden, suppressed pro-osteogenic signaling cascades, and prevented the reductions in aortic valve cusp separation. Conclusions Collectively, these data indicate that reducing plasma lipid levels by genetic inactivation of the mttp gene in hypercholesterolemic mice with early aortic valve disease normalizes oxidative stress, reduces pro-osteogenic signaling, and halts the progression of aortic valve stenosis. PMID:19433756

  17. Extended aortic valvuloplasty: a new approach for the management of congenital valvar aortic stenosis.

    Science.gov (United States)

    Ilbawi, M N; DeLeon, S Y; Wilson, W R; Roberson, D A; Husayni, T S; Quinones, J A; Arcilla, R A

    1991-09-01

    A new technique for the treatment of congenital valvar aortic stenosis is described. It consists of augmenting the aortic cusp by extending the commissurotomy incision into the aortic wall around the leaflet insertion, mobilizing the valve cusp attachment at the commissures, and freeing the aortic insertion of the rudimentary commissure. The results of standard valvotomy performed on 48 patients (group 1) were compared with those of the new extended valvuloplasty carried out on 16 patients (group 2). The two groups were comparable in age at operation (2.7 +/- 2.1 years for group 1 versus 2.1 +/- 1.7 years for group 2; p = not significant) and in preoperative pressure gradient (58 +/- 25 mm Hg for group 1 versus 61 +/- 36 mm Hg for group 2; p = not significant). There was no operative mortality in either group. Follow-up is available on all patients, with a mean of 4.3 +/- 2.6 years for group 1 versus 1.7 +/- 0.5 years for group 2 (p = 0.05). There was one late death in group 1. Postoperative gradient was 47 +/- 13 mm Hg in group 1 versus 19 +/- 13 mm Hg in group 2 (p = 0.05). Moderate or severe regurgitation was present in 18 patients (38%) in group 1 and 2 patients (13%) in group 2 (p = not significant). Reoperation was needed in 8 patients (17%) in group 1 versus 2 patients (13%) in group 2 (p = not significant). The described valvuloplasty procedure addresses the unique pathological features of valvar aortic stenosis and provides better relief of the obstruction than the presently available techniques. Longer follow-up is needed to determine the late results of this approach.

  18. Talon Cusp Type I: Restorative Management

    Directory of Open Access Journals (Sweden)

    Rafael Alberto dos Santos Maia

    2015-01-01

    Full Text Available The teeth are formed during intrauterine life (i.e., gestation during the odontogenesis stage. During this period, the teeth move until they enter the oral cavity. This course covers various stages of dental development, namely, initiation, proliferation, histodifferentiation, morphodifferentiation, and apposition. The talon cusp is an anomaly that occurs during morphodifferentiation, and this anomaly may have numerous adverse clinical effects on oral health. The objective of this study was to report a case of “Talon Cusp Type I” and to discuss diagnostic methods, treatment options for this anomaly, and the importance of knowledge of this morphological change among dental professionals so that it is not confused with other morphological changes; such knowledge is required to avoid unnecessary surgical procedures, to perform treatments that prevent caries and malocclusions as well as enhancing aesthetics, and to improve the oral health and quality of life of the patient.

  19. Talon Cusp Type I: Restorative Management

    OpenAIRE

    Rafael Alberto dos Santos Maia; Wanessa Christine de Souza-Zaroni; Raul Sampaio Mei; Fernando Lamers

    2015-01-01

    The teeth are formed during intrauterine life (i.e., gestation) during the odontogenesis stage. During this period, the teeth move until they enter the oral cavity. This course covers various stages of dental development, namely, initiation, proliferation, histodifferentiation, morphodifferentiation, and apposition. The talon cusp is an anomaly that occurs during morphodifferentiation, and this anomaly may have numerous adverse clinical effects on oral health. The objective of this study was ...

  20. Reproducibility of aortic annulus measurements by computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Schuhbaeck, Annika; Achenbach, Stephan [University of Erlangen, Department of Cardiology, Erlangen (Germany); University of Giessen, Department of Cardiology, Giessen (Germany); Pflederer, Tobias; Marwan, Mohamed; Schmid, Jasmin; Arnold, Martin [University of Erlangen, Department of Cardiology, Erlangen (Germany); Nef, Holger; Rixe, Johannes; Hecker, Franziska [University of Giessen, Department of Cardiology, Giessen (Germany); Schneider, Christian [University of Giessen, Department of Radiology, Giessen (Germany); Lell, Michael; Uder, Michael [University of Erlangen, Department of Radiology, Erlangen (Germany)

    2014-08-15

    To evaluate a systematic approach for measurement of aortic annulus dimensions by cardiac computed tomography. CT data sets of 64 patients were evaluated. An oblique cross-section aligned with the aortic root was created by systematically identifying the caudal insertion points of the three aortic cusps and sequentially aligning them in a double oblique plane. Aortic annulus dimensions, distances of coronary ostia and a suitable fluoroscopic projection angle were independently determined by two observers. Interobserver intraclass correlation coefficients (ICC) for aortic annulus diameters were excellent (ICC 0.89-0.93). Agreement for prosthesis size selection was excellent (k = 0.86 for mean, k = 0.84 for area-derived and k = 0.91 for circumference-derived diameter). Mean distances of the left/right coronary ostium were 13.4 ± 2.4/14.4 ± 2.8 mm for observer 1 and 13.2 ± 2.7/13.5 ± 3.2 mm for observer 2 (p = 0.30 and p = 0.0001, respectively; ICC 0.76/0.77 for left/right coronary artery). A difference of less than 10 for fluoroscopic projection angle was achieved in 84.3 % of patients. A systematic approach to generate a double oblique imaging plane exactly aligned with the aortic annulus demonstrates high interobserver and intraobserver agreements for derived measurements which are not influenced by aortic root calcification. (orig.)

  1. Overlapping cusp ion injections: An explanation invoking magnetopause reconnection

    OpenAIRE

    Lockwood, Mike

    1995-01-01

    An explanation of overlapping cusp ion injections is presented using the pulsating cusp model of the effects of magnetopause reconnection. It is shown that two populations of cusp ions, covering separated energy ranges, can be seen simultaneously by low- or mid-altitude satellites because of the combined effect of the acceleration and the straightening of newly-opened field lines as they evolve away from the reconnection site. Observations of such signatures, recently reported in data from th...

  2. High resolution modeling of the cusp density anomaly

    Science.gov (United States)

    Brinkman, D. G.; Walterscheid, R. L.; Clemmons, J. H.

    2013-12-01

    The Earth's magnetospheric cusp provides direct access of energetic particles to the thermosphere causing an ionization anomaly. The energy from these particles along with Joule heating, and ion drag forcing play a direct role in determining the neutral density structure in the cusp region. Measurements by the CHAMP (390-460 km altitudes) have shown a region of strong enhanced density attributed to upwelling caused by the combination of particle and Joule heating. The Streak mission (325-123 km) observed a relative depletion in density in the cusp which was attributed to soft particle precipitation not being adequate to cause upwelling at the lower altitudes sampled by Streak and relatively harder precipitation in adjacent areas. Recent attempts to model the cusp density anomaly with Global Circulation Models (GCM) have focused on extreme cases with forcing extending over latitudinal cusp widths of 4 degrees or more which are at the extreme upper end of the observations. Even at one degree latitudinal resolution the cusp features are marginally captured. More typical cusps widths of 1-2 degrees in latitude require finer resolution to resolve. We use a high-resolution numerical model of the thermosphere to simulate the atmospheric response to the relevant forcing by realistically specifying the particle heating, Joule heating, and ion drag forcing to examine the dependence of the magnitude of the cusp density anomaly and the corresponding wind structure on the characteristics of the forcing in the cusp. We ran simulations for cusp widths of 4 and 2 degrees latitude using a model resolution of 20 km. We found that reducing the cusp width by half reduced the density response in the cusp by half, but that the wind response was only slightly decreased. We compare the model results to CHAMP and Streak observations and assess the relative contributions of these mechanisms in explaining the distinctive features of the observations. Acknowledgements: This research was

  3. From cusps to cores: a stochastic model

    Science.gov (United States)

    El-Zant, Amr A.; Freundlich, Jonathan; Combes, Françoise

    2016-09-01

    The cold dark matter model of structure formation faces apparent problems on galactic scales. Several threads point to excessive halo concentration, including central densities that rise too steeply with decreasing radius. Yet, random fluctuations in the gaseous component can `heat' the centres of haloes, decreasing their densities. We present a theoretical model deriving this effect from first principles: stochastic variations in the gas density are converted into potential fluctuations that act on the dark matter; the associated force correlation function is calculated and the corresponding stochastic equation solved. Assuming a power-law spectrum of fluctuations with maximal and minimal cutoff scales, we derive the velocity dispersion imparted to the halo particles and the relevant relaxation time. We further perform numerical simulations, with fluctuations realized as a Gaussian random field, which confirm the formation of a core within a time-scale comparable to that derived analytically. Non-radial collective modes enhance the energy transport process that erases the cusp, though the parametrizations of the analytical model persist. In our model, the dominant contribution to the dynamical coupling driving the cusp-core transformation comes from the largest scale fluctuations. Yet, the efficiency of the transformation is independent of the value of the largest scale and depends weakly (linearly) on the power-law exponent; it effectively depends on two parameters: the gas mass fraction and the normalization of the power spectrum. This suggests that cusp-core transformations observed in hydrodynamic simulations of galaxy formation may be understood and parametrized in simple terms, the physical and numerical complexities of the various implementations notwithstanding.

  4. Aortic valve bypass

    DEFF Research Database (Denmark)

    Lund, Jens T; Jensen, Maiken Brit; Arendrup, Henrik;

    2013-01-01

    In aortic valve bypass (AVB) a valve-containing conduit is connecting the apex of the left ventricle to the descending aorta. Candidates are patients with symptomatic aortic valve stenosis rejected for conventional aortic valve replacement (AVR) or transcatheter aortic valve implantation (TAVI...

  5. On the evolutionary advantage of multi-cusped teeth.

    Science.gov (United States)

    Constantino, Paul J; Bush, Mark B; Barani, Amir; Lawn, Brian R

    2016-08-01

    A hallmark of mammalian evolution is a progressive complexity in postcanine tooth morphology. However, the driving force for this complexity remains unclear: whether to expand the versatility in diet source, or to bolster tooth structural integrity. In this study, we take a quantitative approach to this question by examining the roles of number, position and height of multiple cusps in determining sustainable bite forces. Our approach is to use an extended finite-element methodology with due provision for step-by-step growth of an embedded crack to determine how fracture progresses with increasing occlusal load. We argue that multi-cusp postcanine teeth are well configured to withstand high bite forces provided that multiple cusps are contacted simultaneously to share the load. However, contact on a single near-wall cusp diminishes the strength. Location of the load points and cusp height, rather than cusp number or radius, are principal governing factors. Given these findings, we conclude that while complex tooth structures can enhance durability, increases in cusp number are more likely to be driven by the demands of food manipulation. Structural integrity of complex teeth is maintained when individual cusps remain sufficiently distant from the side walls and do not become excessively tall relative to tooth width. PMID:27558851

  6. High Energy Electron Confinement in a Magnetic Cusp Configuration

    CERN Document Server

    Park, Jaeyoung; Sieck, Paul E; Offermann, Dustin T; Skillicorn, Michael; Sanchez, Andrew; Davis, Kevin; Alderson, Eric; Lapenta, Giovanni

    2014-01-01

    We report experimental results validating the concept that plasma confinement is enhanced in a magnetic cusp configuration when beta (plasma pressure/magnetic field pressure) is order of unity. This enhancement is required for a fusion power reactor based on cusp confinement to be feasible. The magnetic cusp configuration possesses a critical advantage: the plasma is stable to large scale perturbations. However, early work indicated that plasma loss rates in a reactor based on a cusp configuration were too large for net power production. Grad and others theorized that at high beta a sharp boundary would form between the plasma and the magnetic field, leading to substantially smaller loss rates. The current experiment validates this theoretical conjecture for the first time and represents critical progress toward the Polywell fusion concept which combines a high beta cusp configuration with an electrostatic fusion for a compact, economical, power-producing nuclear fusion reactor.

  7. Talon′s cusp: Report of four unusual cases

    Directory of Open Access Journals (Sweden)

    Tulunoglu O

    2007-03-01

    Full Text Available Talon cusp is a developmental dental anomaly thought to arise as a result of evagination on the surface of a tooth crown before calcification has occurred. The etiology remains unknown. The incidence is 0.04-10%. Any tooth may have a talon cusp but most of the cases involve maxillary lateral incisors, with some instances of bilateral involvement. The anomaly has been reported to be rare in the mandible. This article reports four cases of talon cusp. The first and the second cases describe bilateral involvement of talon cusp on palatal surfaces of maxillary primary centrals; in the third case talon tubercle occurs on palatal surfaces of both maxillary permanent lateral incisors and the maxillary left central incisor and in the last case a talon cusp in the lingual surface of mandibular permanent lateral incisor.

  8. Histopathological study of congenital aortic valve malformations in 32 children

    Institute of Scientific and Technical Information of China (English)

    HUANG Ping; WANG Hongwei; LI Yanping; CHENG Peixuan; LIU Qingjun; ZHANG Zhenlu; LIU Jianying

    2007-01-01

    The histopathological characteristics of congenital aortic valve malformations in children were investigated.All the native surgically excised aortic valves from 32 pediatric patients suffering from symptomatic aortic valve dysfunction due to congenital aortic valve malformations between January 2003 and December 2005 were studied macroscopically and microscopically.The patients' medical records were reviewed and the clinical information was extracted.The diagnosis was made by the clinical presentation,preoperative echocardiography,intraoperative examination,and postoperative histopathological study,excluding rheumatic ot degenerative aortic valve diseases,infective endocarditis and primary connective tissue disorders,e.g.Marfan syndrome.Among 32 children with congenital aortic valve malformations,the age was ranged from six to 18 years,with a mean of 14.9 years,and there were 27 boys and five girls (male:female = 5.4:1).There were five cases of aortic stenosis (AS,15.62%),25 cases of aortic insufficiency (AI,78.13 %)and two cases of AS-AI (6.25%),without other valve diseases.Twenty cases still had other congenital heart diseases:ventricular septal defect (19 cases),patent ductus arteriosus (two cases),double-chambered right ventricle (one case),aneurysm of the right anterior aortic sinus of valsalva (three cases).Histopathological examination indicated that the cusps became thickening with unequal size,irregular shape (coiling and prolapse edge),enhanced hardness,and partly calcification.Microscopic investigation revealed the unsharp structure of valve tissue,fibrosis,myxomatous,reduced collagen fiber,rupture of elastic fibers,different degrees of infiltration of inflammatory cells,secondary calcareous and lipid deposit,and secondary fibrosis.Congenital aortic valve malformations in children involve males more than females,mostly associated with other congenital heart diseases.Aortic insufficiency is more common in children with congenital aortic valve

  9. Source of the dayside cusp aurora

    Science.gov (United States)

    Mende, S. B.; Frey, H. U.; Angelopoulos, V.

    2016-08-01

    Monochromatic all-sky imagers at South Pole and other Antarctic stations of the Automatic Geophysical Observatory chain recorded the aurora in the region where the Time History of Events and Macroscale Interactions during Substorms (THEMIS) satellites crossed the dayside magnetopause. In several cases the magnetic field lines threading the satellites when mapped to the atmosphere were inside the imagers' field of view. From the THEMIS magnetic field and the plasma density measurements, we were able to locate the position of the magnetopause crossings and map it to the ionosphere using the Tsyganenko-96 field model. Field line mapping is reasonably accurate on the dayside subsolar region where the field is strong, almost dipolar even though compressed. From these coordinated observations, we were able to prove that the dayside cusp aurora of high 630 nm brightness is on open field lines, and it is therefore direct precipitation from the magnetosheath. The cusp aurora contained significant highly structured N2+ 427.8 nm emission. The THEMIS measurements of the magnetosheath particle energy and density taken just outside the magnetopause compared to the intensity of the structured N2+ 427.8 nm emissions showed that the precipitating magnetosheath particles had to be accelerated. The most likely electron acceleration mechanism is by dispersive Alfvén waves propagating along the field line. Wave-accelerated suprathermal electrons were seen by FAST and DMSP. The 427.8 nm wavelength channel also shows the presence of a lower latitude hard-electron precipitation zone originating inside the magnetosphere.

  10. High-Energy Electron Confinement in a Magnetic Cusp Configuration

    Science.gov (United States)

    Park, Jaeyoung; Krall, Nicholas A.; Sieck, Paul E.; Offermann, Dustin T.; Skillicorn, Michael; Sanchez, Andrew; Davis, Kevin; Alderson, Eric; Lapenta, Giovanni

    2015-04-01

    We report experimental results validating the concept that plasma confinement is enhanced in a magnetic cusp configuration when β (plasma pressure/magnetic field pressure) is of order unity. This enhancement is required for a fusion power reactor based on cusp confinement to be feasible. The magnetic cusp configuration possesses a critical advantage: the plasma is stable to large scale perturbations. However, early work indicated that plasma loss rates in a reactor based on a cusp configuration were too large for net power production. Grad and others theorized that at high β a sharp boundary would form between the plasma and the magnetic field, leading to substantially smaller loss rates. While not able to confirm the details of Grad's work, the current experiment does validate, for the first time, the conjecture that confinement is substantially improved at high β . This represents critical progress toward an understanding of the plasma dynamics in a high-β cusp system. We hope that these results will stimulate a renewed interest in the cusp configuration as a fusion confinement candidate. In addition, the enhanced high-energy electron confinement resolves a key impediment to progress of the Polywell fusion concept, which combines a high-β cusp configuration with electrostatic fusion for a compact, power-producing nuclear fusion reactor.

  11. Aortic Annular Enlargement during Aortic Valve Replacement

    Directory of Open Access Journals (Sweden)

    Selman Dumani

    2016-09-01

    Full Text Available In the surgery of aortic valve replacement is always attempted, as much as possible, to implant the larger prosthesis with the mains goals to enhance the potential benefits, to minimise transvalvular gradient, decrease left ventricular size and avoid the phenomenon of patient-prosthesis mismatch. Implantation of an ideal prosthesis often it is not possible, due to a small aortic annulus. A variety of aortic annulus enlargement techniques is reported to avoid patient-prosthesis mismatch. We present the case that has submitted four three times open heart surgery. We used Manouguian technique to enlarge aortic anulus with excellent results during the fourth time of surgery.

  12. Kinematic Cusps with Two Missing Particles II: Cascade Decay Topology

    CERN Document Server

    Han, Tao; Song, Jeonghyeon

    2012-01-01

    Three-step cascade decays into two invisible particles and two visible particles via two intermediate on-shell particles develop cusped peak structures in several kinematic distributions. We study the basic properties of the cusps and endpoints in various distributions and demonstrate that the masses of the missing particles and the intermediate particles can be determined by the cusp and endpoint positions. Effects from realistic considerations such as finite decay widths, longitudinal boost of the parent particle, and spin correlations are shown to be under control for the processes illustrated.

  13. Aortic Aneurysm Statistics

    Science.gov (United States)

    ... connective tissue disorders, such as Marfan syndrome and Ehlers-Danlos syndrome, get thoracic aortic aneurysms. Signs and symptoms of thoracic aortic aneurysm can include Sharp, sudden pain in the chest or upper back. Shortness of ...

  14. Aortic aneurysm repair - endovascular

    Science.gov (United States)

    EVAR; Endovascular aneurysm repair - aorta; AAA repair - endovascular; Repair - aortic aneurysm - endovascular ... Endovascular aortic repair is done because your aneurysm is very large, growing quickly, or is leaking or bleeding. You may have ...

  15. Aortic Aneurysm Repair

    Medline Plus

    Full Text Available ... to become you to our live webcast. Today we’re going to repair an abdominal aortic aneurysm ... and together as a team of multidisciplinary physicians, we’re going to repair an abdominal aortic aneurysm ...

  16. Aortic growth rates in chronic aortic dissection

    Energy Technology Data Exchange (ETDEWEB)

    Kelly, A.M. [Department of Radiology, Division of Thoracic Radiology, University of Michigan Medical Center (United States)]. E-mail: ainekell@med.umich.edu; Quint, L.E. [Department of Radiology, Division of Thoracic Radiology, University of Michigan Medical Center (United States); Nan, B. [School of Public Health, University of Michigan, Ann Arbor, Michigan (United States); Zheng, J. [School of Public Health, University of Michigan, Ann Arbor, Michigan (United States); Cronin, P. [Department of Radiology, Division of Thoracic Radiology, University of Michigan Medical Center (United States); Deeb, G.M. [Division of Cardiac Surgery, University of Michigan Medical Center (United States); Williams, D.M. [Division of Vascular Interventional Imaging, University of Michigan Medical Center (United States)

    2007-09-15

    Aim: To determine and compare rates of descending aortic enlargement and complications in chronic aortic dissection with and without a proximal aortic graft. Methods and materials: Fifty-two patients with dissection involving the descending aorta and who had undergone at least two computed tomography (CT) examinations at our institution between November, 1993 and February, 2004 were identified, including 24 non-operated patients (four type A, 20 type B) and 28 operated patients (type A). CT examinations per patient ranged from two to 10, and follow-up ranged from 1-123 months (mean 49 months, median 38.5 months). On each CT image, the aortic short axis (SA), false lumen (FL), and true lumen (TL) diameters were measured at the longitudinal midpoint of the dissection and at the point of maximum aortic diameter. Complications were tabulated, including aortic rupture and aortic enlargement requiring surgery. Results: For non-operated patients, the midpoint and maximum point SA, TL, and FL diameters increased significantly over time. For operated patients, the midpoint and maximum point SA and FL diameters increased significantly over time. In both groups, aortic enlargement was predominantly due to FL expansion. Diameter increases in non-operated patients were significantly larger than those in operated patients. The rate of change in aortic diameter was constant, regardless of aortic size. Four non-operated and six operated patients developed aortic complications. Conclusions: In patients with a dissection involving the descending thoracic aorta, the FL increased in diameter over time, at a constant rate, and to a greater degree in non-operated patients (mostly type B) compared with operated patients (all type A)

  17. Spatially resolved study of primary electron transport in magnetic cusps

    International Nuclear Information System (INIS)

    Spatially resolved primary electron current density profiles were measured using a planar Langmuir probe in the region above a magnetic cusp in a small ion thruster discharge chamber. The probe current maps obtained were used to study the electron collection mechanics in the cusp region in the limit of zero gas flow and no plasma production, and they allowed for the visualization of primary electron transport through the cusp. Attenuation coefficients and loss widths were calculated as a function of probe distance above the anode at various operating conditions. Finally, the collection mechanics between two magnetic cusps were studied and compared. It was found that primary electron collection was dominated by the upstream magnet ring.

  18. Rational cuspidal curves with four cusps on Hirzebruch surfaces

    Directory of Open Access Journals (Sweden)

    Torgunn Karoline Moe

    2014-10-01

    Full Text Available The purpose of this article is to shed light on the question of how many and what kind of cusps a rational cuspidal curve on a Hirzebruch surface can have. Our main result is a list of rational cuspidal curves with four cusps, their type, cuspidal congurations and the surfaces they lie on. We use birational transformations to construct these curves. Moreover, we find a general expression for and compute the Euler characteristic of the logarithmic tangent sheaf in these cases. Additionally, we show that there exists a real rational cuspidal curve with four real cusps. Last, we show that for rational cuspidal curves with two or more cusps on a Hirzebruch surface, there is a lower bound on one of the multiplicities.

  19. Cusp Alfven and Plasma Electrodynamics Rocket (CAPER) Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Launch a single rocket from Andoya Rocket Range into an active cusp event. Observe electric and magnetic fields, HF waves, electron and ion distributions and...

  20. Management of Talons Cusp associated with Primary Central Incisor: A Rare Case Report

    OpenAIRE

    Bahadure, Rakesh N.; Thosar, Nilima; Jain, Eesha S

    2012-01-01

    ABSTRACT The talon cusp is a relatively rare dental developmental anomaly characterized by cusp-like projections, usually observed on the lingual surface of the affected tooth. Normal enamel covers the cusp and fuses with the lingual aspect of the tooth. The cusp may or may not contain an extension of the pulp. The condition can occur in both the primary and permanent dentitions. However, the occurrence of anomalous cusp is rather infrequent in the primary dentition. Little data is available ...

  1. Characteristics of aortic valve dysfunction and ascending aorta dimensions according to bicuspid aortic valve morphology

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Hong Ju [Konkuk University Medical Center, Konkuk University School of Medicine, Department of Cardiovascular Surgery, Seoul (Korea, Republic of); Yonsei University College of Medicine, Department of Cardiovascular Surgery, Seoul (Korea, Republic of); Shin, Je Kyoun; Chee, Hyun Kun; Kim, Jun Suk [Konkuk University Medical Center, Konkuk University School of Medicine, Department of Cardiovascular Surgery, Seoul (Korea, Republic of); Ko, Sung Min [Konkuk University Medical Center, Konkuk University School of Medicine, Department of Radiology, Seoul (Korea, Republic of)

    2015-07-15

    To characterize aortic valve dysfunction and ascending aorta dimensions according to bicuspid aortic valve (BAV) morphology using computed tomography (CT) and surgical findings. We retrospectively enrolled 209 patients with BAVs who underwent transthoracic echocardiography (TTE) and CT. BAVs were classified as anterior-posterior (BAV-AP) or lateral (BAV-LA) orientation of the cusps and divided according to the presence (raphe+) or absence (raphe-) of a raphe. Ascending aortic dimensions were measured by CT at four levels. BAV-AP was present in 129 patients (61.7 %) and raphe+ in 120 (57.4 %). Sixty-nine patients (33.0 %) had aortic regurgitation (AR), 70 (33.5 %) had aortic stenosis (AS), and 58 (27.8 %) had combined AS and AR. AR was more common in patients with BAV-AP and raphe+; AS was more common with BAV-LA and raphe-.Annulus/body surface area and tubular portion/body surface area diameters in patients with BAV-AP (17.1 ± 2.3 mm/m{sup 2} and 24.2 ± 5.3 mm/m{sup 2}, respectively) and raphe+ (17.3 ± 2.2 mm/m{sup 2} and 24.2 ± 5.5 mm/m{sup 2}, respectively) were significantly different from those with BAV-LA (15.8 ± 1.9 mm/m{sup 2} and 26.4 ± 5.5 mm/m{sup 2}, respectively) and raphe- (15.7 ± 1.9 mm/m{sup 2} and 26.2 ± 5.4 mm/m{sup 2}, respectively). The morphological characteristics of BAV might be associated with the type of valvular dysfunction, and degree and location of an ascending aorta dilatation. (orig.)

  2. Genetic integration of molar cusp size variation in baboons

    OpenAIRE

    Koh, Christina; BATES, ELIZABETH; Broughton, Elizabeth; Do, Nicholas T.; Fletcher, Zachary; Mahaney, Michael C.; Hlusko, Leslea J.

    2010-01-01

    Many studies of primate diversity and evolution rely on dental morphology for insight into diet, behavior, and phylogenetic relationships. Consequently, variation in molar cusp size has increasingly become a phenotype of interest. In 2007 we published a quantitative genetic analysis of mandibular molar cusp size variation in baboons. Those results provided more questions than answers, as the pattern of genetic integration did not fit predictions from odontogenesis. To follow up, we expanded o...

  3. The cusp effect in eta' --> eta pi pi decays

    CERN Document Server

    Kubis, Bastian

    2009-01-01

    Strong final-state interactions create a pronounced cusp in eta' --> eta pi0 pi0 decays. We adapt and generalize the non-relativistic effective field theory framework developed for the extraction of pi pi scattering lengths from K --> 3 pi decays to this case. The cusp effect is predicted to have an effect of more than 8% on the decay spectrum below the pi+ pi- threshold.

  4. Impact of Electron-Electron Cusp on Configuration Interaction Energies

    OpenAIRE

    Prendergast, David; Nolan, M.; Filippi, Claudia; Fahy, Stephen; Greer, J. C.

    2001-01-01

    The effect of the electron-electron cusp on the convergence of configuration interaction (CI) wave functions is examined. By analogy with the pseudopotential approach for electron-ion interactions, an effective electron-electron interaction is developed which closely reproduces the scattering of the Coulomb interaction but is smooth and finite at zero electron-electron separation. The exact many-electron wave function for this smooth effective interaction has no cusp at zero electron-electron...

  5. Quantification of abdominal aortic deformation after EVAR

    Science.gov (United States)

    Demirci, Stefanie; Manstad-Hulaas, Frode; Navab, Nassir

    2009-02-01

    Quantification of abdominal aortic deformation is an important requirement for the evaluation of endovascular stenting procedures and the further refinement of stent graft design. During endovascular aortic repair (EVAR) treatment, the aortic shape is subject to severe deformation that is imposed by medical instruments such as guide wires, catheters, and, the stent graft. This deformation can affect the flow characteristics and morphology of the aorta which have been shown to be elicitors for stent graft failures and be reason for reappearance of aneurysms. We present a method for quantifying the deformation of an aneurysmatic aorta imposed by an inserted stent graft device. The outline of the procedure includes initial rigid alignment of the two abdominal scans, segmentation of abdominal vessel trees, and automatic reduction of their centerline structures to one specified region of interest around the aorta. This is accomplished by preprocessing and remodeling of the pre- and postoperative aortic shapes before performing a non-rigid registration. We further narrow the resulting displacement fields to only include local non-rigid deformation and therefore, eliminate all remaining global rigid transformations. Finally, deformations for specified locations can be calculated from the resulting displacement fields. In order to evaluate our method, experiments for the extraction of aortic deformation fields are conducted on 15 patient datasets from endovascular aortic repair (EVAR) treatment. A visual assessment of the registration results and evaluation of the usage of deformation quantification were performed by two vascular surgeons and one interventional radiologist who are all experts in EVAR procedures.

  6. Cusp observations during a sequence of fast IMF BZ reversals

    Directory of Open Access Journals (Sweden)

    S. E. Milan

    2009-07-01

    Full Text Available In recent years, a large number of papers have reported the response of the cusp to solar wind variations under conditions of northward or southward Interplanetary Magnetic Field (IMF Z-component (BZ. These studies have shown the importance of both temporal and spatial factors in determining the extent and morphology of the cusp and the changes in its location, connected to variations in the reconnection geometry. Here we present a comparative study of the cusp, focusing on an interval characterised by a series of rapid reversals in the BZ-dominated IMF, based on observations from space-borne and ground-based instrumentation. During this interval, from 08:00 to 12:00 UT on 12 February 2003, the IMF BZ component underwent four reversals, remaining for around 30 min in each orientation. The Cluster spacecraft were, at the time, on an outbound trajectory through the Northern Hemisphere magnetosphere, whilst the mainland VHF and Svalbard (ESR radars of the EISCAT facility were operating in support of the Cluster mission. Both Cluster and the EISCAT were, on occasion during the interval, observing the cusp region. The series of IMF reversals resulted in a sequence of poleward and equatorward motions of the cusp; consequently Cluster crossed the high-altitude cusp twice before finally exiting the dayside magnetopause, both times under conditions of northward IMF BZ. The first magnetospheric cusp encounter, by all four Cluster spacecraft, showed reverse ion dispersion typical of lobe reconnection; subsequently, Cluster spacecraft 1 and 3 (only crossed the cusp for a second time. We suggest that, during this second cusp crossing, these two spacecraft were likely to have been on newly closed field lines, which were first reconnected (opened at low latitudes and later reconnected again (re-closed poleward of the northern cusp. At ionospheric altitudes, the latitudinal excursions of the cusp/cleft region in response to the series of the IMF polarity

  7. Aortic Valve Sparing in Different Aortic Valve and Aortic Root Conditions.

    Science.gov (United States)

    David, Tirone E

    2016-08-01

    The development of aortic valve-sparing operations (reimplantation of the aortic valve and remodeling of the aortic root) expanded the surgical armamentarium for treating patients with aortic root dilation caused by a variety of disorders. Young adults with aortic root aneurysms associated with genetic syndromes are ideal candidates for reimplantation of the aortic valve, and the long-term results have been excellent. Incompetent bicuspid aortic valves with dilated aortic annuli are also satisfactorily treated with the same type of operation. Older patients with ascending aortic aneurysm and aortic insufficiency secondary to dilated sinotubular junction and a normal aortic annulus can be treated with remodeling of the aortic root or with reimplantation of the aortic valve. The first procedure is simpler, and both procedures are likely equally effective. As with any heart valve-preserving procedure, patient selection and surgical expertise are keys to successful and durable repairs. PMID:27491910

  8. Tin LPP plasma control in the argon cusp source

    Science.gov (United States)

    McGeoch, Malcolm W.

    2016-03-01

    The argon cusp plasma has been introduced [1,2] for 500W class tin LPP exhaust control in view of its high power handling, predicted low tin back-scatter from a beam dump, and avoidance of hydrogen usage. The physics of tin ion control by a plasma is first discussed. Experimentally, cusp stability and exhaust disc geometry have previously been proved at full scale [2], the equivalent of 300W-500W usable EUV. Here we verify operation of the plasma barrier that maintains a high argon density next to the collector, for its protection, and a low density in the long path toward the intermediate focus, for efficiency. A pressure differential of 2Pa has been demonstrated in initial work. Other aspects of tin LPP plasma control by the cusp have now been demonstrated using tin ions from a low Hz 130mJ CO2 laser pulse onto a solid tin surface at the cusp center. Plasma is rejected at the design to match a specified exhaust power is discussed. In view of this work, argon cusp exhaust control appears to be very promising for 500W class tin LPP sources.

  9. Minimally Invasive Aortic Valve Replacement

    Medline Plus

    Full Text Available ... opens freely when the heart contracts. On the right, we see a picture of the aortic valve ... the aortic valve because the probe is sitting right behind the aortic valve. Lots of patients on ...

  10. Nonlinear spectral imaging microscopy of rabbit aortic wall

    Institute of Scientific and Technical Information of China (English)

    Quangang Liu; Jianxin Chen; Shuangmu Zhuo; Xingshan Jiang; Kecheng Lu

    2009-01-01

    Employing nonlinear spectral imaging technique based on two-photon-excited fluorescence and second-harmonic generation (SHG) of biological tissue, we combine the image-guided spectral analysis method and multi-channel subsequent detection imaging to map and visualize the intrinsic species in a native rabbit aortic wall. A series of recorded nonlinear spectral images excited by a broad range of laser wavelengths (730-910 nm) are used to identify five components in the native rabbit aortic wall, including nicotinamide adenine dinucleotide (NADH), elastic fiber, flavin, porphyrin derivatives, and collagen. Integrating multi-channel subsequent detection imaging technique, the high-resolution, high contrast images of collagen and elastic fiber in the aortic wall are obtained. Our results demonstrate that this method can yield complementary biochemical and morphological information about aortic tissues, which have the potential to determine the tissue pathology associated with mechanical properties of aortic wall and to evaluate the pharmacodynamical studies of vessels.

  11. Abdominal Aortic Aneurysms: Treatments

    Science.gov (United States)

    ... access catheters Vertebroplasty Women and vascular disease Women's health Social Media Facebook Twitter ... Abdominal Aortic Aneurysms Interventional Radiologists Treat Abdominal Aneurysms Nonsurgically Interventional radiologists are vascular ...

  12. The interaction between transpolar arcs and cusp spots

    CERN Document Server

    Fear, R C; Carter, J A; Maggiolo, R

    2016-01-01

    Transpolar arcs and cusp spots are both auroral phenomena which occur when the interplanetary magnetic field is northward. Transpolar arcs are associated with magnetic reconnection in the magnetotail, which closes magnetic flux and results in a "wedge" of closed flux which remains trapped, embedded in the magnetotail lobe. The cusp spot is an indicator of lobe reconnection at the high-latitude magnetopause; in its simplest case, lobe reconnection redistributes open flux without resulting in any net change in the open flux content of the magnetosphere. We present observations of the two phenomena interacting--i.e., a transpolar arc intersecting a cusp spot during part of its lifetime. The significance of this observation is that lobe reconnection can have the effect of opening closed magnetotail flux. We argue that such events should not be rare.

  13. Kinematic Cusps: Determining the Missing Particle Mass at the LHC

    CERN Document Server

    Han, Tao; Song, Jeonghyeon

    2009-01-01

    Neutral massive stable particles (dark matter candidates) are produced at colliders in pairs, due to an exact symmetry called a ``parity''. They escape from detection, rendering their mass measurement difficult. We consider the pair production of these stable particles associated with two observable particles, from a two-step cascade decay of a heavier particle with even parity, via an intermediate particle with odd parity. We observe kinematic cusp structures in the invariant mass and angular distributions of the observable particles. Knowing the parent mass from direct resonant decay into Standard Model particles, one can determine the missing particle mass as well as the intermediate particle mass by using the cusped peak and end point of the distributions. The shape of the cusp distribution does not depend on the spin correlation.

  14. Cusp singularities in f(R) gravity: pros and cons

    CERN Document Server

    Chen, Pisin

    2015-01-01

    We investigate cusp singularities in f(R) gravity, especially for Starobinsky and Hu-Sawicki dark energy models. We illustrate that, by using double-null numerical simulations, a cusp singularity can be triggered by gravitational collapses. This singularity can be cured by adding a quadratic term, but this causes a Ricci scalar bump that can be observed by an observer outside the event horizon. Comparing with cosmological parameters, it seems that it would be difficult to see super-Planckian effects by astrophysical experiments. On the other hand, at once there exists a cusp singularity, it can be a mechanism to realize a horizon scale curvature singularity that can be interpreted by a firewall.

  15. Cusp singularities in f(R) gravity: pros and cons

    Science.gov (United States)

    Chen, Pisin; Yeom, Dong-han

    2015-10-01

    We investigate cusp singularities in f(R) gravity, especially for Starobinsky and Hu-Sawicki dark energy models. We illustrate that, by using double-null numerical simulations, a cusp singularity can be triggered by gravitational collapses. This singularity can be cured by adding a quadratic term, but this causes a Ricci scalar bump that can be observed by an observer outside the event horizon. Comparing with cosmological parameters, it seems that it would be difficult to see super-Planckian effects by astrophysical experiments. On the other hand, at once there exists a cusp singularity, it can be a mechanism to realize a horizon scale curvature singularity that can be interpreted by a firewall.

  16. Energetic particle sounding of the magnetospheric cusp with ISEE-1

    Directory of Open Access Journals (Sweden)

    K. E. Whitaker

    2007-06-01

    Full Text Available Observations on 30 October 1978 show the ISEE-1 spacecraft passing though the high-altitude dayside northern magnetospheric cusp region from roughly 16:00 to 18:30 UT, during a slow solar wind period (~380 km/s. More than two orders of magnitude enhancements of the cusp energetic particle (CEP fluxes were observed along with a depressed and turbulent local magnetic field. The observed variations of the pitch angle distributions (PAD provide a unique opportunity to determine the structure of the cusp and the origin of the CEP. Through a boundary sounding technique, the location and orientation of the cusp poleward (or backside boundary was observed for almost 10 min during which time it appeared initially to be stationary in the GSM/GSE X-direction and then moved sunward about 0.12 Earth radii (RE. The orientation remained approximately perpendicular to the GSM/GSE X-axis until it was observed to rotate by 60 degrees in ~3 min before ISEE-1 was fully inside the cusp cavity. The cavity itself was filled with CEP fluxes displaying large anisotropies, indicative of their source being located below (Earthward of the satellite location. The spacecraft entered from the backside of the cusp, then traveled ~4 RE through the cavity, and exited through the "top" of the cavity leaving a region of energetic ions below. The PADs demonstrate that the bow shock cannot be the main source of the observed CEPs. The CEP fluxes were measured at about 8.5 h MLT when the IMF had both an 8–10 nT duskward and southward component.

  17. Aortic regurgitation associated with chronic bacterial endocarditis in one adult thoroughbred gelding

    Directory of Open Access Journals (Sweden)

    CA Dörner

    2014-01-01

    Full Text Available This article describes chronic bacterial endocarditis as the cause of aortic regurgitation in a 25-year-old Thoroughbred used for horseback riding. The horse presented signs of depression, exercise intolerance, and weight loss. A pandiastolic murmur was identified, but no other clinical signs of bacterial endocarditis were identified. Haematological, serum biochemical, and urine analyses did not show any particular abnormalities. Electrocardiography showed a physiological dysrhythmia that was not pertinent to this case. Echocardiography revealed left ventricle (LV dilatation and a nodule in the left coronary cusp of the aortic valve associated with regurgitation. Based on the prevalence of aortic valve pathology in geriatric horses, a noninfectious condition with a myxomatous noninflammatory infiltrate was suspected; therefore, no special treatment was prescribed due to the absence of heart failure. Several months later, the animal was euthanised after experiencing a femur fracture. At necropsy, the horse showed an eccentric left ventricle hypertrophy and 2 nodules in the left coronary cusp of the aortic valve. Histological examination revealed the presence of bacteria, which led to the diagnosis of chronic bacterial endocarditis.

  18. Around the cusp singularity and the breaking of waves

    CERN Document Server

    Tejerina-Risso, J

    2012-01-01

    We record the breaking of water waves focusing at the Huygens Cusp of a parabolic wave maker using a fast video camera at a rate of 2000 images per second. The movie shows the very early time of the water tongue plunging ahead of the wave crest. Soon after, some capillarity wavelets are clearly visible. The image analysis of these space time data permits the measurement of the expected 3/2 power of time law as dictated by the cusp singular geometry given by the Catastrophe Theory. To our knowledge this is the first time that this scaling law is measured from fluid dynamics videos.

  19. The Stellar Cusp in the Galactic Center: Three-Dimensional Orbits of Stars

    Science.gov (United States)

    Chappell, Samantha; Ghez, Andrea M.; Boehle, Anna; Yelda, Sylvana; Sitarski, Breann; Witzel, Gunther; Do, Tuan; Lu, Jessica R.; Morris, Mark; Becklin, Eric E.

    2015-01-01

    We present new findings from our long term study of the nuclear star cluster around the Galaxy's central supermassive blackhole (SMBH). Measurements where made using speckle and laser guided adaptive optics imaging and integral field spectroscopy on the Keck telescopes. We report 13 new measurable accelerating sources around the SMBH, down to ~17 mag in K band, only 4 of which are known to be young stars, the rest are either known to be old stars or have yet to be spectral typed. Thus we more than double the number of measured accelerations for the known old stars and unknown spectral type population (increasing the number from 6 to 15). Previous observations suggest a flat density profile of late-type stars, contrary to the theorized Bahcall-Wolf cusp (Bahcall & Wolf 1976, 1977; Buchholz et al. 2009; Do et al. 2009; Bartko et al. 2010). With three-dimensional orbits of significantly accelerating sources, we will be able to better characterize the stellar cusp in the Galactic center, including the slope of the stellar density profile.

  20. Imaging in aortic dissection

    International Nuclear Information System (INIS)

    Aortic dissection (AD) is a catastrophic aortic disease. Imaging techniques play an invaluable role in the diagnostic evaluation and management of patients with AD. Major signs of AD with different imaging modalities are described in this article with a pertinent discussion on guidelines for the optimized approach of imaging study (13 refs.)

  1. Aortic arch malformations

    Energy Technology Data Exchange (ETDEWEB)

    Kellenberger, Christian J. [University Children' s Hospital, Department of Diagnostic Imaging, Zuerich (Switzerland)

    2010-06-15

    Although anomalies of the aortic arch and its branches are relatively uncommon malformations, they are often associated with congenital heart disease. Isolated lesions may be clinically significant when the airways are compromised by a vascular ring. In this article, the development and imaging appearance of the aortic arch system and its various malformations are reviewed. (orig.)

  2. Regularity of the eta function on manifolds with cusps

    OpenAIRE

    Loya, Paul; Moroianu, Sergiu; Park, Jinsung

    2009-01-01

    On a spin manifold with conformal cusps, we prove under an invertibility condition at infinity that the eta function of the twisted Dirac operator has at most simple poles and is regular at the origin. For hyperbolic manifolds of finite volume, the eta function of the Dirac operator twisted by any homogeneous vector bundle is shown to be entire.

  3. Hydromagnetic model of the dayside cusp of the Earth magnetosphere

    International Nuclear Information System (INIS)

    Investigation into the stationary MHD-equations describing quasi-viscous flow in the dayside cusp of the magnetosphere was carried out. The effect of 3 zone magnetospheric-ionospheric currents on the restricted flow of solar wind in the magnetospheric hollow is discussed

  4. Cluster Observations of Particle Injections in the Exterior Cusp

    Science.gov (United States)

    Escoubet, C. P.; Grison, B.; Berchem, J.; Trattner, K. J.; Lavraud, B.; Pitout, F.; Soucek, J.; Richard, R. L.; Laakso, H. E.; Masson, A.; Dunlop, M. W.; Dandouras, I. S.; Reme, H.; Fazakerley, A. N.; Daly, P. W.

    2014-12-01

    The main process that injects solar wind plasma into the polar cusp is now generally accepted to be magnetic reconnection. Depending on the IMF direction, this process takes place equatorward (for IMF southward), poleward (for IMF northward) or on the dusk or dawn sides (for IMF azimuthal) of the cusp. We report a Cluster crossing on 5 January 2002 near the exterior cusp on the southern dusk side. The IMF was mainly azimuthal (IMF-By around -5 nT), the solar wind speed lower than usual around 280 km/s with the density of order 5 cm-3. The four Cluster spacecraft had an elongated configuration near the magnetopause. C4 was the first spacecraft to enter the cusp around 19:52:04 UT, followed by C2 at 19:52:35 UT, C1 at 19:54:24 UT and C3 at 20:13:15 UT. C4 and C1 observed two ion energy dispersions at 20:10 UT and 20:40 UT and C3 at 20:35 UT and 21:15 UT. Using the time of flight technique on the upgoing and downgoing ions, which leads to energy dispersions, we obtain distances of the ion sources between 14 and 20 RE from the spacecraft. Using Tsyganenko model, we find that these sources are located on the dusk flank, past the terminator. The first injection by C3 is seen at approximately the same time as the 2nd injection on C1 but their sources at the magnetopause were separated by more than 7 RE. This would imply that two distinct sources were active at the same time on the dusk flank of the magnetosphere. In addition, a flow reversal was observed at the magnetopause on C4 which would be an indication that reconnection is taking place near the exterior cusp.

  5. Cluster Observations of Ion Dispersions near the Exterior Cusp

    Science.gov (United States)

    Escoubet, C.; Grison, B.; Berchem, J.; Trattner, K. J.; Pitout, F.; Richard, R. L.; Taylor, M. G.; Laakso, H. E.; Masson, A.; Dunlop, M. W.; Dandouras, I. S.; Reme, H.; Fazakerley, A. N.; Daly, P. W.

    2013-12-01

    The cusps are the places where the Earth's magnetic field lines, connected to the inner side of the magnetopause, converge. It is therefore the place where signatures of processes occurring near the subsolar point, in the tail lobes, as well as near the dawn and dusk flanks are observed. The main process that injects solar wind plasma into the polar cusp is now generally accepted to be magnetic reconnection. Depending on the IMF direction, this process will take place equatorward (for IMF southward), poleward (for IMF northward) or on the side (for IMF azimuthal) of the cusp. We report a Cluster crossing on 5 January 2002 near the exterior cusp on the southern dusk side. The IMF was mainly azimuthal (IMF-By around -5 nT), the solar wind speed around 280 km/s and the density around 5 cm-3. The four Cluster spacecraft were still in the "magnetotail" configuration with two perfect tetrahedra of 2000 km around apogee and turning into an elongated configuration near the magnetopause. C4 was the first spacecraft to enter the cusp around 19:52:04 UT, followed by C2 at 19:52:35 UT, C1 at 19:54:24 UT and C3 at 20:13:15 UT. C4 and C1 observed two ion energy dispersions at 20:10 UT and 20:40 UT and C3 at 20:35 UT and 21:15 UT. We will investigate the origin of the injections forming the dispersions and if these can be explained by the reconnection between the interplanetary magnetic field and the Earth's magnetic field.

  6. Conformal SO(2,4) Transformations of the One-Cusp Wilson Loop Surface

    OpenAIRE

    Ryang, Shijong

    2007-01-01

    By applying the conformal SO(2,4) transformations to the elementary one-cusp Wilson loop surface we construct various two-cusp and four-cusp Wilson loop surface configurations in AdS_5 and demonstrate that they solve the string equations of the Nambu-Goto string action. The conformal boosts of the basic four-cusp Wilson loop surface with a square-form projection generate various four-cusp Wilson loop surfaces with projections of the rescaled square, the rhombus and the trapezium, on which sur...

  7. Interhemispheric Comparison of Dipole Tilt Angle Effects on Latitude of Mid-Altitude Cusp

    Institute of Scientific and Technical Information of China (English)

    GUO Jian-Guang; SHI Jian-Kui; ZHANG Tie-Long; LIU Zhen-Xing

    2008-01-01

    A statistical study of interhemispheric comparison of dipole tilt angle effect on the latitude of the mid-altitude cusp is preformed by a data set of the Cluster cusp crossings over a 5-year period.The result shows that the dipole tilt angle has a clear control of the cusp latitudinal location.When the dipole tilts sunwards,the cusp is shifted poleward.The northern cusp moves 1° ILAT for every 15.4° increase in the dipole tilt angle,while the southern cusp moves 1° ILAT for every 20.8° increase in the dipole tilt angle. This suggests that an interhemispheric difference appears in the dependence of cusp latitudinal location on the dipole tilt angle.

  8. Aortic Aneurysm Repair

    Medline Plus

    Full Text Available ... as atherosclerosis, high blood pressure, smokers, or a family history of abdominal aortic aneurysms. Today’s patient is ... be screened. In fact, patients who have a family history of aneurysm, men who are smoking over ...

  9. Aortic Aneurysm Repair

    Medline Plus

    Full Text Available ... wall will actually thin out. And the big risk here is that if this gets too big ... to the aging baby boomers. Next slide. The risk factors for abdominal aortic aneurysms are males over ...

  10. Aortic Aneurysm Repair

    Medline Plus

    Full Text Available ... atherosclerosis, high blood pressure, smokers, or a family history of abdominal aortic aneurysms. Today’s patient is a ... screened. In fact, patients who have a family history of aneurysm, men who are smoking over the ...

  11. [Inflammatory abdominal aortic aneurysm].

    Science.gov (United States)

    Ziaja, K; Sedlak, L; Urbanek, T; Kostyra, J; Ludyga, T

    2000-01-01

    The reported incidence of inflammatory abdominal aortic aneurysm (IAAA) is from 2% to 14% of patients with abdominal aortic aneurysm and the etiology of this disease is still discussed--according to the literature several pathogenic theories have been proposed. From 1992 to 1997 32 patients with IAAA were operated on. The patients were mostly symptomatic--abdominal pain was present in 68.75% cases, back pain in 31.25%, fever in 12.5% and weight loss in 6.25% of the operated patients. In all the patients ultrasound examination was performed, in 4 patients CT and in 3 cases urography. All the patients were operated on and characteristic signs of inflammatory abdominal aortic aneurysm like: thickened aortic wall, perianeurysmal infiltration or retroperitoneal fibrosis with involvement of retroperitoneal structures were found. In all cases surgery was performed using transperitoneal approach; in three cases intraoperatively contiguous abdominal organs were injured, which was connected with their involvement into periaortic inflammation. In 4 cases clamping of the aorta was done at the level of the diaphragmatic hiatus. 3 patients (9.37%) died (one patient with ruptured abdominal aortic aneurysm). Authors present diagnostic procedures and the differences in the surgical tactic, emphasizing the necessity of the surgical therapy in patients with inflammatory abdominal aortic aneurysm.

  12. Hodge cohomology of some foliated boundary and foliated cusp metrics

    CERN Document Server

    Gell-Redman, Jesse

    2012-01-01

    For fibred boundary and fibred cusp metrics, Hausel, Hunsicker, and Mazzeo identified the space of L^2 harmonic forms of fixed degree with the images of maps between intersection cohomology groups of an associated stratified space obtained by collapsing the fibres of the fibration at infinity onto its base. In the present paper, we obtain a generalization of this result to situations where the fibration at infinity is replaced by a foliation with compact leaves admitting a resolution by a fibration.

  13. Plasma Structure and Behavior of Miniature Ring-Cusp Discharges

    OpenAIRE

    Mao, Hann-Shin

    2013-01-01

    Miniature ring-cusp ion thrusters provide a unique blend of high efficiencies and millinewton level thrust for future spacecraft. These thrusters are attractive as a primary propulsion for small satellites that require a high delta V, and as a secondary propulsion for larger spacecraft that require precision formation flying, disturbance rejection, or attitude control. To ensure desirable performance throughout the life of such missions, an advancement in the understanding of the plasma struc...

  14. Cusps in $\\K_{L}\\to$3$\\pi$ decays

    CERN Document Server

    Bissegger, M; Gasser, J; Kubis, B; Rusetsky, A

    2008-01-01

    The pion mass difference generates a pronounced cusp in K --> 3 pi decays, the strength of which is related to the pi pi S-wave scattering lengths. We apply an effective field theory framework developed earlier to evaluate the amplitudes for K_L --> 3 pi decays in a systematic manner, where the strictures imposed by analyticity and unitarity are respected automatically. The amplitudes for the decay eta --> 3 pi are also given.

  15. Cusp-core problem and strong gravitational lensing

    Institute of Scientific and Technical Information of China (English)

    Nan Li; Da-Ming Chen

    2009-01-01

    Cosmological numerical simulations of galaxy formation have led to the cuspy density profile of a pure cold dark matter halo toward the center,which is in sharp contradiction with the observations of the rotation curves of cold dark matter-dominated dwarf and low surface brightness disk galaxies,with the latter tending to favor mass profiles with a fiat central core.Many efforts have been devoted to resolving this cusp-core problem in recent years,among them,baryon-cold dark matter interactions are considered to be the main physical mechanisms erasing the cold dark matter (CDM) cusp into a flat core in the centers of all CDM halos.Clearly,baryon-cold dark matter interactions are not customized only for CDM-dominated disk galaxies,but for all types,including giant ellipticals.We first fit the most recent high resolution observations of rotation curves with the Burkert profile,then use the constrained core size-halo mass relation to calculate the lensing frequency,and compare the predicted results with strong lensing observations.Unfortunately,it turns out that the core size constrained from rotation curves ofdisk galaxies cannot be extrapolated to giant ellipticals.We conclude that,in the standard cosmological paradigm,baryon-cold dark matter interactions are not universal mechanisms for galaxy formation,and therefore,they cannot be true solutions to the cusp-core problem.

  16. High spatial and temporal resolution observations of the ionospheric cusp

    Directory of Open Access Journals (Sweden)

    M. Pinnock

    Full Text Available The Halley PACE HF radar has been operated in a new mode to provide very high time (10 s and space (15 km resolution measurements of the iono-spheric signatures of the cusp and the low-latitude boundary layer. The first data show that the iono-spheric signature of flux transfer events occur up to 300 km equatorward of regions showing the HF characteristics of the ionospheric cusp. Whilst larger flux transfer events are seen, on average, every 7 min, many much smaller and short-duration events have been identified. On one occasion DMSP data have been used to show that at least four flux transfer events are occurring simultaneously at the edge of the cusp over 2 h of MLT. There is strong, but not conclusive evidence, that reconnection at the magnetopause is both intermittent and patchy. These data also suggest that flux transfer events can be a significant contributor to the cross-polar cap potential.

  17. Design study of electrostatically plugged cusp fusion reactor

    Energy Technology Data Exchange (ETDEWEB)

    Dolan, T.J.

    1976-11-01

    This study concentrates on the following aspects of an electrostatically plugged cusp reactor that will be different from other fusion reactor designs: the coil geometry and structural supports, high voltage electrodes, plasma parameters, power balance, and operating cycle. Assuming the electron density distribution in the anodes to have a characteristic width of two electron Larmor radii, which is consistent with present experimental results, the theory predicts that a device with a magnetic field strength, B = 8 T sustained solely by electron beam injection at 300 kV will have a power gain ratio, Q, of about 5. A toroidal multipole cusp configuration with six cusps was selected for the present design, based on a study of the ratio of plasma volume to coil volume. Coil forces are sustained by cryogenic trusses between like coils, fiberglass compression columns, and room temperature hoops. Radiation collimators in front of the high voltage electrodes greatly reduce the radiation impinging on the cathodes, helping to avoid breakdown and to prolong insulator life. The operating cycle consists of a startup period of about 20 s, followed by a fusion burn period lasting about 200 s (limited by impurity buildup) and a 20-s flushing period.

  18. Sex assessment efficacy of permanent maxillary first molar cusp dimensions in Indians

    Science.gov (United States)

    Yadav, Achla Bharti; Angadi, Punnya V.; Yadav, Sumit Kumar

    2015-01-01

    Background: The human first maxillary molar provides clues about evolution and is functionally important. It has four main cusps, and each cusp has an independent growth pattern and different evolutionary background. Though less explored, the analysis based on measurement of each cusp appears to be more meaningful biologically than conventional measurements of the whole crown. Aim: This study aimed to demonstrate the extent of sexual dimorphism in permanent maxillary first molar cusp diameters and their potential utility in sex prediction among Indians using logistic regression analysis (LRA). Materials and Methods: The mesiodistal and buccolingual (BL) crown diameters along with cusp dimensions and cusp indices of right maxillary first molar were measured in an Indian sample (149 males, 151 females; age range of 18–30 years). The possible sex dimorphism in these parameters was evaluated, and LRA was performed to ascertain their usefulness in sex prediction. Results: BL crown dimension and the hypocone (distolingual) cusp showed the highest sexual dimorphism. The combination of metacone and hypocone, i.e., distal cusp diameters among cusp parameters showed the highest accuracy (61.3%). While, on combining all the crown and cusp diameters together the overall accuracy was raised (64.3%). Conclusion: This study supports the ontogeny hypothesis suggesting that early-forming mesial cusps demonstrate less sexual variation as compared to subsequently formed distal cusps in the maxillary molar. Though the sex identification accuracy for cusp diameters of the permanent maxillary first molar in Indians is relatively moderate (≈61%), it can be used as an adjunct for sexing of adult Indians in forensic contexts. PMID:26681853

  19. Reoperative transapical transcatheter aortic valve replacement for central aortic regurgitation.

    Science.gov (United States)

    Zhu, Yuanjia; Kapadia, Samir; Krishnaswamy, Amar; Svensson, Lars G; Mick, Stephanie

    2016-09-01

    Paravalvular leak-related aortic regurgitation after transcatheter aortic valve replacement (TAVR) is a common complication and is associated with increased short- and long-term mortality. However, the impact of isolated central aortic regurgitation is unknown. We report a case of transapical (TA) TAVR with postprocedural central aortic regurgitation, who returned after two years with progression of regurgitation. A reoperative valve-in-valve TA-TAVR was performed. PMID:27405799

  20. Aortic regurgitation after transcatheter aortic valve replacement.

    Science.gov (United States)

    Werner, Nikos; Sinning, Jan-Malte

    2014-01-01

    Paravalvular aortic regurgitation (AR) negatively affects prognosis following transcatheter aortic valve replacement (TAVR). As transcatheter heart valves (THV) are anchored using a certain degree of oversizing at the level of the aortic annulus, incomplete stent frame expansion because of heavily annular calcifications, suboptimal placement of the prosthesis, and/or annulus-prosthesis size-mismatch can contribute to paravalvular AR with subsequent increased mortality risk. Echocardiography is essential to differentiate between transvalvular and paravalvular AR and to further elucidate the etiology of AR during the procedure. However, because echocardiographic quantification of AR in TAVR patients remains challenging, especially in the implantation situation, a multimodal approach to the evaluation of AR with use of hemodynamic measurements and imaging modalities is useful to precisely quantify the severity of AR immediately after valve deployment. "Next-generation" THVs are already on the market and first results show that paravalvular AR related to design modifications (eg, paravalvular space-fillers, full repositionability) are rarely seen in these valve types.  PMID:24632758

  1. Minimally Invasive Aortic Valve Replacement

    Medline Plus

    Full Text Available ... conditions or other significant medical problems, the American College of Cardiology recommends aortic valve replacement for basically ... more likely we see aortic stenosis. Again, patient education is part of the evaluation and management of ...

  2. Minimally Invasive Aortic Valve Replacement

    Medline Plus

    Full Text Available ... North Carolina. My name is John Streitman and I'm a cardiothoracic surgeon here at the Heart ... the corrective surgery of aortic valve replacement. If I have aortic stenosis, are there any activities that ...

  3. Minimally Invasive Aortic Valve Replacement

    Medline Plus

    Full Text Available ... of that slide, that demonstrates that patients with New York Heart Association class heart failure 1 and ... right down the aortic valve and that's the new aortic valve that Dr. Streitman's placed. And you ...

  4. Minimally Invasive Aortic Valve Replacement

    Medline Plus

    Full Text Available ... to help prevent aortic stenosis? There's no prophylactic methods that anybody can take to prevent aortic stenosis ... it will be archived on the ORlive Web site and ORlive.com and, of course, a link ...

  5. Aneurysms: thoracic aortic aneurysms.

    Science.gov (United States)

    Chun, Kevin C; Lee, Eugene S

    2015-04-01

    Thoracic aortic aneurysms (TAAs) have many possible etiologies, including congenital heart defects (eg, bicuspid aortic valves, coarctation of the aorta), inherited connective tissue disorders (eg, Marfan, Ehlers-Danlos, Loeys-Dietz syndromes), and degenerative conditions (eg, medial necrosis, atherosclerosis of the aortic wall). Symptoms of rupture include a severe tearing pain in the chest, back, or neck, sometimes associated with cardiovascular collapse. Before rupture, TAAs may exert pressure on other thoracic structures, leading to a variety of symptoms. However, most TAAs are asymptomatic and are found incidentally during imaging for other conditions. Diagnosis is confirmed with computed tomography scan or echocardiography. Asymptomatic TAAs should be monitored with imaging at specified intervals and patients referred for repair if the TAAs are enlarging rapidly (greater than 0.5 cm in diameter over 6 months for heritable etiologies; greater than 0.5 cm over 1 year for degenerative etiologies) or reach a critical aortic diameter threshold for elective surgery (5.5 cm for TAAs due to degenerative etiologies, 5.0 cm when associated with inherited syndromes). Open surgery is used most often to treat asymptomatic TAAs in the ascending aorta and aortic arch. Asymptomatic TAAs in the descending aorta often are treated medically with aggressive blood pressure control, though recent data suggest that endovascular procedures may result in better long-term survival rates. PMID:25860136

  6. Multi-embolic ST-elevation myocardial infarction secondary to aortic valve endocarditis.

    Science.gov (United States)

    Rischin, Adam P; Carrillo, Philip; Layland, Jamie

    2015-01-01

    We present the case of a 42 year-old woman admitted to hospital with ST-elevation myocardial infarction involving two separate coronary territories. Angiography revealed multi-embolic occlusions of her left anterior descending (LAD) and first obtuse marginal (OM1) coronary arteries. Transoesophageal echocardiogram (TOE) showed a lesion attached to the left cusp of the aortic valve and she was treated for infective endocarditis. We discuss the management issues raised from this unique patient, including reperfusion strategies in endocarditis-associated myocardial infarction.

  7. Functional Heart Valve Scaffolds Obtained by Complete Decellularization of Porcine Aortic Roots in a Novel Differential Pressure Gradient Perfusion System.

    Science.gov (United States)

    Sierad, Leslie Neil; Shaw, Eliza Laine; Bina, Alexander; Brazile, Bryn; Rierson, Nicholas; Patnaik, Sourav S; Kennamer, Allison; Odum, Rebekah; Cotoi, Ovidiu; Terezia, Preda; Branzaniuc, Klara; Smallwood, Harrison; Deac, Radu; Egyed, Imre; Pavai, Zoltan; Szanto, Annamaria; Harceaga, Lucian; Suciu, Horatiu; Raicea, Victor; Olah, Peter; Simionescu, Agneta; Liao, Jun; Movileanu, Ionela; Harpa, Marius; Simionescu, Dan Teodor

    2015-12-01

    There is a great need for living valve replacements for patients of all ages. Such constructs could be built by tissue engineering, with perspective of the unique structure and biology of the aortic root. The aortic valve root is composed of several different tissues, and careful structural and functional consideration has to be given to each segment and component. Previous work has shown that immersion techniques are inadequate for whole-root decellularization, with the aortic wall segment being particularly resistant to decellularization. The aim of this study was to develop a differential pressure gradient perfusion system capable of being rigorous enough to decellularize the aortic root wall while gentle enough to preserve the integrity of the cusps. Fresh porcine aortic roots have been subjected to various regimens of perfusion decellularization using detergents and enzymes and results compared to immersion decellularized roots. Success criteria for evaluation of each root segment (cusp, muscle, sinus, wall) for decellularization completeness, tissue integrity, and valve functionality were defined using complementary methods of cell analysis (histology with nuclear and matrix stains and DNA analysis), biomechanics (biaxial and bending tests), and physiologic heart valve bioreactor testing (with advanced image analysis of open-close cycles and geometric orifice area measurement). Fully acellular porcine roots treated with the optimized method exhibited preserved macroscopic structures and microscopic matrix components, which translated into conserved anisotropic mechanical properties, including bending and excellent valve functionality when tested in aortic flow and pressure conditions. This study highlighted the importance of (1) adapting decellularization methods to specific target tissues, (2) combining several methods of cell analysis compared to relying solely on histology, (3) developing relevant valve-specific mechanical tests, and (4) in vitro testing

  8. CT and MR imaging of the aortic valve: radiologic-pathologic correlation.

    Science.gov (United States)

    Bennett, Christopher J; Maleszewski, Joseph J; Araoz, Philip A

    2012-01-01

    Valvular disease is estimated to account for as many as 20% of cardiac surgical procedures performed in the United States. It may be congenital in origin or secondary to another disease process. One congenital anomaly, bicuspid aortic valve, is associated with increased incidence of stenosis, regurgitation, endocarditis, and aneurysmal dilatation of the aorta. A bicuspid valve has two cusps instead of the normal three; resultant fusion or poor excursion of the valve leaflets may lead to aortic stenosis, the presence of which is signaled by dephasing jets on magnetic resonance (MR) images. Surgery is generally recommended for patients with severe stenosis who are symptomatic or who have significant ventricular dysfunction; transcatheter aortic valve implantation (TAVI) is an emerging therapeutic option for patients who are not eligible for surgical treatment. Computed tomography (CT) is an essential component of preoperative planning for TAVI; it is used to determine the aortic root dimensions, severity of peripheral vascular disease, and status of the coronary arteries. Aortic regurgitation, which is caused by incompetent closure of the aortic valve, likewise leads to the appearance of jets on MR images. The severity of regurgitation is graded on the basis of valvular morphologic parameters; qualitative assessment of dephasing jets at Doppler ultrasonography; or measurements of the regurgitant fraction, volume, and orifice area. Mild regurgitation is managed conservatively, whereas severe or symptomatic regurgitation usually leads to valve replacement surgery, especially in the presence of substantial left ventricular enlargement or dysfunction. Bacterial endocarditis, although less common than aortic stenosis and regurgitation, is associated with substantial morbidity and mortality. Electrocardiographically gated CT reliably demonstrates infectious vegetations and benign excrescences of 1 cm or more on the valve surface, allowing the assessment of any embolic

  9. Anode current density distribution in a cusped field thruster

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Huan, E-mail: wuhuan58@qq.com; Liu, Hui, E-mail: hlying@gmail.com; Meng, Yingchao; Zhang, Junyou; Yang, Siyu; Hu, Peng; Chen, Pengbo; Yu, Daren [Mail Box 458, Harbin Institute of Technology (HIT), Harbin 150001 (China)

    2015-12-15

    The cusped field thruster is a new electric propulsion device that is expected to have a non-uniform radial current density at the anode. To further study the anode current density distribution, a multi-annulus anode is designed to directly measure the anode current density for the first time. The anode current density decreases sharply at larger radii; the magnitude of collected current density at the center is far higher compared with the outer annuli. The anode current density non-uniformity does not demonstrate a significant change with varying working conditions.

  10. Predictive Significance of Abnormal Potentials for Guiding Ablation Target Sites in Patients With Idiopathic Ventricular Arrhythmias From Aortic Sinus Cusp%异常电位对主动脉窦起源室性心律失常消融靶点的预测价值

    Institute of Scientific and Technical Information of China (English)

    刘霄燕; 王靖; 楚建民; 赵英杰; 郭琦; 浦介麟; 张澍

    2014-01-01

    目的:探讨异常电位对主动脉窦起源室性心律失常(ASC-IVAs)消融靶点的预测价值.方法:连续入选成功消融ASC-IVAs患者29例(ASC-IVAs组),另选我院同期成功消融的右心室流出道IVAs患者10例(IVAs对照亚组)和左侧旁道参与的房室折返性心动过速患者10例[室上性心动过速(室上速)对照亚组]作为对照组.建立三维激动/解剖标测图,分析两组间异常电位的发生和分布,及ASC-IVAs组中异常电位与消融靶点的关系.结果:ASC-IVAs组患者前电位发生率、消融前后晚电位平均振幅和消融后QRS-晚电位间期显著大于对照组(P<0.05).ASC-IVAs组中,与非成功消融点相比,成功消融靶点的前电位平均振幅较小(P<0.05),且消融前后晚电位发生率显著增高(P<0.05).QRS-晚电位延迟对ASC-IVAs患者成功靶点的预测敏感度为72%,特异度为100%.结论:ASC-IVAs消融靶点处常可记录到前电位和晚电位,其中晚电位指导消融的意义较大,晚电位延迟可作为成功消融靶点较为敏感和特异的预测指标.

  11. Inflammatory aortic aneurysms

    DEFF Research Database (Denmark)

    Bitsch, M; Nørgaard, H H; Røder, O;

    1997-01-01

    operated on for abdominal aortic aneurysms without PF in the same period, served as reference group. RESULTS: Preoperative thickness of PF was assessed as > 1 cm in 11 and cm in 10 patients. Ureterolysis was performed in seven patients where the fibrosis caused ureteral obstruction. Postoperative CT...

  12. Aortic Aneurysm Repair

    Medline Plus

    Full Text Available ... to repair an abdominal aortic aneurysm using a technology called an “endograft,” which is sometimes called the “ ... separate area, and it’s because of this small technology that allows you to do this. Exactly. So ...

  13. Aortic Aneurysm Repair

    Medline Plus

    Full Text Available ... an abdominal aortic aneurysm. Normally this procedure takes us about 45 minutes to an hour of doctor work time, which is, I think, a fairly quick procedure to replace a major life-threatening problem in the patient’s abdomen. So you can see ...

  14. Aortic Aneurysm Repair

    Medline Plus

    Full Text Available ... the arteries, which is known as atherosclerosis, high blood pressure, smokers, or a family history of abdominal aortic ... imaging. We can integrate ultrasound imaging, the patient’s blood pressure, and so it’s a little bit like being ...

  15. Two-loop cusp anomaly in ABJM at strong coupling

    CERN Document Server

    Bianchi, Lorenzo; Bres, Alexis; Forini, Valentina; Vescovi, Edoardo

    2014-01-01

    We compute the null cusp anomalous dimension of ABJM theory at strong coupling up to two-loop order. This is done by evaluating corrections to the corresponding superstring partition function, weighted by the $AdS_4\\times \\mathbb{CP}^3$ action in AdS light-cone gauge. We compare our result, where we use an anomalous shift in the $AdS_4$ radius, with the cusp anomaly of $\\mathcal{N}=4$ SYM, and extract the two-loop contribution to the non-trivial integrable coupling $h(\\lambda)$ of ABJM theory. It coincides with the strong coupling expansion of the exact expression for $ h(\\lambda)$ recently conjectured by Gromov and Sizov. Our work provides thus a non-trivial perturbative check for the latter, as well as evidence for two-loop UV-finiteness and quantum integrability of the Type IIA $AdS_4\\times \\mathbb{CP}^3$ superstring in this gauge.

  16. In vitro repair of fractured fiber-reinforced cusp-replacing composite restorations

    NARCIS (Netherlands)

    Fennis, W.M.M.; Kreulen, C.M.; Tezvergil, A.; Lassila, L.V.; Vallittu, P.K.; Creugers, N.H.J.

    2011-01-01

    Objective. To assess fracture resistance and failure mode of repaired fiber-reinforced composite (FRC) cusp-replacing restorations. Methods. Sixteen extracted human premolars with fractured cusp-replacing woven (Group (A)) or unidirectional (Group (B)) FRC restorations from a previous loading experi

  17. Hippo pathway/Yap regulates primary enamel knot and dental cusp patterning in tooth morphogenesis.

    Science.gov (United States)

    Kwon, Hyuk-Jae Edward; Li, Liwen; Jung, Han-Sung

    2015-11-01

    The shape of an individual tooth crown is primarily determined by the number and arrangement of its cusps, i.e., cusp patterning. Enamel knots that appear in the enamel organ during tooth morphogenesis have been suggested to play important roles in cusp patterning. Animal model studies have shown that the Hippo pathway effector Yap has a critical function in tooth morphogenesis. However, the role of the Hippo pathway/Yap in cusp patterning has not been well documented and its specific roles in tooth morphogenesis remain unclear. Here, we provide evidence that Yap is a key mediator in tooth cusp patterning. We demonstrate a correlation between Yap localization and cell proliferation in developing tooth germs. We also show that, between the cap stage and bell stage, Yap is crucial for the suppression of the primary enamel knot and for the patterning of secondary enamel knots, which are the future cusp regions. When Yap expression is stage-specifically knocked down during the cap stage, the activity of the primary enamel knot persists into the bell-stage tooth germ, leading to ectopic cusp formation. Our data reveal the importance of the Hippo pathway/Yap in enamel knots and in the proper patterning of tooth cusps.

  18. Node dynamics and cusps size distribution at the border of liquid sheets

    Science.gov (United States)

    Villermaux, E.; Almarcha, C.

    2016-08-01

    We study the intrinsic dynamics of cusps, or indentations, moving along a liquid sheet border, and characterize their ensemble statistics. Gordillo and collaborators [J. Fluid Mech. 754, R1 (2014), 10.1017/jfm.2014.397] have shown that the symmetrical stationary cusp is the only structure accommodating for both mass and momentum conservation at a steadily receding liquid sheet rim. Cusps are also known to typically move along a sheet border, to present an asymmetry, and to be distributed in size around a mean. We show here why a heterogeneous assembly of cusps traveling along the sheet rim occurs spontaneously, why big and small cusps coexist at the same time, and, more precisely, we establish a specific link between the microscopic dynamics directing their motion, and the ensemble averaged distribution of their sizes.

  19. First direct aortic retrievable transcatheter aortic valve implantation in humans.

    Science.gov (United States)

    Chandrasekhar, Jaya; Glover, Chris; Labinaz, Marino; Ruel, Marc

    2014-11-01

    We describe 2 cases in which transcatheter aortic valve implantation was performed with a Portico prosthesis (St Jude Medical, St Paul, MN) through a direct aortic approach. In 1 of the cases, prosthesis retrieval was needed during the procedure and was essential to the successful outcome. This is the first report, to our knowledge, of direct aortic Portico prosthesis implantation, and it highlights the significance of the retrievable nature of this device. PMID:25442452

  20. Feedbacks of Composition and Neutral Density Changes on the Structure of the Cusp Density Anomaly

    Science.gov (United States)

    Brinkman, D. G.; Walterscheid, R. L.; Clemmons, J. H.

    2015-12-01

    The Earth's magnetospheric cusp provides direct access of energetic particles to the thermosphere. These particles produce ionization and kinetic (particle) heating of the atmosphere. The increased ionization coupled with enhanced electric fields in the cusp produces increased Joule heating and ion drag forcing. These energy inputs cause large wind and temperature changes in the cusp region. Measurements by the CHAMP satellite (460-390- km altitude) have shown strongly enhanced density in the cusp region. The Streak mission (325-123 km), on the other hand, showed a relative depletion. The atmospheric response in the cusp can be sensitive to composition and neutral density changes. In response to heating in the cusp, air of heavier mean molecular weight is brought up from lower altitudes significantly affecting pressure gradients. This opposes the effects of temperature change due to heating and in-turn affects the density and winds produced in the cusp. Also changes in neutral density change the interaction between precipitating particles and the atmosphere and thus change heating rates and ionization in the region affected by cusp precipitation. In this study we assess the sensitivity of the wind and neutral density structure in the cusp region to changes in the mean molecular weight induced by neutral dynamics, and the changes in particle heating rates and ionization which result from changes in neutral density. We use a high resolution two-dimensional time-dependent nonhydrostatic nonlinear dynamical model where inputs can be systematically altered. The resolution of the model allows us to examine the complete range of cusp widths. We compare the current simulations to observations by CHAMP and Streak. Acknowledgements: This research was supported by The Aerospace Corporation's Technical Investment program

  1. Tobacco smoking and aortic aneurysm

    DEFF Research Database (Denmark)

    Sode, Birgitte F; Nordestgaard, Børge G; Grønbæk, Morten;

    2012-01-01

    BACKGROUND: We determined the predictive power of tobacco smoking on aortic aneurysm as opposed to other risk factors in the general population. METHODS: We recorded tobacco smoking and other risk factors at baseline, and assessed hospitalization and death from aortic aneurysm in 15,072 individuals...... General Population Study, respectively. According to the magnitude of the hazard ratios, tobacco consumption was the most important risk factor for hospitalization and death from aortic aneurysm, followed by male sex and hypertension in both cohorts. The population attributable risk of aortic aneurysm...... outcomes due to tobacco consumption was 64% and 47% in the Copenhagen City Heart Study and Copenhagen General Population Study, respectively, and ranked highest among population attributable risks of aortic aneurysm in both cohorts. The absolute 10-year risk for hospitalization or death from aortic...

  2. Cross Talk between NOTCH Signaling and Biomechanics in Human Aortic Valve Disease Pathogenesis

    Directory of Open Access Journals (Sweden)

    Richard C. Godby

    2014-12-01

    Full Text Available Aortic valve disease is a burgeoning public health problem associated with significant mortality. Loss of function mutations in NOTCH1 cause bicuspid aortic valve (BAV and calcific aortic valve disease. Because calcific nodules manifest on the fibrosa side of the cusp in low fluidic oscillatory shear stress (OSS, elucidating pathogenesis requires approaches that consider both molecular and mechanical factors. Therefore, we examined the relationship between NOTCH loss of function (LOF and biomechanical indices in healthy and diseased human aortic valve interstitial cells (AVICs. An orbital shaker system was used to apply cyclic OSS, which mimics the cardiac cycle and hemodynamics experienced by AVICs in vivo. NOTCH LOF blocked OSS-induced cell alignment in human umbilical vein endothelial cells (HUVECs, whereas AVICs did not align when subjected to OSS under any conditions. In healthy AVICs, OSS resulted in decreased elastin (ELN and α-SMA (ACTA2. NOTCH LOF was associated with similar changes, but in diseased AVICs, NOTCH LOF combined with OSS was associated with increased α-SMA expression. Interestingly, AVICs showed relatively higher expression of NOTCH2 compared to NOTCH1. Biomechanical interactions between endothelial and interstitial cells involve complex NOTCH signaling that contributes to matrix homeostasis in health and disorganization in disease.

  3. Papillary fibroelastoma of the aortic valve - a case report and literature review

    Directory of Open Access Journals (Sweden)

    Von Canal Friederike

    2010-10-01

    Full Text Available Abstract The prevalence of primary cardiac tumour ranges from 0.0017-0.28% and papillary fibroelastoma is rare but not uncommon benign cardiac neoplasm. Currently, with the advent of higher-resolution imaging technology especially transoesophageal echocardiography such cases being recognized frequently. The clinical presentation of these tumours varies from asymptomatic to severe ischaemic or embolic complications. We herein, present a 50-year-old female patient with a papillary fibroelastoma of the aortic valve arising from the endocardium of the right coronary cusp very close to the commissure between the right and non-coronary cusps. The patient presented with angina-like chest pain and was investigated using echocardiography and CT angiographic modalities in addition to the usual investigations. The differential diagnosis considered was a thrombus, myxoma, Lambl's excrescence and infective vegetation. The surgical management included a prompt resection of the tumour on cardiopulmonary bypass avoiding injury to the aortic valve. The patient recovered well. A review of the literature suggests that the cardiac papillary fibroelastoma is a rare but potentially treatable cause of embolic stroke and other fatal complications, therefore, a strong suspicion; appropriate use of imaging modality, preoperative anticoagulation and urgent surgical resection is warranted. Also, possibility of this diagnosis should be kept in mind while managing cardiac or valvular tumours.

  4. Aortic valve replacement

    DEFF Research Database (Denmark)

    Kapetanakis, Emmanouil I; Athanasiou, Thanos; Mestres, Carlos A;

    2008-01-01

    BACKGROUND AND AIMS OF THE STUDY: Prompted by anecdotal evidence and observations by surgeons, an investigation was undertaken into the potential differences in implanted aortic valve prosthesis sizes, during aortic valve replacement (AVR) procedures, between northern and southern European...... countries. METHODS: A multi-institutional, non-randomized, retrospective analysis was conducted among 2,932 patients who underwent AVR surgery at seven tertiary cardiac surgery centers throughout Europe. Demographic and perioperative variables including valve size and type, body surface area (BSA) and early......: Prostheses with diameter valve size was also smaller in southern compared to northern European patients (21.6 +/- 2.1 mm versus 23.4 +/- 2.2 mm, p

  5. Antiparallel magnetic merging signatures during IMF BY>>0: longitudinal and latitudinal cusp aurora bifurcations

    Directory of Open Access Journals (Sweden)

    S. Massetti

    2006-09-01

    Full Text Available A prominent dayside auroral event, occurred during an IMF BY-dominated time interval, and characterized by the contemporaneous longitudinal and latitudinal cusp bifurcations, is reported. The event was recorded the 19 December 2002, between about 09:30–10:45 UT, by the ITACA2 twin auroral monitors system, in the Greenland-Svalbard zone. The splitting of the ionospheric footprint of the geomagnetic cusp, traced by the dayside auroral activity, was recently identified with the signatures of antiparallel reconnection episodes ongoing at different magnetopause locations, during large IMF BY periods. The first part of the event showed a broad longitudinal bifurcation of the red-dominated cusp aurora, displaced in the prenoon and postnoon, with a separation up to ~1800 km, during northeast directed IMF (clock-angle rotating from 45° to 90°. This observation widens the range of IMF regimes that are known to drive a longitudinal bifurcation of the cusp, since previous case-studies reported these events to occur during southeast/southwest oriented IMF (clock-angle ≈135°. The second part of the event, developed when the IMF turned to a nearly horizontal orientation (BY>>0, BZ~0, clock-angle ~90°, and exhibited the simultaneous activation of the cusp auroras in three distinct areas: i two of them associated to the above-mentioned longitudinally bifurcated cusp (~73°–75° CGM latitude, type 1 cusp aurora, and linked to (nearantiparallel magnetic reconnection patches equatorward the northern and the southern cusp, ii the other one characterized by isolated high-latitude (~76°–77° CGM latitude, type 2 cusp aurora rayed arc(s with intense green emission, and triggered by (nearantiparallel merging at the northern lobe (usually observed during positive IMF BZ, poleward the local cusp. During this phase, the longitudinal separation of the low-latitude type~1 cusp aurora was about 1000 km wide, with a 500 km gap, while the latitudinal separation

  6. CLUSTER encounters with the high altitude cusp: boundary structure and magnetic field depletions

    Directory of Open Access Journals (Sweden)

    P. J. Cargill

    2004-04-01

    Full Text Available Data from the four spacecraft Cluster mission during a high altitude cusp crossing on 13 February 2001 are presented. The spacecraft configuration has one leading spacecraft, with the three trailing spacecraft lying in a plane that corresponds roughly to the nominal magnetopause surface. The typical spacecraft separation is approximately 600km. The encounter occurs under conditions of strong and steady southward Interplanetary Magnetic Field (IMF. The cusp is identified as a seven-minute long depression in the magnetic field, associated with ion heating and a high abundance of He+. Cusp entry involves passage through a magnetopause boundary that has undergone very significant distortion from its nominal shape, is moving rapidly, and exhibits structure on scales of the order of the spacecraft separation or less. This boundary is associated with a rotation of the magnetic field, a normal field component, and a plasma flow into the cusp of approximately 35 km/s. However, it cannot be identified positively as a rotational discontinuity. Exit from the cusp into the lobe is through a boundary that is initially sharp, but then retreats tailward at a few km/s. As the leading spacecraft passes through this boundary, there is a plasma flow out of the cusp of approximately 30km/s, suggesting that this is not a tangential discontinuity. A few minutes after exit from the cusp, the three trailing the spacecraft see a single cusp-like signature in the magnetic field. There is an associated temperature increase at two of the three trailing spacecraft. Timing measurements indicate that this is due to cusp-like regions detaching from the rear of the cusp boundary, and moving tailward. The magnetic field in the cusp is highly disordered, with no obvious relation between the four spacecraft, indicative of structure on scales <<600km. However, the plasma moments show only a gradual change over many minutes. A similar cusp crossing on 20 February 2001 also

  7. Infrarenal Aortic Occlusion

    Science.gov (United States)

    Traverso, L. W.; Baker, J. D.; Dainko, E. A.; Machleder, H. I.

    1978-01-01

    Twenty-eight patients with total occlusion of the infrarenal aorta have been seen at the UCLA Hospitals in the past 11 years. Claudication was the presenting complaint in all but one patient, with one-third having ischemic rest pain. The average age of these patients was 54 years, and their histories revealed a surprising absence of myocardial infarction, stroke, or diabetes, although 40% had essential hypertension. Heavy tobacco use, however, was characteristic of the entire group. Arteriography proved valuable in identifying and characterizing the vascular abnormalities, but posed problems in technique and interpretation. Significant distal arterial disease was detected radiographically in only 21% of these patients. Operative correction of the aortic occlusion was performed on 26 patients, 18 by aortic bypass grafts and eight by aorto-iliac endarterectomy, with one early postoperative death. Although the thrombus extended to the renal artery origins in 77% of the cases, a well-designed technical approach did not require renal artery occlusion. Using serial creatinine determinations, one case of renal insufficiency was detected which was associated with prolonged postoperative hypotension. Although the extent of distal disease was more severe in those who underwent bypass, symptoms of claudication returned earlier and were more prominent in the endarterectomy group. This recurrence of systems was not favorably altered by sympathectomy performed concomitantly with the initial procedure. Even though this condition seems to pose difficult technical obstacles and has a poor prognosis, infrarenal aortic occlusion can be successfully treated by aortic bypass, with favorable long-term results, if particular attention is paid to elements of the preoperative evaluation and the intraoperative technical requirements peculiar to this relatively uncommon disease entity. ImagesFig. 1.Fig. 2.Fig. 3. PMID:646479

  8. Micromanaging Abdominal Aortic Aneurysms

    Directory of Open Access Journals (Sweden)

    Lars Maegdefessel

    2013-07-01

    Full Text Available The contribution of abdominal aortic aneurysm (AAA disease to human morbidity and mortality has increased in the aging, industrialized world. In response, extraordinary efforts have been launched to determine the molecular and pathophysiological characteristics of the diseased aorta. This work aims to develop novel diagnostic and therapeutic strategies to limit AAA expansion and, ultimately, rupture. Contributions from multiple research groups have uncovered a complex transcriptional and post-transcriptional regulatory milieu, which is believed to be essential for maintaining aortic vascular homeostasis. Recently, novel small noncoding RNAs, called microRNAs, have been identified as important transcriptional and post-transcriptional inhibitors of gene expression. MicroRNAs are thought to “fine tune” the translational output of their target messenger RNAs (mRNAs by promoting mRNA degradation or inhibiting translation. With the discovery that microRNAs act as powerful regulators in the context of a wide variety of diseases, it is only logical that microRNAs be thoroughly explored as potential therapeutic entities. This current review summarizes interesting findings regarding the intriguing roles and benefits of microRNA expression modulation during AAA initiation and propagation. These studies utilize disease-relevant murine models, as well as human tissue from patients undergoing surgical aortic aneurysm repair. Furthermore, we critically examine future therapeutic strategies with regard to their clinical and translational feasibility.

  9. CUSP CATASTROPHE MODEL OF INSTABILITY OF PILLAR IN ASYMMETRIC MINING

    Institute of Scientific and Technical Information of China (English)

    LI Jiang-teng; CAO Ping

    2005-01-01

    A simplified mechanical model of pillar-hang wall was established in asymmetric mining and instability of the system was discussed by means of potential energy principle and cusp catastrophe theory. The necessary-sufficient condition and the jump value of displacement of pillar and the released energy expressions were derived,which established foundation for quantifying of the instability of system. The results show that instability of the system is related to load and its stiffness distribution. The critical load increases with the increasing relative stiffness, and the system is more stable. On the contrary, the instability of system is likely to occur, and the released energy is larger in instability process, and the harm is more tremendous accordingly.Furthermore, an example was calculated, and the estimated results are in good agreement with the practical experience, which provide basis for mining order and arranging stope.

  10. Hot electron confinement in a microwave heated spindle cusp

    International Nuclear Information System (INIS)

    The Plasma Research Laboratory at the University of Missouri-Columbia was established with awards from the McDonnel Douglas Foundation, ARMCO, Union Electric, Black and Vetch, Kansas City Power and Light, the National Science Foundation, and DOE. The Plasma Research Lab's major effort is the Missouri Magnetic Mirror (MMM or M3) Project. The technical goals of MMM have been (1) Diagnostic Development, (2) Plasma Physics in the Cusp geometry, (3) plasma-wall interactions, (4) impurity effects in a steady-state plasma, and (5) Development of Diagnostics for use in harsh plasma processing environments. The other major goal of MMM has remained providing a facility for hands-on training in experimental plasma physics. The major experimental facility of MMM is the MMM Modified Experiment (M4X). Other research efforts in the Plasma Research Laboratory include small efforts in cold fusion, toroidal magnetic confinement, and inertial confinement and a potentially major effort in direct conversion of nuclear energy

  11. MHD Flow Visualization of Magnetopause and Polar Cusps Vortices

    Science.gov (United States)

    Collado-Vega, Y. M.; Kessel, R. L.; Shao, X.; Boller, R. A.

    2007-01-01

    Detailed analysis of Wind, Geotail, and Cluster data shows how magnetopause boundary and polar cusps vortices associated with high speed streams can be a carrier of energy flux to the Earth's magnetosphere. For our analysis time interval, March 29 . - April 5 2002, the Interplanetary Magnetic Field (IMF) is primarily northward and MHD simulations of vortices along the flanks within nine hours of the time interval suggest that a Kelvin Helmholtz (KH) instability is likely present. Vortices were classified by solar wind input provided by the Wind satellite located 70-80 RE upstream from Earth. We present statistics for a total of 304 vortices found near the ecliptic plane on the magnetopause flanks, 273 with northward IMF and 31 with southward IMF. The vortices generated under northward IMF were more driven into the dawnside than into the duskside, being substantially more ordered on the duskside. Most of the vortices were large in scale, up to 10 RE, and with a rotation axis closely aligned with the Z(sub GSE) direction. They rotated preferentially clockwise on the dawnside, and. counter-clockwise on the duskside. Those generated under southward IMF were less ordered, fewer in number, and also smaller in diameter. Significant vortex activity occurred on the nightside region of the magnetosphere for these southward cases in contrast to the northward IMF cases on which most of the activity was driven onto the magnetopause flanks. Magnetopause crossings seen by the Geotail spacecraft for the time interval were analyzed and compared with the MHD simulation to validate our results. Vortices over the polar cusps are also being analyzed and the simulation results will be compared to the multi-point measurements of the four Cluster satellites.

  12. Sounding rocket observations of particle data in the cusp

    Science.gov (United States)

    Mella, M.; Lynch, K.; Kintner, P.; Lundberg, E.; Lessard, M.

    2008-12-01

    The winter 2008 Scifer-2 sounding rocket campaign studied ionospheric outflow in the cusp region. The rocket was launched on January 18, 2008 at 0730 UT from the Andoya Rocket Range in Norway, reaching an apogee of 1468 km over the Eiscat Svalbard Radar. The Scifer 2 campaign was designed as a joint case study, involving both ground and in situ observations, of the low altitude signatures of ionospheric outflow. In situ observations show a thermal ion population with temperatures around 0.6 - 0.8 eV, while ESR observes the temperature at lower altitudes to be ~0.2 eV. This difference is a result of calculating the average over all in situ look directions, which would artificially raise the temperature. In addition to the thermal ion population, there are several bursts of a hotter population of ions with temperatures ranging between 12 -20 eV, along with concurrent elevated wave activity. These hotter ions appear to have been accelerated to energies of several hundred eV, and show interesting velocity dispersion signatures with repeated bands at increasing energies. These two populations are not observed simultaneously, but rather are localized in different regions bordering one another. Additionally, the pitch angle distributions for each of these populations are different. Similar signatures have been seen by other nightside low altitude sounding rockets where upgoing low energy ions are seen adjacent to and coincident with higher energy ion precipitation. Neither observed ion population has a clear local relationship to the variations in the ambient electron temperature, which is a tracer for soft precipitation. We will continue to explore these populations and their boundaries as a case study of structuring in particle signatures in the cusp.

  13. Aortic Aneurysm Repair

    Medline Plus

    Full Text Available ... is that those of us that do image-guided therapy depend on all these sophisticated ways of ... that we have when we do these image-guided therapies and treatment of stent graft. So I ...

  14. Auroral and magnetic variations in the polar cusp and cleft. Signatures of magnetopause boundary layer dynamics

    International Nuclear Information System (INIS)

    By combining continous ground-based observations of polar cleft/cusp auroras and local magnetic variations with electromagnetic parameters obtained from satellites in polar orbit (low-altitude cleft/cusp) and in the magnetosheath/interplanetary space, different electrodynamic processes in the polar cleft/cusp have been investigated. One of the more controversial questions in this field is related to the observed shifts in latitude of cleft/cusp auroras and the relationships with the interplanetary magnetic field (IMF) orientation, local magnetic disturbances (DP2 and DPY modes) and magnetospheric substorms. A new approach which may contribute to clarifying these complicated relationships, simultaneous groundbased observations of the midday and evening-midnight sectors of the auroral oval, is illustrated. A related topic is the spatial relationship between the cleft/cusp auroras and the ionospheric convection currents. A characteristic feature of the polar cusp and cleft regions during negative IMF Bz is repeated occurrence of certain short-lived auroral structures moving in accordance with the local convection pattern. Satellite measurements of particle precipitation, magnetic field and ion drift components permit detailed investigations of the electrodynamics of these cusp/cleft structures. Information on electric field components, Birkeland currents, Poynting flux, height-integrated Pedersen conductivity and Joule heat dissipation rate has been derived. These observations are discussed in relation to existing models of temporal plasma injections from the magnetosheath

  15. On the origin of the cusp in the transverse momentum distribution for the process of strong field ionization

    CERN Document Server

    Ivanov, I A

    2015-01-01

    We study the origin of the cusp-structure in the transverse or lateral electron momentum distribution (TEMD) for the process of tunelling ionization driven by a linearly polarized laser pulse. We show that appearance of the cusp in the TEMD can be explained as follows. Projection on the set of the Coulomb scattering states leads to appearance of "elementary" cusps which have simple structure as functions of the lateral momentum. This structure is independent of the detailed dynamics of the ionization process and can be described analytically. These "elementary" cusps can be used to describe the cusp-structure in TEMD.

  16. Catastrophe mechanism and classification of discontinuity behavior in thermal science (Ⅱ) -- Cusp catastrophe

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    The catastrophe mechanisms of thermal performance characteristics of the firebox gas combustion system were analyzed from the viewpoint of catastrophe theory. The mathematical models of cusp catastrophe were established. The relationship between the thermal performance characteristics and the changing of system control variables was studied. The cusp catastrophe mechanisms of typical performance characteristics, such as kicking and lagging, and those of transition from quenching to igniting were explained. It was illustrated that discontinuity behavior of thermal systems with an "S" motion feature curve and lagging feature may be equivalently classified according to the topology of cusp catastrophe, influenced by two groups of independent control variables.

  17. Cusp Points in the Parameter Space of Degenerate 3-RPR Planar Parallel Manipulators

    CERN Document Server

    Manubens, Montserrat; Chablat, Damien; Wenger, Philippe; Rouillier, Fabrice

    2012-01-01

    This paper investigates the conditions in the design parameter space for the existence and distribution of the cusp locus for planar parallel manipulators. Cusp points make possible non-singular assembly-mode changing motion, which increases the maximum singularity-free workspace. An accurate algorithm for the determination is proposed amending some imprecisions done by previous existing algorithms. This is combined with methods of Cylindric Algebraic Decomposition, Gr\\"obner bases and Discriminant Varieties in order to partition the parameter space into cells with constant number of cusp points. These algorithms will allow us to classify a family of degenerate 3-RPR manipulators.

  18. Singular Curves in the Joint Space and Cusp Points of 3-RPR parallel manipulators

    CERN Document Server

    Zein, Mazen; Chablat, Damien

    2007-01-01

    This paper investigates the singular curves in the joint space of a family of planar parallel manipulators. It focuses on special points, referred to as cusp points, which may appear on these curves. Cusp points play an important role in the kinematic behavior of parallel manipulators since they make possible a nonsingular change of assembly mode. The purpose of this study is twofold. First, it exposes a method to compute joint space singular curves of 3-RPR planar parallel manipulators. Second, it presents an algorithm for detecting and computing all cusp points in the joint space of these same manipulators.

  19. Numerical Prediction of cusps or kinks in the Nambu-Goto dynamics

    CERN Document Server

    Cervantes, Aldrin

    2014-01-01

    It is known that Nambu-Goto world-sheet present some pathological structures, such as cusps and kinks, during its evolution. We propose a method through the Raychaudhuri equation for membranes to determine if there are cusps and kinks in the world-sheet. We generalize the Raychaudhuri equation for non-extremal membranes and use it as a tool for determining when a string in the Nambu-Goto action will form cusps or kinks in its evolution. Furthermore, we present two examples where we test graphically this method.

  20. Balloon aortic valvuloplasty as a bridge to aortic valve surgery for severe aortic stenosis.

    Science.gov (United States)

    Nwaejike, Nnamdi; Mills, Keith; Stables, Rod; Field, Mark

    2015-03-01

    A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was, in patients with severe aortic stenosis, can balloon valvuloplasty be used as a bridge to aortic valve replacement? Altogether 463 papers were found using the reported search, of which 11 papers represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. We conclude that balloon aortic valvuloplasty is recommended as a bridge to aortic valve replacement (AVR) or transcatheter aortic valve implantation (TAVI) in patients with severe symptomatic aortic stenosis. Institutional practices, local and logistic factors can affect patient selection and management approaches to severe aortic stenosis, but having the facility to offer balloon aortic valvuloplasty (especially in the TAVI era) provides another management option for patients who would otherwise have been considered unacceptably high risk for aortic valve surgery. The increased incidence of balloon aortic valvuloplasty mirrors the increase in the use of TAVI with a sharp increase in activity from 2006. Success rates for bridging from balloon aortic valvuloplasty to definite surgical intervention are in the range 26.3-74%, with AVR or TAVI occurring within 8 weeks to 7 months. Complications from balloon aortic valvuloplasty such as aortic regurgitation (AR) can be managed successfully. Up to 40% of patients selected by balloon aortic valvuloplasty to have TAVI or AVR do not have these procedures within 2 years. While most of these patients are excluded for objective clinical reasons such as terminal disease/malignancy or other persistent contraindication, some patients refuse definitive treatment and others die while on the waiting list. Outcomes in patients bridged to AVR/TAVI are better than in patients treated with balloon aortic valvuloplasty

  1. Minimally invasive aortic valve replacement

    DEFF Research Database (Denmark)

    Foghsgaard, Signe; Schmidt, Thomas Andersen; Kjaergard, Henrik K

    2009-01-01

    In this descriptive prospective study, we evaluate the outcomes of surgery in 98 patients who were scheduled to undergo minimally invasive aortic valve replacement. These patients were compared with a group of 50 patients who underwent scheduled aortic valve replacement through a full sternotomy...... operations were completed as mini-sternotomies, 4 died later of noncardiac causes. The aortic cross-clamp and perfusion times were significantly different across all groups (P valve replacement...... is an excellent operation in selected patients, but its true advantages over conventional aortic valve replacement (other than a smaller scar) await evaluation by means of randomized clinical trial. The "extended mini-aortic valve replacement" operation, on the other hand, is a risky procedure that should...

  2. Valve-sparing aortic root replacement and aortic valve repair in a patient with acromegaly and aortic root dilatation

    Directory of Open Access Journals (Sweden)

    Karel Van Praet

    2015-07-01

    Full Text Available Aortic regurgitation and dilatation of the aortic root and ascending aorta are severe complications of acromegaly. The current trend for management of an aortic root aneurysm is valve-sparing root replacement as well as restoring the diameter of the aortic sinotubular junction (STJ and annulus. Our case report supports the recommendation that in patients with acromegaly, severe aortic root involvement may indicate the need for surgery.

  3. Abdominal aortic aneurysm surgery

    DEFF Research Database (Denmark)

    Gefke, K; Schroeder, T V; Thisted, B;

    1994-01-01

    The goal of this study was to identify patients who need longer care in the ICU (more than 48 hours) following abdominal aortic aneurysm (AAA) surgery and to evaluate the influence of perioperative complications on short- and long-term survival and quality of life. AAA surgery was performed in 553......, 78% stated that their quality of life had improved or was unchanged after surgery and had resumed working. These data justify a therapeutically aggressive approach, including ICU therapy following AAA surgery, despite failure of one or more organ systems....

  4. Unoperated aortic aneurysm

    DEFF Research Database (Denmark)

    Perko, M J; Nørgaard, M; Herzog, T M;

    1995-01-01

    . No significant differences in survival for patients with dissecting and nondissecting AA were detected. In all, 132 patients (78%) died and 78 (59%) of them died of rupture. Mean time to rupture was 1,300 +/- 8 days. Cumulative 5-year hazard of rupture for the dissecting AA was twice that of the nondissecting (p......From 1984 to 1993, 1,053 patients were admitted with aortic aneurysm (AA) and 170 (15%) were not operated on. The most frequent reason for nonoperative management was presumed technical inoperability. Survivals for patients with thoracic, thoracoabdominal, and abdominal AA were comparable...

  5. On the determination of cusp points of 3-R\\underline{P}R parallel manipulators

    CERN Document Server

    Moroz, Guillaume Inria; Chablat, Damien; Wenger, Philippe; 10.1016/j.mechmachtheory.2010.06.016

    2010-01-01

    This paper investigates the cuspidal configurations of 3-RPR parallel manipulators that may appear on their singular surfaces in the joint space. Cusp points play an important role in the kinematic behavior of parallel manipulators since they make possible a non-singular change of assembly mode. In previous works, the cusp points were calculated in sections of the joint space by solving a 24th-degree polynomial without any proof that this polynomial was the only one that gives all solutions. The purpose of this study is to propose a rigorous methodology to determine the cusp points of 3-R\\underline{P}R manipulators and to certify that all cusp points are found. This methodology uses the notion of discriminant varieties and resorts to Gr\\"obner bases for the solutions of systems of equations.

  6. Aortic biomechanics in hypertrophic cardiomyopathy

    Science.gov (United States)

    Badran, Hala Mahfouz; Soltan, Ghada; Faheem, Nagla; Elnoamany, Mohamed Fahmy; Tawfik, Mohamed; Yacoub, Magdi

    2015-01-01

    Background: Ventricular-vascular coupling is an important phenomenon in many cardiovascular diseases. The association between aortic mechanical dysfunction and left ventricular (LV) dysfunction is well characterized in many disease entities, but no data are available on how these changes are related in hypertrophic cardiomyopathy (HCM). Aim of the work: This study examined whether HCM alone is associated with an impaired aortic mechanical function in patients without cardiovascular risk factors and the relation of these changes, if any, to LV deformation and cardiac phenotype. Methods: 141 patients with HCM were recruited and compared to 66 age- and sex-matched healthy subjects as control group. Pulse pressure, aortic strain, stiffness and distensibility were calculated from the aortic diameters measured by M-mode echocardiography and blood pressure obtained by sphygmomanometer. Aortic wall systolic and diastolic velocities were measured using pulsed wave Doppler tissue imaging (DTI). Cardiac assessment included geometric parameters and myocardial deformation (strain and strain rate) and mechanical dyssynchrony. Results: The pulsatile change in the aortic diameter, distensibility and aortic wall systolic velocity (AWS') were significantly decreased and aortic stiffness index was increased in HCM compared to control (P < .001) In HCM AWS' was inversely correlated to age(r = − .32, P < .0001), MWT (r = − .22, P < .008), LVMI (r = − .20, P < .02), E/Ea (r = − .16, P < .03) LVOT gradient (r = − 19, P < .02) and severity of mitral regurg (r = − .18, P < .03) but not to the concealed LV deformation abnormalities or mechanical dyssynchrony. On multivariate analysis, the key determinant of aortic stiffness was LV mass index and LVOT obstruction while the role LV dysfunction in aortic stiffness is not evident in this population. Conclusion: HCM is associated with abnormal aortic mechanical properties. The severity of cardiac

  7. Abdominal aortic grafting for spontaneous infrarenal abdominal aortic dissection.

    Science.gov (United States)

    Iwasaki, Hiroto; Shibuya, Takashi; Shintani, Takashi; Uenaka, Hisazumi; Suehiro, Shigefumi; Satoh, Hisashi

    2010-02-01

    This case report concerns a 62-year-old woman with spontaneous infrarenal abdominal aortic dissection, which developed into claudication and rest pain in the lower extremity. Multi-row detector computed tomography showed the entry site of the abdominal aortic dissection at the second lumbar artery, while the reentry site was found intraoperatively at the median sacral artery, indicating that the false lumen had progressed and compressed the true lumen. A direct approach involving grafting appears to be an effective procedure for resolving mesenteric and lower extremity hypoperfusion due to aortic dissection with a dilated false channel, even during the acute period. PMID:19879731

  8. Shallowed cusp slope of dark matter in disc galaxy formation through clump clusters

    OpenAIRE

    Inoue, Shigeki; Saitoh, Takayuki R.

    2011-01-01

    Cusp-core problem is a controversial problem on galactic dark matter haloes. Cosmological N-body simulations has demonstrated that galactic dark matter haloes have a cuspy density profile at the centre. However, baryonic physics may affect the dark matter density profile. For example, it was suggested that adiabatic contraction of baryonic gas makes the dark matter cusp steeper. However, it is still an open question if the gas falls into the galactic centre in smooth adiabatic manner. Recent ...

  9. Cusp observation at Saturn's high-latitude magnetosphere by the Cassini spacecraft

    OpenAIRE

    Jasinski, J. M.; Arridge, C.S.; Lamy, L; J. S. Leisner; M. F. Thomsen; Mitchell, Donald G; Coates, A. J.; Radioti, A.; Jones, Geraint H.; Roussos, E; Krupp, N.; Grodent, D.; Dougherty, M. K.; Waite, J. H.

    2014-01-01

    We report on the first analysis of magnetospheric cusp observations at Saturn by multiple in situ instruments onboard the Cassini spacecraft. Using this we infer the process of reconnection was occurring at Saturn's magnetopause. This agrees with remote observations that showed the associated auroral signatures of reconnection. Cassini crossed the northern cusp around noon local time along a poleward trajectory. The spacecraft observed ion energy-latitude dispersionsa characteristic signature...

  10. Quasistatic electric field structures and field-aligned currents in the polar cusp region

    Science.gov (United States)

    Jacobsen, K. S.; Moen, J. I.; Pedersen, A.

    2010-10-01

    Cluster data have been examined for quasi-stationary electric field structures and field-aligned currents (FACs) in the vicinity of the dayside cusp region. We have related the measurements to the Region 1/Region 2 (R1/R2) current system and the cusp current system. It has been theoretically proposed that the dayside R1 current may be located on open field lines, and experimental evidence has been shown for R1 currents partially on open field lines. We document that R1 currents may flow entirely on open field lines. The electric field structures are found to occur at plasma density gradients in the cusp. They are associated with strong FACs with current directions that are consistent with the cusp currents. This indicates that the electric field structures are closely coupled to the cusp current system. The electric equipotential structures linking the perpendicular electric fields seen at Cluster altitudes to field-aligned electric fields at lower altitudes fall into one of two categories: S shape or U shape. Both types are found at both the equatorward edge of the cusp ion dispersion and at the equatorward edge of injection events within the cusp. Previous studies in the nightside auroral region attributed the S-shaped potential structures to the boundary transition between the low-density polar cap and the high-density plasma sheet, concluding that the shape of the electric potential structure depends on whether the plasma populations on each side of the structure can support intense currents. This explanation is not applicable for the S-shaped structures observed in the dayside cusp region.

  11. Reinforced aortic root reconstruction for acute type A aortic dissection involving the aortic root

    Directory of Open Access Journals (Sweden)

    Han Qing-qi

    2013-06-01

    Full Text Available OBJECTIVE: There are debates regarding the optimal approach for AAAD involving the aortic root. We described a modified reinforced aortic root reconstruction approach for treating AAAD involving the aortic root. METHODS: A total of 161 patients with AAAD involving the aortic root were treated by our modified reinforced aortic root reconstruction approach from January 1998 to December 2008. Key features of our modified approach were placement of an autologous pericardial patch in the false lumen, lining of the sinotubular junction lumen with a polyester vascular ring, and wrapping of the vessel with Teflon strips. Outcome measures included post-operative mortality, survival, complications, and level of aortic regurgitation. RESULTS: A total of 161 patients were included in the study (mean age: 43.3 1 15.5 years. The mean duration of follow-up was 5.1 1 2.96 years (2-12 years. A total of 10 (6.2% and 11 (6.8% patients died during hospitalization and during follow-up, respectively. Thirty-one (19.3% patients experienced postoperative complications. The 1-, 3-, 5-, and 10-year survival rates were 99.3%, 98%, 93.8%, and 75.5%, respectively. There were no instances of recurrent aortic dissection, aortic aneurysm, or pseudoaneurysm during the entire study period. The severity of aortic regurgitation dramatically decreased immediately after surgery (from 28.6% to 0% grade 3-4 and thereafter slightly increased (from 0% to 7.2% at 5 years and 9.1% at 10 years. CONCLUSION: This modified reinforced aortic root reconstruction was feasible, safe and durable/effective, as indicated by its low mortality, low postoperative complications and high survival rate.

  12. The three-loop cusp anomalous dimension in QCD and its supersymmetric extensions

    Science.gov (United States)

    Grozin, Andrey G.; Henn, Johannes M.; Korchemsky, Gregory P.; Marquard, Peter

    2016-01-01

    We present the details of the analytic calculation of the three-loop angle-dependent cusp anomalous dimension in QCD and its supersymmetric extensions, including the maximally supersymmetric N=4 super Yang-Mills theory. The three-loop result in the latter theory is new and confirms a conjecture made in our previous paper. We study various physical limits of the cusp anomalous dimension and discuss its relation to the quark-antiquark potential including the effects of broken conformal symmetry in QCD. We find that the cusp anomalous dimension viewed as a function of the cusp angle and the new effective coupling given by light-like cusp anomalous dimension reveals a remarkable universality property — it takes the same form in QCD and its supersymmetric extensions, to three loops at least. We exploit this universality property and make use of the known result for the three-loop quark-antiquark potential to predict the special class of nonplanar corrections to the cusp anomalous dimensions at four loops. Finally, we also discuss in detail the computation of all necessary Wilson line integrals up to three loops using the method of leading singularities and differential equations.

  13. Design of a cusped field thruster for drag-free flight

    Science.gov (United States)

    Liu, H.; Chen, P. B.; Sun, Q. Q.; Hu, P.; Meng, Y. C.; Mao, W.; Yu, D. R.

    2016-09-01

    Drag-free flight has played a more and more important role in many space missions. The thrust control system is the key unit to achieve drag-free flight by providing a precise compensation for the disturbing force except gravity. The cusped field thruster has shown a significant potential to be capable of the function due to its long life, high efficiency, and simplicity. This paper demonstrates a cusped field thruster's feasibility in drag-free flight based on its instinctive characteristics and describes a detailed design of a cusped field thruster made by Harbin Institute of Technology (HIT). Furthermore, the performance test is conducted, which shows that the cusped field thruster can achieve a continuously variable thrust from 1 to 20 mN with a low noise and high resolution below 650 W, and the specific impulse can achieve 1800 s under a thrust of 18 mN and discharge voltage of 1000 V. The thruster's overall performance indicates that the cusped field thruster is quite capable of achieving drag-free flight. With the further optimization, the cusped field thruster will exhibit a more extensive application value.

  14. The three-loop cusp anomalous dimension in QCD and its supersymmetric extensions

    International Nuclear Information System (INIS)

    We present the details of the analytic calculation of the three-loop angledependent cusp anomalous dimension in QCD and its supersymmetric extensions, including the maximally supersymmetric N=4 super Yang-Mills theory. The three-loop result in the latter theory is new and confirms a conjecture made in our previous paper. We study various physical limits of the cusp anomalous dimension and discuss its relation to the quark-antiquark potential including the effects of broken conformal symmetry in QCD. We find that the cusp anomalous dimension viewed as a function of the cusp angle and the new effective coupling given by light-like cusp anomalous dimension reveals a remarkable universality property - it takes the same form in QCD and its supersymmetric extensions, to three loops at least. We exploit this universality property and make use of the known result for the three-loop quark-antiquark potential to predict the special class of nonplanar corrections to the cusp anomalous dimensions at four loops. Finally, we also discuss in detail the computation of all necessary Wilson line integrals up to three loops using the method of leading singularities and differential equations.

  15. Fracture resistance of weakened teeth restored with condensable resin with and without cusp coverage

    Directory of Open Access Journals (Sweden)

    Rafael Francisco Lia Mondelli

    2009-06-01

    Full Text Available OBJECTIVES: This in vitro study evaluated the fracture resistance of weakened human premolars (MOD cavity preparation and pulp chamber roof removal restored with condensable resin composite with and without cusp coverage. MATERIAL AND METHODS: Thirty human maxillary premolars were divided into three groups: Group A (control, sound teeth; Group B, wide MOD cavities prepared and the pulp chamber roof removed and restored with resin composite without cusp coverage; Group C, same as Group B with 2.0 mm of buccal and palatal cusps reduced and restored with the same resin. The teeth were included in metal rings with self-curing acrylic resin, stored in water for 24 h and thereafter subjected to a compressive axial load in a universal testing machine at 0.5 mm/min. RESULTS: The mean fracture resistance values ± standart deviation (kgf were: group A: 151.40 ± 55.32, group B: 60.54 ± 12.61, group C: 141.90 ± 30.82. Statistically significant differences were found only between Group B and the other groups (p<0.05. The condensable resin restoration of weakened human premolars with cusp coverage significantly increased the fracture resistance of the teeth as compared to teeth restored without cusp coverage. CONCLUSION: The results showed that cusp coverage with condensable resin might be a safe option for restoring weakened endodontically treated teeth.

  16. The three-loop cusp anomalous dimension in QCD and its supersymmetric extensions

    Energy Technology Data Exchange (ETDEWEB)

    Grozin, Andrey G. [SB RAS, Novosibirsk (Russian Federation). Budker Intitute for Nuclear Physics; Novosibirsk State Univ. (Russian Federation); Henn, Johannes M. [Mainz Univ. (Germany). PRISMA Cluster of Excellence; Korchemsky, Gregory P. [CEA Saclay, Gif-sur-Yvette (France). Inst. de Physique Theorique; Marquard, Peter [DESY Zeuthen (Germany)

    2015-11-15

    We present the details of the analytic calculation of the three-loop angledependent cusp anomalous dimension in QCD and its supersymmetric extensions, including the maximally supersymmetric N=4 super Yang-Mills theory. The three-loop result in the latter theory is new and confirms a conjecture made in our previous paper. We study various physical limits of the cusp anomalous dimension and discuss its relation to the quark-antiquark potential including the effects of broken conformal symmetry in QCD. We find that the cusp anomalous dimension viewed as a function of the cusp angle and the new effective coupling given by light-like cusp anomalous dimension reveals a remarkable universality property - it takes the same form in QCD and its supersymmetric extensions, to three loops at least. We exploit this universality property and make use of the known result for the three-loop quark-antiquark potential to predict the special class of nonplanar corrections to the cusp anomalous dimensions at four loops. Finally, we also discuss in detail the computation of all necessary Wilson line integrals up to three loops using the method of leading singularities and differential equations.

  17. Thrombelastography Guides Transfusion Strategy

    OpenAIRE

    Bay Nielsen, Henning

    2009-01-01

    During surgery for an abdominal aortic aneurysm, coagulation may be impaired and the use of thrombelastography (TEG) is described in six patients with a perioperative blood loss of 3L. During surgery blood products were infused but not platelets. When the patients were admitted to the intensive care unit, the TEG report demonstrated a lowered MA value indicating impaired function of platelets. The use of TEG may guide transfusion strategy.

  18. Transfer of Siegel cusp forms of degree 2

    CERN Document Server

    Pitale, Ameya; Schmidt, Ralf

    2011-01-01

    Using Furusawa's integral representation for $\\GSp_4\\times\\GL_2$ combined with a pullback formula involving a unitary group $\\GU(3,3)$, we prove that the $L$-functions $L(s,\\pi\\times\\tau)$ are "nice", where $\\pi$ is the automorphic representation of $\\GSp_4(\\A)$ generated by a full level cuspidal Siegel eigenform that is not a Saito-Kurokawa lift, and $\\tau$ is an arbitrary cuspidal, automorphic representation of $\\GL_2(\\A)$. The converse theorem of Cogdell and Piatetski-Shapiro then implies that such representations $\\pi$ have a functorial lifting to a cuspidal representation of $\\GL_4(\\A)$. Combined with the exterior-square lifting of Kim, this also leads to a functorial lifting of $\\pi$ to a cuspidal representation of $\\GL_5(\\A)$. As an application, we obtain analytic properties of various $L$-functions related to full level Siegel cusp forms. We also obtain special value results for $\\GSp_4\\times\\GL_1$ and $\\GSp_4\\times\\GL_2$.

  19. Reliability and Identification of Aortic Valve Prolapse in the Horse

    Directory of Open Access Journals (Sweden)

    Hallowell Gayle D

    2013-01-01

    Full Text Available Abstract Background The objectives were to determine and assess the reliability of criteria for identification of aortic valve prolapse (AVP using echocardiography in the horse. Results Opinion of equine cardiologists indicated that a long-axis view of the aortic valve (AoV was most commonly used for identification of AVP (46%; n=13. There was consensus that AVP could be mimicked by ultrasound probe malignment. This was confirmed in 7 healthy horses, where the appearance of AVP could be induced by malalignment. In a study of a further 8 healthy horses (5 with AVP examined daily for 5 days, by two echocardiographers standardized imaging guidelines gave good to excellent agreement for the assessment of AVP (kappa>0.80 and good agreement between days and observers (kappa >0.6. The technique allowed for assessment of the degree of prolapse and measurement of the prolapse distance that provided excellent agreement between echocardiographers, days and observers (kappa/ICC>0.8. Assessments made using real-time zoomed images provided similar measurements to the standard views (ICC=0.9, with agreement for the identification of AVP (kappa>0.8. Short axis views of the AoV were used for identification of AVP by fewer respondents (23%, however provided less agreement for the identification of AVP (kappa>0.6 and only adequate agreement with observations made in long axis (kappa>0.5, with AVP being identified more often in short axis (92% compared to long axis (76%. Orthogonal views were used by 31% of respondents to identify the presence of AVP, and 85% to identify cusp. Its identification on both views on 4 days was used to categorise horses as having AVP, providing a positive predictive value of 79% and negative predictive value of 18%. Only the non-coronary cusp (NCC of the AoV was observed to prolapse in these studies. Prolapse of the NCC was confirmed during the optimisation study using four-dimensional echocardiography, which concurred with the findings

  20. Evolution of M1 crown size and cusp proportions in the genus Homo.

    Science.gov (United States)

    Quam, Rolf; Bailey, Shara; Wood, Bernard

    2009-05-01

    Previous research into tooth crown dimensions and cusp proportions has proved to be a useful way to identify taxonomic differences in Pliocene and Pleistocene fossil hominins. The present study has identified changes in both M(1) crown size and cusp proportions within the genus Homo, with M(1) overall crown size reduction apparently occurring in two main stages. The first stage (a reduction of ca. 17%) is associated with the emergence of Homo ergaster and Homo erectus sensu stricto. The second stage (a reduction of ca. 10%) occurs in Homo sapiens, but the reduced modern human M(1) tooth crown size was only attained in Upper Paleolithic times. The absolute sizes of the individual cusps are highly positively correlated with overall crown size and dental reduction produces a reduction in the absolute size of each of the cusps. Most of the individual cusps scale isometrically with crown size, but the paracone shows a negative allometric relationship, indicating that the reduction in paracone size is less than in the other M(1) cusps. Thus, the phylogenetically oldest cusp in the upper molars also seems to be the most stable cusp (at least in the M(1)). The most striking change in M(1) cusp proportions is a change in the relative size of the areas of the paracone and metacone. The combination of a small relative paracone and a large relative metacone generally characterizes specimens attributed to early Homo, and the presence of this character state in Australopithecus and Paranthropus suggests it may represent the primitive condition for the later part of the hominin clade. In contrast, nearly all later Homo taxa, with the exception of Homo antecessor, show the opposite condition (i.e. a relatively large paracone and a relatively small metacone). This change in the relationship between the relative sizes of the paracone and metacone is related to an isometric reduction of the absolute size of the metacone. This metacone reduction occurs in the context of relative

  1. Minimally Invasive Aortic Valve Replacement

    Medline Plus

    Full Text Available ... see we've used the cautery to achieve access to the sternum. On the left hand side ... wound, which allows us to get more ready access to the aorta and the aortic valve. The ...

  2. Transcatheter Aortic Heart Valve Thrombosis

    DEFF Research Database (Denmark)

    Hansson, Nicolaj C; Grove, Erik L; Andersen, Henning R;

    2016-01-01

    BACKGROUND: There is increasing focus on transcatheter heart valve (THV) thrombosis. However, there are limited data on incidence, clinical implications and predisposing factors of THV thrombosis following transcatheter aortic valve replacement (TAVR). OBJECTIVES: We assessed the incidence...

  3. Minimally Invasive Aortic Valve Replacement

    Medline Plus

    Full Text Available ... No medications as such have been proven to slow that disease path life. Again, it's a progressive ... no medical therapy that has been proven to slow or reverse the process of aortic stenosis. Clearly, ...

  4. [ENDOVASCULAR ABDOMINAL AORTIC ANEURISM REPAIR].

    Science.gov (United States)

    Maĭstrenko, D N; Generalov, M I; Tarazov, P G; Zherebtsov, F K; Osovskikh, V V; Ivanov, A S; Oleshchuk, A N; Granov, D A

    2015-01-01

    The authors analyzed the single-center experience of treatment of 72 patients with abdominal aortic aneurisms and severe accompanied pathology. The aneurisms were repaired by stent-grafts. All the patients had abdominal aortic aneurisms with the diameters from 41 to 84 mm against the background of severe somatic pathology. It was a contraindication to planned open surgery. An installation of stent-graft was successful in all 72 follow-ups. It wasn't necessary to use a conversion to open surgery. The follow-up period consisted of 44,6?2,1 months. Control ultrasound and computer tomography studies hadn't revealed an increase of aneurism sack sizes or "eakages". A reduction of abdominal aortic aneurism sizes was noted in 37 patients on 4-5% during first year after operation. The stent-graft implantation extends the possibilities of abdominal aortic aneurism treatment for patients from a high surgical risk group. PMID:26234059

  5. Minimally Invasive Aortic Valve Replacement

    Medline Plus

    Full Text Available ... to minimize their symptoms, but that doesn't impact the course of the disease itself. When I' ... more likely we see aortic stenosis. Again, patient education is part of the evaluation and management of ...

  6. Minimally Invasive Aortic Valve Replacement

    Medline Plus

    Full Text Available ... for patients who would not tolerate well a traditional open operation or a less invasive operation, as ... physical reserve. So Barbara Bush recently had a traditional aortic valve replacement surgery. What makes a patient ...

  7. Adult thoracic and abdominal aortic

    Directory of Open Access Journals (Sweden)

    Randa O. Kaddah

    2016-06-01

    Conclusion: Aortic COA could be found in any segment of the aorta. Proper identification of the anatomical details and pressure gradient studies are important factors affecting the plan of management.

  8. Minimally Invasive Aortic Valve Replacement

    Medline Plus

    Full Text Available ... symptoms and ultimately surgery may be in the future. The symptoms seen primarily with aortic stenosis at ... echocardiography is? Echocardiography is the use of ultrasound technology. Ultrasound technology is a form of the same ...

  9. CONGENITAL QUADRICUSPID AORTIC-VALVE

    NARCIS (Netherlands)

    BROUWER, MHJ; DEGRAAF, JJ; EBELS, T

    1993-01-01

    Two patients with a quadricuspid aortic valve are described, one of them with concomitant juxtaposed coronary orifices facing the right hand facing sinus. The etiology and incidence of this congenital anomaly will be discussed.

  10. Minimally Invasive Aortic Valve Replacement

    Medline Plus

    Full Text Available ... somebody for this operation. Again, there's no medical therapy that has been proven to slow or reverse ... to their physician. This may lead to earlier treatment and better outcomes as well. Aortic stenosis, as ...

  11. Examination of ceramic restoration adhesive coverage in cusp-replacement premolar using acoustic emission under fatigue testing

    OpenAIRE

    Chang, Yen-Hsiang; Yu, Jin-Jie; Lin, Chun-Li

    2014-01-01

    Background This study investigates CAD/CAM ceramic cusp-replacing restoration resistance with and without buccal cusp replacement under static and dynamic cyclic loads, monitored using the acoustic emission (AE) technique. Method The cavity was designed in a typical MODP (mesial-occlusal-distal-palatal) restoration failure shape when the palatal cusp has been lost. Two ceramic restorations [without coverage (WOC) and with (WC) buccal cuspal coverage with 2.0 mm reduction in cuspal height] wer...

  12. Model of tooth morphogenesis predicts carabelli cusp expression, size, and symmetry in humans.

    Directory of Open Access Journals (Sweden)

    John P Hunter

    Full Text Available BACKGROUND: The patterning cascade model of tooth morphogenesis accounts for shape development through the interaction of a small number of genes. In the model, gene expression both directs development and is controlled by the shape of developing teeth. Enamel knots (zones of nonproliferating epithelium mark the future sites of cusps. In order to form, a new enamel knot must escape the inhibitory fields surrounding other enamel knots before crown components become spatially fixed as morphogenesis ceases. Because cusp location on a fully formed tooth reflects enamel knot placement and tooth size is limited by the cessation of morphogenesis, the model predicts that cusp expression varies with intercusp spacing relative to tooth size. Although previous studies in humans have supported the model's implications, here we directly test the model's predictions for the expression, size, and symmetry of Carabelli cusp, a variation present in many human populations. METHODOLOGY/PRINCIPAL FINDINGS: In a dental cast sample of upper first molars (M1s (187 rights, 189 lefts, and 185 antimeric pairs, we measured tooth area and intercusp distances with a Hirox digital microscope. We assessed Carabelli expression quantitatively as an area in a subsample and qualitatively using two typological schemes in the full sample. As predicted, low relative intercusp distance is associated with Carabelli expression in both right and left samples using either qualitative or quantitative measures. Furthermore, asymmetry in Carabelli area is associated with asymmetry in relative intercusp spacing. CONCLUSIONS/SIGNIFICANCE: These findings support the model's predictions for Carabelli cusp expression both across and within individuals. By comparing right-left pairs of the same individual, our data show that small variations in developmental timing or spacing of enamel knots can influence cusp pattern independently of genotype. Our findings suggest that during evolution new cusps

  13. ESR and EISCAT observations of the response of the cusp and cleft to IMF orientation changes

    Directory of Open Access Journals (Sweden)

    I. W. McCrea

    Full Text Available We report observations of the cusp/cleft ionosphere made on December 16th 1998 by the EISCAT (European incoherent scatter VHF radar at Tromsø and the EISCAT Svalbard radar (ESR. We compare them with observations of the dayside auroral luminosity, as seen by meridian scanning photometers at Ny Ålesund and of HF radar backscatter, as observed by the CUTLASS radar. We study the response to an interval of about one hour when the interplanetary magnetic field (IMF, monitored by the WIND and ACE spacecraft, was southward. The cusp/cleft aurora is shown to correspond to a spatially extended region of elevated electron temperatures in the VHF radar data. Initial conditions were characterised by a northward-directed IMF and cusp/cleft aurora poleward of the ESR. A strong southward turning then occurred, causing an equatorward motion of the cusp/cleft aurora. Within the equatorward expanding, southward-IMF cusp/cleft, the ESR observed structured and elevated plasma densities and ion and electron temperatures. Cleft ion fountain upflows were seen in association with elevated ion temperatures and rapid eastward convection, consistent with the magnetic curvature force on newly opened field lines for the observed negative IMF By. Subsequently, the ESR beam remained immediately poleward of the main cusp/cleft and a sequence of poleward-moving auroral transients passed over it. After the last of these, the ESR was in the polar cap and the radar observations were characterised by extremely low ionospheric densities and downward field-aligned flows. The IMF then turned northward again and the auroral oval contracted such that the ESR moved back into the cusp/cleft region. For the poleward-retreating, northward-IMF cusp/cleft, the convection flows were slower, upflows were weaker and the electron density and temperature enhancements were less structured. Following the northward turning, the bands of high electron temperature and cusp

  14. Cluster observations of the mid-altitude cusp under strong northward Interplanetary Magnetic Field

    CERN Document Server

    Hu, Renyu; Owen, Christopher J; Foullon, Claire; Fazakerley, Andrew N; Reme, Henri

    2008-01-01

    We report on a Cluster multi-spacecraft cusp observation lasting more than 100 minutes. We determine the cusp boundary motion and reveal the effect on the cusp size of the interplanetary magnetic field (IMF) changing from southward to northward. The cusp shrinks at the beginning of the IMF rotation and it re-expands at the rate of 0.50$^{o}$ ILAT per hour under stable northward IMF. Based on plasma signatures inside the cusp, such as counter-streaming electrons with balanced fluxes and quasi-periodic enhancement of ion fluxes with energy E$>$5keV, we propose that pulsed dual lobe reconnection operates during the time of interest. SC1 and SC4 observations suggest a long-term regular periodicity of the pulsed dual reconnection, which we estimate to be $\\sim$ 1-5 minutes. Further, the distances from the spacecraft to the reconnection site are estimated based on observations from three satellites. The distance determined using SC1 and SC4 observations is $\\sim$ 15 RE, and that determined from SC3 data is $\\sim$ 8...

  15. On the cusp anomalous dimension in the ladder limit of $\\mathcal N=4$ SYM

    CERN Document Server

    Beccaria, Matteo; Macorini, Guido

    2016-01-01

    We analyze the cusp anomalous dimension in the (leading) ladder limit of $\\mathcal N=4$ SYM and present new results for its higher-order perturbative expansion. We study two different limits with respect to the cusp angle $\\phi$. The first is the light-like regime where $x = e^{i\\,\\phi}\\to 0$. This limit is characterised by a non-trivial expansion of the cusp anomaly as a sum of powers of $\\log x$, where the maximum exponent increases with the loop order. The coefficients of this expansion have remarkable transcendentality features and can be expressed by products of single zeta values. We show that the whole logarithmic expansion is fully captured by a solvable Woods-Saxon like one-dimensional potential. From the exact solution, we extract generating functions for the cusp anomaly as well as for the various specific transcendental structures appearing therein. The second limit that we discuss is the regime of small cusp angle. In this somewhat simpler case, we show how to organise the quantum mechanical pert...

  16. Electron beam characteristics in the hollow beam diode and cusped magnetic field of the Maryland ERA

    International Nuclear Information System (INIS)

    The University of Maryland electron ring accelerator (ERA) concept calls for the formation of an electron ring current by transmission of a hollow relativistic electron beam through a static, azimuthally symmetric, cusped magnetic field. Electron motion is approximately paraxial in the diode and pre-cusp drift region and is axis-encircling in the post-cusp region. Experiments show the electron flow in the diode to be approximately pressureless. The radial thickness of the drifting Brillouin hollow beam is derived from a radial force balance equation. Time-resolved measurements of the beam current and energy are made by measuring the extrapolated range of the beam in aluminum targets. These measurements are analyzed with a model of the diode as a terminating impedance driven by a transmission line. Beam motion in the cusped field region is analyzed. Beam dynamics in the post-cusp region are studied by examining the interaction of a hollow rotating beam with its self-induced potentials in a cylindrical box with conducting walls and ends. The energy of the self-induced electric and magnetic potentials is much less than the kinetic energy of the beam electrons for cases approximating experimental conditions

  17. THE NONLINEAR CUSP-CATASTROPHE MODEL OF THE SEDIMENT TRANSPORT RATE

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    In the catastrophe theory of nonlinear science,the intensity of water-flow and the coefficient of non-uniformsediment m are regarded as two bound variables, and the in-tensity of bed-load transport Φ as the state variable in the mo-tion of non-uniform sediment in cusp-catastrophe model.Based on the standard equation of the cusp-catastrophe theo-ry, the relation equation between the intensity of bed-loadtransport Φ and the intensity of water-flow has been derivedby used coordinate transform and topology transform. The e-quation of bed load transport rate was built on the cusp-catas-trophe theory of nonlinear science. The others are applied toverify this equation, that the results calculated by the cusp-ca-tastrophe equation agree well with the other equations. Thisindicates that the cusp-catastrophe equation is reasonable, and the results fully reflect the characteristics of threshold motionand transport of non-uniform sediment. The purpose of thispaper is to explore the incipient motion and transport laws ofnon-uniform sediment from the viewpoint of nonlinear science.

  18. Acute aortic valve prolapse in Marfan's syndrome.

    OpenAIRE

    Carr, N J; Cullen, S. A.

    1991-01-01

    A 22 year old man with Marfan's syndrome died suddenly following acute aortic valve prolapse. Although aortic root involvement in Marfan's syndrome is common, we have found no previous description of this particular complication in the literature.

  19. Stenting of Variant Left Carotid Artery Using Brachial Artery Approach in a Patient with Unusual Type of Bovine Aortic Arch

    Directory of Open Access Journals (Sweden)

    Emre Gürel

    2016-01-01

    Full Text Available Bovine aortic arch is the most frequently encountered variation in human aortic arch branching. A 63-year-old Asian male presented with symptomatic severe stenosis of left carotid artery originating from the brachiocephalic trunk. Selective engagement to the left carotid artery was unsuccessful using transfemoral approach. We reported on a successful left carotid artery stenting case using right brachial artery approach in a bovine aortic arch. This paper is worthy of reporting in terms of guiding physicians for interventional procedures in these types of challenging cases.

  20. A Cusp Catastrophe Model for Team Learning, Team Potency and Team Culture.

    Science.gov (United States)

    Rebelo, Teresa; Stamovlasis, Dimitrios; Lourenco, Paulo Renato; Dimas, Isabel; Pinheiro, Margarida

    2016-10-01

    This paper examines team learning behaviors within a nonlinear dynamical system (NDS) perspective. The present research is based on a sample of 36 project workgroups, where data were collected at two moments of their life cycle, with visual analogue scales. Using both the least squares method and maximum likelihood, it proposes a cusp catastrophe model for explaining team learning. The cusp model is superior to its linear alternatives and implements team culture as the asymmetry variable and team potency as bifurcation. The findings of cusp structure in the data support the existence of discontinuous shifts in learning behavior and furthermore a proposition that the punctuated equilibrium model (PEM) might be a reasonable model for describing group functioning, since it encompasses such sudden changes between distinct stages (attractors). A discussion on small group research is also provided by highlighting the nonlinear dynamics of team processes, along with further implications for research and practice.

  1. Holographic cusped Wilson loops in q-deformed AdS5 × S5 spacetime

    Science.gov (United States)

    Bai, Nan; Chen, Hui-Huang; Wu, Jun-Bao

    2015-10-01

    In this paper, a minimal surface in q-deformed AdS5×S5 with a cusp boundary is studied in detail. This minimal surface is dual to a cusped Wilson loop in dual field theory. We find that the area of the minimal surface has both logarithmic squared divergence and logarithmic divergence. The logarithmic squared divergence cannot be removed by either Legendre transformation or the usual geometric subtraction. We further make an analytic continuation to the Minkowski signature, taking the limit such that the two edges of the cusp become light-like, and extract the anomalous dimension from the coefficient of the logarithmic divergence. This anomalous dimension goes back smoothly to the results in the undeformed case when we take the limit that the deformation parameter goes to zero. Supported by National Natural Science Foundation of China (11105154, 11222549, 11275207), K. C. Wong Education Foundation and Youth Innovation Promotion Association of CAS

  2. The variation of reconnection rate at the dayside magnetopause and cusp ion precipitation

    Science.gov (United States)

    Lockwood, M.; Smith, M. F.

    1992-01-01

    A method is presented which allows estimation of the variation of the rate of magnetic reconnection at the dayside magnetopause. This is achieved using observations of the cusp particle precipitation made by low-altitude polar-orbiting spacecraft. In this paper we apply the technique to a previously published example of a cusp intersection by the DMSP F7 satellite. It is shown that the cusp signature in this case was produced by three separate bursts of reconnection which were of the order of 10 min apart, each lasting roughly 1 min. This is similar to the variation of reconnection rate which is required to explain typical flux transfer event signatures at the magnetopause.

  3. Cusp-core dichotomy of elliptical galaxies: the role of thermal evaporation

    CERN Document Server

    Nipoti, Carlo

    2009-01-01

    There are two families of luminous elliptical galaxies: cusp galaxies, with steep central surface-brightness profiles, and core galaxies, whose surface-brightness profiles have flat central cores. Thermal evaporation of accreted cold gas by the hot interstellar medium may be at the origin of this cusp-core dichotomy: in less massive (hot-gas poor) galaxies central cores are likely to be refilled by central starbursts following cold gas infall, while in more massive (hot-gas rich) galaxies most cold gas is eliminated and central cores survive. This scenario is consistent with the observation that cusp and core galaxies differ systematically in terms of optical luminosity, X-ray gas content, age of the central stellar population, and properties of the active galactic nucleus.

  4. A Cusp Density Enhancement Study using e-POP Satellite Data

    Science.gov (United States)

    Sadler, B.

    2015-12-01

    CHAMP satellite observations have confirmed neutral density enhancements which are localized to the high latitude polar cusp region. These small-scale density structures are consistently correlated with strong fine-scale field-aligned currents. A possible driver of these density enhancements is soft electron precipitation which, through processes associated with ion-outflow, results in a density enhancement in the cusp vicinity at the altitudes observed by CHAMP. We investigate this mechanism with recent observations from the CASSIOPE / e-POP satellite and numerical simulations. In-situ data for selected cusp transit events are presented. Numerical simulation predictions are discussed comparing two electron-precipitation models: a fine-scale ion-outflow model and a global-scale Joule heating / increased conductivity model (CMIT).

  5. ABDOMINAL AORTIC ANEURYSM (AAA

    Directory of Open Access Journals (Sweden)

    Rajesh G

    2011-11-01

    Full Text Available AAA is defined as a distension of the infrarenal aorta by more than 50% (or 1.5 times compared with a corresponding healthy, aged and gender matched population. AAA afflicts 1 to 6 % of the general population aged more than 60 years and the incidence rises by approximately 0.15% annually. When the definition of a maximum external diameter ≥3 cm is used, the prevalence of AAA is upto 6 times greater in men than in women. AAAs are much more common than thoracic aortic aneurysms. Most common cause of AAA is atherosclerosis (95%. Less common causes include infectious or inflammatory origin or those associated with connective tissue disorders. Process of AAA formation is multifactorial. Other than the general risk factors for atherosclerosis, genetic predispo s iti on, aut o immunity and hemodynamic factors all play roles in its formation. AAA is 1.5 times more frequent in hypert ensive patients. Smokers have 8 times risk for developing AAA. The existence of familial aggre gation of AAA implicates genetic factors in the etiology of AAA. Women with AAA are more likely to have a positive family history of this disorder. Those with a family history of AAA have an increased risk of 30%, and their aneurysms tend to occur at a younger age and carry a greater risk of rupture than do sporadic aneurysms.

  6. Abdominal aortic feminism.

    Science.gov (United States)

    Mortimer, Alice Emily

    2014-01-01

    A 79-year-old woman presented to a private medical practice 2 years previously for an elective ultrasound screening scan. This imaging provided the evidence for a diagnosis of an abdominal aortic aneurysm (AAA) to be made. Despite having a number of recognised risk factors for an AAA, her general practitioner at the time did not follow the guidance set out by the private medical professional, that is, to refer the patient to a vascular specialist to be entered into a surveillance programme and surgically evaluated. The patient became symptomatic with her AAA, was admitted to hospital and found to have a tender, symptomatic, 6 cm leaking AAA. She consented for an emergency open AAA repair within a few hours of being admitted to hospital, despite the 50% perioperative mortality risk. The patient spent 4 days in intensive care where she recovered well. She was discharged after a 12 day hospital stay but unfortunately passed away shortly after her discharge from a previously undiagnosed gastric cancer.

  7. Open aortic surgery after thoracic endovascular aortic repair.

    Science.gov (United States)

    Coselli, Joseph S; Spiliotopoulos, Konstantinos; Preventza, Ourania; de la Cruz, Kim I; Amarasekara, Hiruni; Green, Susan Y

    2016-08-01

    In the last decade, thoracic endovascular aortic aneurysm repair (TEVAR) has emerged as an appealing alternative to the traditional open aortic aneurysm repair. This is largely due to generally improved early outcomes associated with TEVAR, including lower perioperative mortality and morbidity. However, it is relatively common for patients who undergo TEVAR to need a secondary intervention. In select circumstances, these secondary interventions are performed as an open procedure. Although it is difficult to assess the rate of open repairs after TEVAR, the rates in large series of TEVAR cases (>300) have ranged from 0.4 to 7.9 %. Major complications of TEVAR that typically necessitates open distal aortic repair (i.e., repair of the descending thoracic or thoracoabdominal aorta) include endoleak (especially type I), aortic fistula, endograft infection, device collapse or migration, and continued expansion of the aneurysm sac. Conversion to open repair of the distal aorta may be either elective (as for many endoleaks) or emergent (as for rupture, retrograde complicated dissection, malperfusion, and endograft infection). In addition, in select patients (e.g., those with a chronic aortic dissection), unrepaired sections of the aorta may progressively dilate, resulting in the need for multiple distal aortic repairs. Open repairs after TEVAR can be broadly classified as full extraction, partial extraction, or full salvage of the stent-graft. Although full and partial stent-graft extraction imply failure of TEVAR, such failure is generally absent in cases where the stent-graft can be fully salvaged. We review the literature regarding open repair after TEVAR and highlight operative strategies.

  8. Detecting inter-cusp and inter-tooth wear patterns in rhinocerotids.

    Directory of Open Access Journals (Sweden)

    Lucy A Taylor

    Full Text Available Extant rhinos are the largest extant herbivores exhibiting dietary specialisations for both browse and grass. However, the adaptive value of the wear-induced tooth morphology in rhinos has not been widely studied, and data on individual cusp and tooth positions have rarely been published. We evaluated upper cheek dentition of browsing Diceros bicornis and Rhinoceros sondaicus, mixed-feeding R. unicornis and grazing Ceratotherium simum using an extended mesowear method adapted for rhinos. We included single cusp scoring (EM(R-S to investigate inter-cusp and inter-tooth wear patterns. In accordance with previous reports, general mesowear patterns in D. bicornis and R. sondaicus were attrition-dominated and C. simum abrasion-dominated, reflecting their respective diets. Mesowear patterns for R. unicornis were more attrition-dominated than anticipated by the grass-dominated diet, which may indicate a low intake of environmental abrasives. EM(R-S increased differentiation power compared to classical mesowear, with significant inter-cusp and inter-tooth differences detected. In D. bicornis, the anterior cusp was consistently more abrasion-dominated than the posterior. Wear differences in cusp position may relate to morphological adaptations to dietary regimes. Heterogeneous occlusal surfaces may facilitate the comminution of heterogeneous browse, whereas uniform, broad grinding surfaces may enhance the comminution of physically more homogeneous grass. A negative tooth wear gradient was found in D. bicornis, R. sondaicus and R. unicornis, with wear patterns becoming less abrasion-dominated from premolars to molars. No such gradients were evident in C. simum which displayed a uniform wear pattern. In browsers, premolars may be exposed to higher relative grit loads, which may result in the development of wear gradients. The second premolar may also have a role in food cropping. In grazers, high absolute amounts of ingested abrasives may override other

  9. First Cluster results of the magnetic field structure of the mid- and high-altitude cusps

    Directory of Open Access Journals (Sweden)

    P. J. Cargill

    Full Text Available Magnetic field measurements from the four Cluster spacecraft from the mid- and high-altitude cusp are presented. Cluster underwent two encounters with the mid-altitude cusp during its commissioning phase (24 August 2000. Evidence for field-aligned currents (FACs was seen in the data from all three operating spacecraft from northern and southern cusps. The extent of the FACs was of the order of 1 RE in the X-direction, and at least 300 km in the Y-direction. However, fine-scale field structures with scales of the order of the spacecraft separation (300 km were observed within the FACs. In the northern crossing, two of the spacecraft appeared to lie along the same magnetic field line, and observed very well matched signals. However, the third spacecraft showed evidence for structuring transverse to the field on scales of a few hundred km. A crossing of the high-altitude cusp from 13 February 2001 is presented. It is revealed to be a highly dynamic structure with the boundaries moving with velocities ranging from a few km/s to tens of km/s, and having structure on timescales ranging from less than one minute up to several minutes. The cusp proper is associated with the presence of a very disordered magnetic field, which is entirely different from the magnetosheath turbulence.

    Key words. Magnetospheric physics (current systems; magnetopause, cusp, and boundary layers – Space plasma physics (discontinuities

  10. Transcatheter Aortic Valve Replacement in Bicuspid Aortic Valve Disease

    DEFF Research Database (Denmark)

    Mylotte, Darren; Lefevre, Thierry; Søndergaard, Lars;

    2014-01-01

    BACKGROUND: Limited information exists describing the results of transcatheter aortic valve (TAV) replacement in patients with bicuspid aortic valve (BAV) disease (TAV-in-BAV). OBJECTIVES: This study sought to evaluate clinical outcomes of a large cohort of patients undergoing TAV-in-BAV. METHODS......: We retrospectively collected baseline characteristics, procedural data, and clinical follow-up findings from 12 centers in Europe and Canada that had performed TAV-in-BAV. RESULTS: A total of 139 patients underwent TAV-in-BAV with the balloon-expandable transcatheter heart valve (THV) (n = 48...

  11. Semiclassical partition function for strings dual to Wilson loops with small cusps in ABJM

    CERN Document Server

    Aguilera-Damia, Jeremias; Silva, Guillermo A

    2014-01-01

    We compute the 1-loop partition function for strings in $AdS_4\\times\\mathbb{CP}^3$, whose worldsheets end along a line with small cusp angles in the boundary of AdS. We obtain these 1-loop results in terms of the vacuum energy for on-shell modes. Our results verify the proposal by Lewkowycz and Maldacena in arXiv:1312.5682 for the exact Bremsstrahlung function up to the next to leading order in the strong coupling expansion. The agreement is observed for cusps distorting either the 1/2 BPS or the 1/6 BPS Wilson line.

  12. Semiclassical partition function for strings dual to Wilson loops with small cusps in ABJM

    Science.gov (United States)

    Aguilera-Damia, Jeremías; Correa, Diego H.; Silva, Guillermo A.

    2015-03-01

    We compute the 1-loop partition function for strings in , whose worldsheets end along a line with small cusp angles in the boundary of AdS. We obtain these 1-loop results in terms of the vacuum energy for on-shell modes. Our results verify the proposal by Lewkowycz and Maldacena in arXiv:1312.5682 for the exact Bremsstrahlung function up to the next to leading order in the strong coupling expansion. The agreement is observed for cusps distorting either the 1/2 BPS or the 1/6 BPS Wilson line.

  13. The exterior cusp and its boundary with the magnetosheath: Cluster multi-event analysis

    Directory of Open Access Journals (Sweden)

    B. Lavraud

    2004-09-01

    Full Text Available We report on the observation of three high-altitude cusp crossings by the Cluster spacecraft under steady northward IMF conditions. The focus of this study is on the exterior cusp and its boundaries. At the poleward edge of the cusp, large downward jets are present; they are characterized by a dawn-dusk component of the convection velocity opposite to the IMF By direction and a gradual evolution (velocity filter effect corresponding to an injection site located at the high-latitude magnetopause tailward of the cusp, with subsequent sunward convection. As one moves from the poleward edge into the exterior cusp proper, the plasma gradually becomes stagnant as the result of the mirroring and scattering of the aforementioned plasma flows. The existence of such a stagnant region (Stagnant Exterior Cusp: SEC is found in all events studied here even when the IMF By is large and the clock angle is ~90°. The SEC-magnetosheath boundary appears as a spatial structure that has a normal component of the magnetic field pointing inward, in accordance with a probable connection between the region and the magnetosheath (with northward field. This boundary generally has a deHoffmann-Teller velocity that is slow and oriented sunward and downward, compatible with a discontinuity propagating from a location near the high-latitude magnetopause. Although the tangential stress balance is not always satisfied, the SEC-magnetosheath boundary is possibly a rotational discontinuity. Just outside this boundary, there exists a clear sub-Alfvénic plasma depletion layer (PDL. These results are all consistent with the existence of a nearly steady reconnection site at the high-latitude magnetopause tailward of the cusp. We suggest that the stability of the external discontinuity (and of the whole region is maintained by the presence of the sub-Alfvénic PDL. However, examination of the electron data shows the presence of heated electrons

  14. Weak annihilation cusp inside the dark matter spike about a black hole

    OpenAIRE

    Shapiro, Stuart L.; Shelton, Jessie

    2016-01-01

    We reinvestigate the effect of annihilations on the distribution of collisionless dark matter (DM) in a spherical density spike around a massive black hole. We first construct a very simple, pedagogic, analytic model for an isotropic phase space distribution function that accounts for annihilation and reproduces the "weak cusp" found by Vasiliev for DM deep within the spike and away from its boundaries. The DM density in the cusp varies as $r^{-1/2}$ for $s$-wave annihilation, where $r$ is th...

  15. Cusp points in the parameter space of RPR-2PRR parallel manipulator

    OpenAIRE

    Moroz, Guillaume; Chablat, Damien; Wenger, Philippe; Rouillier, Fabrice

    2010-01-01

    This paper investigates the existence conditions of cusp points in the design parameter space of the R\\underline{P}R-2P\\underline{R}R parallel manipulators. Cusp points make possible non-singular assembly-mode changing motion, which can possibly increase the size of the aspect, i.e. the maximum singularity free workspace. The method used is based on the notion of discriminant varieties and Cylindrical Algebraic Decomposition, and resorts to Gr\\"obner bases for the solutions of systems of equa...

  16. Cusp Anomalous dimension and rotating open strings in AdS/CFT

    CERN Document Server

    Espíndola, R

    2016-01-01

    In the context of AdS/CFT we provide analytical support for the proposed duality between a Wilson loop with a cusp, the cusp anomalous dimension, and the meson model constructed from a rotating open string with high angular momentum. This duality was previously studied using numerical tools in [1]. Our result implies that the minimum of the profile function of the minimal area surface dual to the Wilson loop, is related to the inverse of the bulk penetration of the dual string that hangs from the quark--anti-quark pair (meson) in the gauge theory.

  17. Endodontic Treatment and Esthetic Management of a Geminated Central Incisor Bearing a Talon Cusp

    Directory of Open Access Journals (Sweden)

    Elif Tarım Ertaş

    2014-01-01

    Full Text Available Gemination with talon cusps is an uncommon morphologic dental anomaly, characterized by the formation of clinically wide tooth that can cause significant aesthetic and clinical problems including esthetic impairment, pain, caries susceptibility, and tooth crowding. These morphological dental anomalies have specific treatment needs due to the abnormal morphology and need virtuous radiologic diagnosis. Multidisciplinary approach can supply success of the treatment plan that can provide esthetic and occlusal requirements. In this case report, the multidisciplinary approach for the treatment of geminated tooth with talon cusp is presented with the clinical and radiographic findings.

  18. Multi-point observations of Ion Dispersions near the Exterior Cusp with Cluster

    Science.gov (United States)

    Escoubet, C.-Philippe; Grison, Benjamin; Berchem, Jean; Trattner, Kralheinz; Pitout, Frederic; Richard, Robert; Taylor, Matt; Soucek, Jan; Laakso, Harri; Masson, Arnaud; Dunlop, Malcolm; Dandouras, Iannis; Reme, Henri; Fazakerley, Andrew; Daly, Patrick

    2014-05-01

    The exterior cusp is the most external region of the polar magnetosphere in direct contact with the plasma and the magnetic field from the solar wind. Unlike the rest of the magnetopause surface, the exterior cusp is a singular region with small and turbulent magnetic field and where large entry of plasma from solar origin takes place. The main process that injects solar wind plasma into the polar cusp is now generally accepted to be magnetic reconnection. Depending on the IMF direction, this process will take place equatorward (for IMF southward), poleward (for IMF northward) or on the dusk or dawn sides (for IMF azimuthal) of the cusp. We report a Cluster crossing on 5 January 2002 near the exterior cusp on the southern dusk side. The IMF was mainly azimuthal (IMF-By around -5 nT), the solar wind speed lower than usual around 280 km/s and the density around 5 cm-3. The four Cluster spacecraft were still in the "magnetotail" configuration with two perfect tetrahedra of 2000 km around apogee and turning into an elongated configuration near the magnetopause. C4 was the first spacecraft to enter the cusp around 19:52:04 UT, followed by C2 at 19:52:35 UT, C1 at 19:54:24 UT and C3 at 20:13:15 UT. C4 and C1 observed two ion energy dispersions at 20:10 UT and 20:40 UT and C3 at 20:35 UT and 21:15 UT. Using the time of flight technique on the upgoing and downgoing ions in the dispersions, we obtain an altitude of the sources of these ions between 14 and 20 RE. Using Tsyganenko model, these sources are located on the dusk flank, past the terminator. In addition, before entering the cusp, the magnetopause crossing was characterized by a large shear in By and bipolar plasma flows, suggesting that reconnection was taking place near the exterior cusp. We will discuss the extent of the reconnection line along the flank of the magnetopause based on these observations.

  19. Cusp points in the parameter space of RPR-2PRR parallel manipulator

    CERN Document Server

    Moroz, Guillaume Inria; Wenger, Philippe; Rouiller, Fabrice; 10.1007/978-90-481-9689-0

    2010-01-01

    This paper investigates the existence conditions of cusp points in the design parameter space of the R\\underline{P}R-2P\\underline{R}R parallel manipulators. Cusp points make possible non-singular assembly-mode changing motion, which can possibly increase the size of the aspect, i.e. the maximum singularity free workspace. The method used is based on the notion of discriminant varieties and Cylindrical Algebraic Decomposition, and resorts to Gr\\"obner bases for the solutions of systems of equations.

  20. Numerical modelling of the thermospheric and ionospheric effects of magnetospheric processes in the cusp region

    Directory of Open Access Journals (Sweden)

    A. A. Namgaladze

    Full Text Available The thermospheric and ionospheric effects of the precipitating electron flux and field-aligned-current variations in the cusp have been modelled by the use of a new version of the global numerical model of the Earth's upper atmosphere developed for studies of polar phenomena. The responses of the electron concentration, ion, electron and neutral temperature, thermospheric wind velocity and electric-field potential to the variations of the precipitating 0.23-keV electron flux intensity and field-aligned current density in the cusp have been calculated by solving the corresponding continuity, momentum and heat balance equations. Features of the atmospheric gravity wave generation and propagation from the cusp region after the electron precipitation and field-aligned current-density increases have been found for the cases of the motionless and moving cusp region. The magnitudes of the disturbances are noticeably larger in the case of the moving region of the precipitation. The thermospheric disturbances are generated mainly by the thermospheric heating due to the soft electron precipitation and propagate to lower latitudes as large-scale atmospheric gravity waves with the mean horizontal velocity of about 690 m s–1. They reveal appreciable magnitudes at significant distances from the cusp region. The meridional-wind-velocity disturbance at 65° geomagnetic latitude is of the same order (100 m s–1 as the background wind due to the solar heating, but is oppositely directed. The ionospheric disturbances have appreciable magnitudes at the geomagnetic latitudes 70°–85°. The electron-concentration and -temperature disturbances are caused mainly by the ionization and heating processes due to the precipitation, whereas the ion-temperature disturbances are influence strongly by Joule heating of the ion gas due to the electric-field disturbances in the cusp. The latter strongly influence the

  1. [MINIMALLY INVASIVE AORTIC VALVE REPLACEMENT].

    Science.gov (United States)

    Tabata, Minoru

    2016-03-01

    Minimally invasive aortic valve replacement (MIAVR) is defined as aortic valve replacement avoiding full sternotomy. Common approaches include a partial sternotomy right thoracotomy, and a parasternal approach. MIAVR has been shown to have advantages over conventional AVR such as shorter length of stay and smaller amount of blood transfusion and better cosmesis. However, it is also known to have disadvantages such as longer cardiopulmonary bypass and aortic cross-clamp times and potential complications related to peripheral cannulation. Appropriate patient selection is very important. Since the procedure is more complex than conventional AVR, more intensive teamwork in the operating room is essential. Additionally, a team approach during postoperative management is critical to maximize the benefits of MIAVR. PMID:27295772

  2. [MINIMALLY INVASIVE AORTIC VALVE REPLACEMENT].

    Science.gov (United States)

    Tabata, Minoru

    2016-03-01

    Minimally invasive aortic valve replacement (MIAVR) is defined as aortic valve replacement avoiding full sternotomy. Common approaches include a partial sternotomy right thoracotomy, and a parasternal approach. MIAVR has been shown to have advantages over conventional AVR such as shorter length of stay and smaller amount of blood transfusion and better cosmesis. However, it is also known to have disadvantages such as longer cardiopulmonary bypass and aortic cross-clamp times and potential complications related to peripheral cannulation. Appropriate patient selection is very important. Since the procedure is more complex than conventional AVR, more intensive teamwork in the operating room is essential. Additionally, a team approach during postoperative management is critical to maximize the benefits of MIAVR.

  3. Using The Descending Aortic Wall Thickness Measured In Transesophageal Echocardiography As A Risk Marker For Aortic Dissection

    OpenAIRE

    Zaher Fanari; Sumaya Hammami; Muhammad Baraa Hammami; Safa Hammami; Chete Eze-Nliam; Weintraub, William S.

    2015-01-01

    Objective: The aim of this study is to estimate whether aortic wall thickness is increased in patients with Aortic dissection (AD) compared to low risk control group and can be used in addition to aortic diameter as a risk marker of AD. Background: AD occurs due to pathologies that may increase thickness of the aortic wall. Transesophageal echocardiography (TEE) has the ability to visualise both the thoracic aortic wall and lumen. Aortic diameter has been used to predict aortic dissection...

  4. Reference Values for Cardiac and Aortic Magnetic Resonance Imaging in Healthy, Young Caucasian Adults

    Science.gov (United States)

    Eikendal, Anouk L. M.; Bots, Michiel L.; Haaring, Cees; Saam, Tobias; van der Geest, Rob J.; Westenberg, Jos J. M.; den Ruijter, Hester M.; Hoefer, Imo E.; Leiner, Tim

    2016-01-01

    Background Reference values for morphological and functional parameters of the cardiovascular system in early life are relevant since they may help to identify young adults who fall outside the physiological range of arterial and cardiac ageing. This study provides age and sex specific reference values for aortic wall characteristics, cardiac function parameters and aortic pulse wave velocity (PWV) in a population-based sample of healthy, young adults using magnetic resonance (MR) imaging. Materials and Methods In 131 randomly selected healthy, young adults aged between 25 and 35 years (mean age 31.8 years, 63 men) of the general-population based Atherosclerosis-Monitoring-and-Biomarker-measurements-In-The-YOuNg (AMBITYON) study, descending thoracic aortic dimensions and wall thickness, thoracic aortic PWV and cardiac function parameters were measured using a 3.0T MR-system. Age and sex specific reference values were generated using dedicated software. Differences in reference values between two age groups (25–30 and 30–35 years) and both sexes were tested. Results Aortic diameters and areas were higher in the older age group (all p<0.007). Moreover, aortic dimensions, left ventricular mass, left and right ventricular volumes and cardiac output were lower in women than in men (all p<0.001). For mean and maximum aortic wall thickness, left and right ejection fraction and aortic PWV we did not observe a significant age or sex effect. Conclusion This study provides age and sex specific reference values for cardiovascular MR parameters in healthy, young Caucasian adults. These may aid in MR guided pre-clinical identification of young adults who fall outside the physiological range of arterial and cardiac ageing. PMID:27732640

  5. Spectrum of Aortic Valve Abnormalities Associated with Aortic Dilation Across Age Groups in Turner Syndrome

    Science.gov (United States)

    Olivieri, Laura J.; Baba, Ridhwan Y.; Arai, Andrew E.; Bandettini, W. Patricia; Rosing, Douglas R.; Bakalov, Vladimir; Sachdev, Vandana; Bondy, Carolyn A.

    2014-01-01

    Background Congenital aortic valve fusion is associated with aortic dilation, aneurysm and rupture in girls and women with Turner syndrome (TS). Our objective was to characterize aortic valve structure in subjects with TS, and determine the prevalence of aortic dilation and valve dysfunction associated with different types of aortic valves. Methods and Results The aortic valve and thoracic aorta were characterized by cardiovascular magnetic resonance imaging in 208 subjects with TS in an IRB-approved natural history study. Echocardiography was used to measure peak velocities across the aortic valve, and the degree of aortic regurgitation. Four distinct valve morphologies were identified: tricuspid aortic valve (TAV) 64%(n=133), partially fused aortic valve (PF) 12%(n=25), bicuspid aortic valve (BAV) 23%(n=47), and unicuspid aortic valve (UAV) 1%(n=3). Age and body surface area (BSA) were similar in the 4 valve morphology groups. There was a significant trend, independent of age, towards larger BSA-indexed ascending aortic diameters (AADi) with increasing valve fusion. AADi were (mean +/− SD) 16.9 +/− 3.3 mm/m2, 18.3 +/− 3.3 mm/m2, and 19.8 +/− 3.9 mm/m2 (p<0.0001) for TAV, PF and BAV+UAV respectively. PF, BAV, and UAV were significantly associated with mild aortic regurgitation and elevated peak velocities across the aortic valve. Conclusions Aortic valve abnormalities in TS occur with a spectrum of severity, and are associated with aortic root dilation across age groups. Partial fusion of the aortic valve, traditionally regarded as an acquired valve problem, had an equal age distribution and was associated with an increased AADi. PMID:24084490

  6. Synodontia With Talon Cusp – A Case Report And Review Of Literature

    Directory of Open Access Journals (Sweden)

    Deepinder Singh Duggal

    2011-07-01

    Full Text Available Synodontia or Fusion is more commonly seen in the anterior and maxillary region.. Fusion of a supernumerary tooth to one in the normal series is not an uncommon finding, but these anomalies in conjunction with a talon cusp form a rare case. The etiology, prevalence and clinical features of the aforementioned anomalies have been reviewed in detail.

  7. Implementation of a truncated cusp filter for real-time digital pulse processing in nuclear spectrometry

    International Nuclear Information System (INIS)

    In this work the transfer function for a truncated cusp infinite impulse response (IIR) filter has been derived. The truncated cusp filter, when given an exponential pulse in the presence of white noise, outputs a truncated cusp pulse which is optimum pulse shape under the constraint of finite pulse duration. However it features a pole outside of the unit-circle and is therefore inherently unstable. To overcome this instability a switching algorithm with two alternating poles has been applied. The filter has been simulated with MATLAB and Simulink and implemented on-board a FPGA. The pulses from a waveform generator and silicon drift detector (SDD) have been also processed by the filter and results compared with theory. We find that the simulation and measurements were in agreement and show that energy resolution due to electronic noise can be improved by up to 7.5% using a truncated cusp instead of triangular filter. An improvement of up to 2.8% in overall energy resolution was measured with a typical X-ray spectrometer based on a SDD detector with a nominal energy resolution of 150 eV at energies of MnKα line.

  8. Prevalence of talon cusps in a Portuguese population: Forensic identification significance of a rare trait

    Science.gov (United States)

    Simões, Ricardo Jorge; Cardoso, Hugo F.V.; Caldas, Inês Morais

    2014-01-01

    Background: Dental techniques are frequently used in human identification; some of those include comparative analyses of dental features that, being rare or unique to an individual, can establish a positive identification. The usefulness of each feature depends on its population, frequency, and uniqueness. The aim of this study was to determine the prevalence of talon cusps in a Portuguese population. Materials and Methods: A prospective study was performed. Three hundred and two patients were studied, and talon cusps presence was assessed. Statistical tests were carried out using Statistical Package for the Social Sciences (SPSS) 17 software (SPSS Inc., Chicago, IL, USA). Statistical analysis relied primarily on descriptive statistics and crosstabs, with Chi-square analysis. Results: Results showed that talon cusps were observed in only 6.3% of patients. The maxillary lateral incisors were the most common teeth showing this feature (82.1% of all teeth). Conclusion: It can be concluded that talon cusps are an uncommon trait in these Portuguese population, and therefore, it is a feature that can be potentially very useful in forensic human identification, when antemortem dental records are available. PMID:24688559

  9. Dimension formula of cusp form spaces on half-spaces of quaternions

    Institute of Scientific and Technical Information of China (English)

    何峪; 陆洪文

    1999-01-01

    A dimension formula for the spaces of cusp forms defined on quaternionic half-spaces of degree two is obtained by Selberg trace formula, and the contributions of some conjugacy classes are calculated. Some results on the classification of the conjugacy classes of modular group are obtained.

  10. Swarm in situ observations of F region polar cap patches created by cusp precipitation

    CERN Document Server

    Goodwin, L V; Miles, D M; Patra, S; van der Meeren, C; Buchert, S C; Burchill, J K; Clausen, L B N; Knudsen, D J; McWilliams, K A; Moen, J

    2016-01-01

    High-resolution in situ measurements from the three Swarm spacecraft, in a string-of-pearls configuration, provide new insights about the combined role of flow channel events and particle impact ionization in creating $\\textit{F}$ region electron density structures in the northern Scandinavian dayside cusp. We present a case of polar cap patch formation where a reconnection-driven low-density relative westward flow channel is eroding the dayside solar-ionized plasma but where particle impact ionization in the cusp dominates the initial plasma structuring. In the cusp, density features are observed which are twice as dense as the solar-ionized background. These features then follow the polar cap convection and become less structured and lower in amplitude. These are the first in situ observations tracking polar cap patch evolution from creation by plasma transport and enhancement by cusp precipitation, through entrainment in the polar cap flow and relaxation into smooth patches as they approach the nightside a...

  11. The core-cusp problem in cold dark matter halos and supernova feedback: effects of oscillation

    Energy Technology Data Exchange (ETDEWEB)

    Ogiya, Go; Mori, Masao, E-mail: ogiya@ccs.tsukuba.ac.jp [Center for Computational Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577 (Japan)

    2014-09-20

    This study investigates the dynamical response of dark matter (DM) halos to recurrent starbursts in forming less-massive galaxies to solve the core-cusp problem. The gas, which is heated by supernova feedback after a starburst, expands and the star formation then terminates. This expanding gas loses energy by radiative cooling and then falls back toward the galactic center. Subsequently, the starburst is enhanced again. This cycle of expansion and contraction of the interstellar gas leads to a repetitive change in the gravitational potential of the gas. The resonance between DM particles and the density wave excited by the oscillating potential plays a key role in understanding the physical mechanism of the cusp-core transition of DM halos. DM halos effectively gain kinetic energy from the baryon potential through the energy transfer driven by the resonance between the particles and density waves. We determine that the critical condition for the cusp-core transition is such that the oscillation period of the gas potential is approximately the same as the local dynamical time of DM halos. We present the resultant core radius of a DM halo after the cusp-core transition induced by the resonance by using the conventional mass density profile predicted by the cold dark matter models. Moreover, we verify the analytical model by using N-body simulations, and the results validate the resonance model.

  12. On the Cusp of Cyberspace: Adolescents' Online Text Use in Conversation

    Science.gov (United States)

    Berg, Margaret A.

    2011-01-01

    This discourse analysis study examines the use of online texts in the live conversations of adolescents at and around computers in the Young Adult section of a Midwestern public library serving a diverse SES population. On the cusp of cyberspace, where online texts influence conversation and the conversation influences the creation of online…

  13. Under the sword of Damocles: plausible regeneration of dark matter cusps at the smallest galactic scales

    CERN Document Server

    Laporte, Chervin F P

    2014-01-01

    We run controlled N-body experiments to study the evolution of the dark matter (DM) halo profiles of dwarf galaxies driven by the accretion of DM substructures. Our initial conditions assume that supernova feedback erases the primordial DM cusps of haloes with $10^{9}-10^{10} \\rm{M_{\\odot}}$ at $z=0$. The orbits and masses of the infalling substructures are borrowed from the {\\it Aquarius} simulations. Our experiments show that a fraction of haloes that undergo 1:3 down to 1:30 mergers are susceptible to reform a DM cusp by $z\\approx 0$. Cusp regrowth is driven the accretion of DM substructures that are dense enough reach the central regions of the main halo before being tidally disrupted. The infall of substructures with a mass ratio above 1:6 on the mean of the reported mass-concentration relation systematically lead to cusp regrowth. Between 1:6 to 1:8, and 1:8 to 1:30 substructures need to be located one and two-sigma above the mean, respectively. The merging timescales of these dense, low-mass substructu...

  14. Explaining health care utilization for panic attacks using cusp catastrophe modeling.

    Science.gov (United States)

    Katerndahl, David

    2008-10-01

    Despite increased health care utilization, patients with panic disorder continue to report unmet needs. The objective was to compare the fit of linear and Cusp Catastrophe Modeling in explaining changes in utilization of emergency, general and mental health settings, and self-treatments for panic symptoms. This community-based study surveyed 97 subjects with panic attacks drawn from a sample of randomly-selected adults from randomly-selected households. The stressor (splitting) variable used was Phobic Anxiety while predisposing variables included Family Health Care Utilization, Perceived Life Threat and Need For Treatment, and Treatment Experience. Outcomes consisted of the number of sites and self-treatments used for panic symptoms when first seeking care and during the 2 months prior to survey. Use of mental health sites and self-treatments demonstrated superior modeling with cusp catastrophe approaches using treatment experience as the predisposing variable, accounting for 47% and 38% of variances respectively, improving the fit by over 20% compared to the best linear models in both cases. Cusp catastrophe modeling accounted for more variance than all linear models when describing use of mental health settings and self-treatments. Cusp catastrophe may explain bimodal distributions in behavior, delays in behavior change, and sudden shifts in behavior in stressful situations. PMID:18765074

  15. EISCAT observations of plasma patches at sub-auroral cusp latitudes

    Directory of Open Access Journals (Sweden)

    J. Moen

    2006-09-01

    Full Text Available A sequence of 3 patches of high-density (1012 m−3 cold plasma on a horizontal scale-size of 300–700 km was observed near magnetic noon by the EISCAT VHF radar above Svalbard on 17 December 2001. The patches followed a trajectory towards the cusp inflow region. The combination of radar and all-sky observations demonstrates that the patches must have been segmented equatorward of the cusp/cleft auroral display, and hence their properties had not yet been influenced by cusp particle showers and electrodynamics on open flux tubes. The last patch in the sequence was intersected by radio tomography observations, and was found to be located adjacent to a broader region of the same high electron density further south. The patches occurred under moderately active conditions (Kp=3 and the total electron content (TEC of the high-density plasma was 45 TEC units. The train of patches appeared as a segmentation of the tongue of ionization. The sequence of patches occurred in association with a sequence of flow bursts in the dusk cell return flow. It is proposed that reconnection driven pulsed convection is able to create sub-auroral patches in the region where high density mid-latitude plasma is diverted poleward toward the cusp. It is the downward Birkeland current sheet located at the equatorward boundary of the flow disturbance that represents the actual cutting mechanism.

  16. Prevalence of talon cusps in a Portuguese population: Forensic identification significance of a rare trait

    Directory of Open Access Journals (Sweden)

    Ricardo Jorge Simões

    2014-01-01

    Full Text Available Background: Dental techniques are frequently used in human identification; some of those include comparative analyses of dental features that, being rare or unique to an individual, can establish a positive identification. The usefulness of each feature depends on its population, frequency, and uniqueness. The aim of this study was to determine the prevalence of talon cusps in a Portuguese population. Materials and Methods: A prospective study was performed. Three hundred and two patients were studied, and talon cusps presence was assessed. Statistical tests were carried out using Statistical Package for the Social Sciences (SPSS 17 software (SPSS Inc., Chicago, IL, USA. Statistical analysis relied primarily on descriptive statistics and crosstabs, with Chi-square analysis. Results: Results showed that talon cusps were observed in only 6.3% of patients. The maxillary lateral incisors were the most common teeth showing this feature (82.1% of all teeth. Conclusion: It can be concluded that talon cusps are an uncommon trait in these Portuguese population, and therefore, it is a feature that can be potentially very useful in forensic human identification, when antemortem dental records are available.

  17. Modeling transverse heating and outflow of ionospheric ions from the dayside cusp/cleft. 2 Applications

    Directory of Open Access Journals (Sweden)

    M. Bouhram

    Full Text Available In this paper, we consider major ion energization mechanisms in the dayside cusp/cleft region. This includes transverse ion heating by ion cyclotron resonance (ICR, ion energization through structures of field-aligned electric potential drops, and transverse heating by lower hybrid (LH waves. First, we present and discuss three typical cusp/cleft crossings associated with one of the first two mechanisms mentioned above. Then, we develop a procedure for finding the altitude dependence of ICR heating for any data set in the high-altitude cusp/cleft under the absence of field-aligned potential drops. This has been accomplished using a large set of numerical simulations from a two-dimensional, steady-state, Monte Carlo, trajectory-based code, as discussed in detail in the first companion paper (Bouhram et al., 2003. The procedure is applied and tested successfully for the first two events, by using patterns of ion moments along the satellite track as constraints. Then, we present a statistical study that uses 25 cusp/cleft crossings associated with steady IMF conditions, where ICR heating is expected to occur alone. It is pointed out that the ICR heating increases gradually versus geocentric distance as s 3.3 ± 1.8 . The inferred values of the wave power and the spectral index associated with the component responsible for ICR heating are lower than those characterizing the broad-band, extremely low-frequency (BBELF turbulence usually observed in the cusp/cleft. This strengthens the idea that more than one wave-mode is contained in the BBELF turbulence, and only a small fraction of the observed turbulence is responsible for ICR heating. Then, we study the occurrence versus magnetic local time (MLT of field-aligned potential drops. According to previous statistical studies, such structures are not common in the cusp and tend to be associated with the cleft region. We also discuss the effects of LH heating in the cusp on the observed ion distributions

  18. An unusual geometry of the ionospheric signature of the cusp: implications for magnetopause merging sites

    Directory of Open Access Journals (Sweden)

    G. Chisham

    Full Text Available The HF radar Doppler spectral width boundary (SWB in the cusp represents a very good proxy for the equatorward edge of cusp ion precipitation in the dayside ionosphere. For intervals where the Interplanetary Magnetic Field (IMF has a southward component (Bz < 0, the SWB is typically displaced poleward of the actual location of the open-closed field line boundary (or polar cap boundary, PCB. This is due to the poleward motion of newly-reconnected magnetic field lines during the cusp ion travel time from the reconnection X-line to the ionosphere. This paper presents observations of the dayside ionosphere from SuperDARN HF radars in Antarctica during an extended interval ( ~ 12 h of quasi-steady IMF conditions (By ~ Bz < 0. The observations show a quasi-stationary feature in the SWB in the morning sector close to magnetic local noon which takes the form of a 2° poleward distortion of the boundary. We suggest that two separate reconnection sites exist on the magnetopause at this time, as predicted by the anti-parallel merging hypothesis for these IMF conditions. The observed cusp geometry is a consequence of different ion travel times from the reconnection X-lines to the southern ionosphere on either side of magnetic local noon. These observations provide strong evidence to support the anti-parallel merging hypothesis. This work also shows that mesoscale and small-scale structure in the SWB cannot always be interpreted as reflecting structure in the dayside PCB. Localised variations in the convection flow across the merging gap, or in the ion travel time from the reconnection X-line to the ionosphere, can lead to localised variations in the offset of the SWB from the PCB. These caveats should also be considered when working with other proxies for the dayside PCB which are associated with cusp particle precipitation, such as the 630 nm cusp auroral emission.

    Key words. Ionosphere (plasma convection – Magnetospheric physics (magnetopause

  19. Minimally Invasive Aortic Valve Replacement

    Medline Plus

    Full Text Available ... more likely we see aortic stenosis. Again, patient education is part of the evaluation and management of ... want to embrace less invasive or more progressive technology, you want to make ... with that information and certainly shouldn't be insulted by that. ...

  20. Minimally Invasive Aortic Valve Replacement

    Medline Plus

    Full Text Available ... well. I want to underscore again that exercise testing is really not recommended in patient with classic symptoms in severe aortic stenosis, as it's probably more stress than the patient's heart should have to undergo. Once again, serial evaluations, as with any chronic disease process, are ...

  1. Thoracic type Ia endoleak: direct percutaneous coil embolization of the aortic arch at the blood entry site after TEVAR and double-chimney stent-grafts

    International Nuclear Information System (INIS)

    To introduce a novel percutaneous technique to stop blood entry at the lesser aortic arch curvature by coil embolisation in type Ia endoleak after TEVAR. A 61-year-old Marfan patient presented with type Ia endoleak of the aortic arch and a growing aortic arch pseudoaneurysm after TEVAR. Multiple preceding operations and interventions made an endovascular approach unsuccessful. Direct percutaneous puncture of the aneurysmal sac would have cured the sign, but not the cause of blood entry at the lesser curvature of the aortic arch. Direct CT-guided percutaneous puncture of the blood entry site in the aortic arch with fluoroscopically guided coil embolisation using detachable extra-long coils was successfully performed. Three weeks after the intervention, the patient developed fever because of superinfection of the pseudoaneurysm. The blood cultures and CT-guided mediastinal aspirate were sterile. After intravenous administration of antibiotics, the fever disappeared and the patient recovered. Six-month follow-up showed permanent closure of the endoleak and a shrinking aneurysmal sac. Direct percutaneous puncture of the aortic arch at the blood entry site of a thoracic type Ia endoleak after TEVAR and double-chimney stent-grafts with coil embolisation of the wedge-shaped space between the lesser aortic curvature and the stent-graft is possible. (orig.)

  2. Thoracic type Ia endoleak: direct percutaneous coil embolization of the aortic arch at the blood entry site after TEVAR and double-chimney stent-grafts

    Energy Technology Data Exchange (ETDEWEB)

    Bangard, Christopher; Franke, Mareike; Maintz, David; Chang, De-Hua [University Hospital, University of Cologne, Department of Radiology, Cologne (Germany); Pfister, Roman [University Hospital, University of Cologne, Department of Internal Medicine III, Cologne (Germany); Deppe, Antje-Christin [University Hospital, University of Cologne, Department of Cardiothoracic Surgery, Cologne (Germany); Matoussevitch, Vladimir [University Hospital, University of Cologne, Department of Vascular Surgery, Cologne (Germany)

    2014-06-15

    To introduce a novel percutaneous technique to stop blood entry at the lesser aortic arch curvature by coil embolisation in type Ia endoleak after TEVAR. A 61-year-old Marfan patient presented with type Ia endoleak of the aortic arch and a growing aortic arch pseudoaneurysm after TEVAR. Multiple preceding operations and interventions made an endovascular approach unsuccessful. Direct percutaneous puncture of the aneurysmal sac would have cured the sign, but not the cause of blood entry at the lesser curvature of the aortic arch. Direct CT-guided percutaneous puncture of the blood entry site in the aortic arch with fluoroscopically guided coil embolisation using detachable extra-long coils was successfully performed. Three weeks after the intervention, the patient developed fever because of superinfection of the pseudoaneurysm. The blood cultures and CT-guided mediastinal aspirate were sterile. After intravenous administration of antibiotics, the fever disappeared and the patient recovered. Six-month follow-up showed permanent closure of the endoleak and a shrinking aneurysmal sac. Direct percutaneous puncture of the aortic arch at the blood entry site of a thoracic type Ia endoleak after TEVAR and double-chimney stent-grafts with coil embolisation of the wedge-shaped space between the lesser aortic curvature and the stent-graft is possible. (orig.)

  3. Low and middle altitude cusp particle signatures for general magnetopause reconnection rate variations. 1: Theory

    Science.gov (United States)

    Lockwood, M.; Smith, M. F.

    1994-01-01

    We present predictions of the signatures of magnetosheath particle precipitation (in the regions classified as open low-latitude boundary layer, cusp, mantle and polar cap) for periods when the interplanetary magnetic field has a southward component. These are made using the 'pulsating cusp' model of the effects of time-varying magnetic reconnection at the dayside magnetopause. Predictions are made for both low-altitude satellites in the topside ionosphere and for midaltitude spacecraft in the magnetosphere. Low-altitude cusp signatures, which show a continuous ion dispersion signature, reveal 'quasi-steady reconnection' (one limit of the pulsating cusp model), which persists for a period of at least 10 min. We estimate that 'quasi-steady' in this context corresponds to fluctuations in the reconnection rate of a factor of 2 or less. The other limit of the pulsating cusp model explains the instantaneous jumps in the precipitating ion spectrum that have been observed at low altitudes. Such jumps are produced by isolated pulses of reconnection: that is, they are separated by intervals when the reconnection rate is zero. These also generate convecting patches on the magnetopause in which the field lines thread the boundary via a rotational discontinuity separated by more extensive regions of tangential discontinuity. Predictions of the corresponding ion precipitation signatures seen by midaltitude spacecraft are presented. We resolve the apparent contradiction between estimates of the width of the injection region from midaltitude data and the concept of continuous entry of solar wind plasma along open field lines. In addition, we reevaluate the use of pitch angle-energy dispersion to estimate the injection distance.

  4. Decreased expression of fibulin-4 in aortic wall of aortic dissection.

    Science.gov (United States)

    Huawei, P; Qian, C; Chuan, T; Lei, L; Laing, W; Wenlong, X; Wenzhi, L

    2014-02-01

    In this research, we will examine the expression of Fibulin-4 in aortic wall to find out its role in aortic dissection development. The samples of aortic wall were obtained from 10 patients operated for acute ascending aortic dissection and five patients for chronic ascending aortic dissection. Another 15 pieces of samples from patients who had coronary artery bypass were as controls. The aortic samples were stained with aldehyde magenta dyeing to evaluate the arrangement of elastic fibers. The Fibulin-4 protein and mRNA expression were both determined by Western blot and realtime quantitative polymerase chain reaction. Compared with the control group, both in acute and chronic ascending aortic dissection, elastic fiber fragments increased and the expression of fibulin-4 protein significantly decreased (P= 0.045 < 0.05). The level of fibulin-4 mRNA decreased in acute ascending aortic dissection (P= 0.034 < 0.05), while it increased in chronic ascending aortic dissection (P=0.004 < 0.05). The increased amounts of elastic fiber fragments were negatively correlated with the expression of fibulin-4 mRNA in acute ascending aortic dissection. In conclusion, in aortic wall of ascending aortic dissection, the expression of fibulin-4 protein decreased and the expression of fibulin-4 mRNA was abnormal. Fibulin-4 may play an important role in the pathogenesis of aortic dissection.

  5. Transcatheter aortic valve implantation versus surgical aortic valve replacement for severe aortic stenosis: a meta analysis

    Institute of Scientific and Technical Information of China (English)

    WU Yi-cheng; ZHANG Jian-feng; SHEN Wei-feng; ZHAO Qiang

    2013-01-01

    Background Transcatheter aortic valve implantation (TAVI) has emerged as the treatment choice for non-operable patients with severe symptomatic aortic stenosis (AS) and may be a good alternative to surgery for those at very high or prohibitive surgical risk.We performed a meta-analysis to evaluate the comparative benefits of TAVI versus surgical aortic valve replacement (SAVR) in patients with severe AS.Methods A comprehensive literature search of PubMed,Embase,ScienceDirect and Cochrane Central Register of Controlled trials was performed,and randomized trials as well as cohort studies with propensity score analysis were included.Results One randomized trial (n=699) and six retrospective cohort studies (n=781) were selected for meta-analysis.Mortality at 30-day and 1-year follow-up was comparable between TAVI and SAVR.Despite similar incidences of stroke,myocardial infarction,re-operation for bleeding,and renal failure requiring dialysis,TAVI was associated with a lower occurrence rate of new-onset atrial fibrillation (OR 0.51,95% CI 0.33-0.78) and shorter procedural time (mean difference -67.50 minutes,95% CI-87.20 to-47.81 minutes).Post-operative aortic regurgitation and permanent pacemaker implantation were more common in patients after TAVI than in those with SAVR (OR 5.53,95% CI 3.41-8.97; OR 1.71,95% Cl 1.02-2.84,respectively).Conclusion In patients with severe symptomatic AS,TAVI and SAVR did not differ with respect to short-and mid-term survival,but the incidence of permanent pacemaker implantation and post-procedural aortic regurgitation remain relatively high after TAVI.

  6. Indexing aortic valve area by body surface area increases the prevalence of severe aortic stenosis

    DEFF Research Database (Denmark)

    Jander, Nikolaus; Gohlke-Bärwolf, Christa; Bahlmann, Edda;

    2014-01-01

    To account for differences in body size in patients with aortic stenosis, aortic valve area (AVA) is divided by body surface area (BSA) to calculate indexed AVA (AVAindex). Cut-off values for severe stenosis are......To account for differences in body size in patients with aortic stenosis, aortic valve area (AVA) is divided by body surface area (BSA) to calculate indexed AVA (AVAindex). Cut-off values for severe stenosis are...

  7. Clinical application of CT virtual endoscopy in the diagnosis of aortic diseases

    International Nuclear Information System (INIS)

    Objective: To evaluate the display ability and the clinical application of CT virtual endoscopy (CTVE) in the diagnosis of aortic disease. Methods: In this group, 147 cases with clinically suspected aortic disease (113 males, 34 females) underwent CTVE and 58 cases had DSA for comparison. 37 cases were confirmed by operation. Results: (1) In the 147 cases, 139 cases showed successful CTVE images. (2) CTVE images could clearly show the inner wall and inner structures of the vessels, the true and false luminal of aortic dissections, and the lesion of false aneurysm. Conclusion: CTVE could provide more information of the vessel by displaying the inner wall and allowing users to map the vessels in a display. It is helpful in correct diagnosis and guiding surgery

  8. Aortopathy in patients with a bicuspid aortic valve : determining susceptibility for aortic complications

    NARCIS (Netherlands)

    Grewal, Nimrat

    2015-01-01

    The prevalence of aortic dilation and related complications as rupture and dissection is higher in patients with a bicuspid aortic valve (BAV) as compared to patients with a tricuspid aortic valve (TAV), although not every individual carries this increased risk. It is therefore essential to identify

  9. The Efficacy of Autologous Femoropopliteal Vein Reconstruction for Primary Aortic and Aortic Graft Infection

    NARCIS (Netherlands)

    Dirven, M.; Jagt, M.F.P. van der; Barendregt, W.B.; Vliet, D. van der

    2015-01-01

    BACKGROUND: The objective of our study was to analyze the efficacy of autologous superficial femoropopliteal vein reconstruction for primary aortic or aortic graft infection. METHODS: We performed a retrospective analysis of 14 patients treated for an infected aortic prosthesis or primary infected a

  10. Transcatheter valve-in-valve implantation due to severe aortic regurgitation in a degenerated aortic homograft

    DEFF Research Database (Denmark)

    Olsen, Lene Kjaer; Engstrøm, Thomas; Søndergaard, Lars

    2009-01-01

    a successful valve-in-valve implantation of a CoreValve aortic valve prosthesis through the right subclavian artery in a case of severe aortic regurgitation within a degenerated aortic homograft. The case exemplifies the possibilities of expanding the indications for TAVI, as well as other vascular access...

  11. New-Onset Atrial Fibrillation After Surgical Aortic Valve Replacement and Transcatheter Aortic Valve Implantation

    DEFF Research Database (Denmark)

    Jørgensen, Troels Højsgaard; Thygesen, Julie Bjerre; Thyregod, Hans Gustav;

    2015-01-01

    Surgical aortic valve replacement (SAVR) and, more recently, transcatheter aortic valve implantation (TAVI) have been shown to be the only treatments that can improve the natural cause of severe aortic valve stenosis. However, after SAVR and TAVI, the incidence of new-onset atrial fibrillation...

  12. New-onset atrial fibrillation after surgical aortic valve replacement and transcatheter aortic valve implantation

    DEFF Research Database (Denmark)

    Jørgensen, Troels Højsgaard; Thygesen, Julie Bjerre; Thyregod, Hans Gustav;

    2015-01-01

    Surgical aortic valve replacement (SAVR) and, more recently, transcatheter aortic valve implantation (TAVI) have been shown to be the only treatments that can improve the natural cause of severe aortic valve stenosis. However, after SAVR and TAVI, the incidence of new-onset atrial fibrillation...

  13. Drag reduction of high altitude airships by active boundary layer control. Effect of a cusp on the reduction; Nodo kyokaiso seigyo ni yoru koso hikosen no teiko teigen. Cusp ni yoru teigen koka

    Energy Technology Data Exchange (ETDEWEB)

    Yamamura, N. [Nissan Motor Co. Ltd., Tokyo (Japan); Matsuuchi, K.; Yamazaki, S.; Sasaki, A. [University of Tsukuba, Tsukuba (Japan); Onda, M. [Mechanical Engineering Lab., Tokyo (Japan)

    1998-02-25

    The aerodynamic character of station-keeping airships at high Reynolds numbers is examined. The boundary layer developing on the surface is sucked by an axial flow fan through a slot located at the rear part of the airship and the sucked gas is blown out as a jet. To know the effect of the cusp two models with and without a cusp attached to the inlet of the suction slot were used. The flow field near the inlet, in particular the pressure on the surface, was measured as the suction discharge was varied. We obtained the form drag by integrating the pressure distribution in a wide range of Reynolds number and of suction discharge. Taking into account the jet thrust and the calculated friction drag, we finally determined the total drag and evaluated the role of the cusp. It was found that the cusp plays an efficient role in reducing the drag. 7 refs., 12 figs.

  14. MARFAN SYNDROME AND QUADRICUSPID AORTIC VALVE

    OpenAIRE

    Sürücü, Hüseyin; ÇİMEN, Sadi

    2013-01-01

    ABSTRACTWhile the major cardiovascular manifestation in Marfan syndrome is a progressive dilatation of the ascending aorta, leading to aortic aneurysm formation and eventually to fatal aortic rupture or dissection, mitral valve prolapse and calcification of the mitral valve annulus, dilatation of the main pulmonary artery may be seen. There was no knowledge about the association of Marfan syndrome and quadricuspid aortic valve. In this case report, we aimed to declare this association between...

  15. Transcatheter Aortic Valve Replacement in a Nonagenarian

    OpenAIRE

    Kneitz, Abby; Clifton, William; Kar, Biswajit; Delgado, Reynolds M.

    2013-01-01

    Approximately 30% to 40% of elderly patients with severe, symptomatic aortic valve stenosis are deemed ineligible for surgery because of high perioperative risk. We describe the use of an alternative transfemoral approach known as transcatheter aortic valve implantation in a nonagenarian patient with severe aortic stenosis. Our patient recovered successfully, and by the time of her most recent follow-up visit, 7 months after the procedure, she had regained a substantial degree of function. Th...

  16. Hybrid treatment of penetrating aortic ulcer

    Energy Technology Data Exchange (ETDEWEB)

    Lara, Juan Antonio Herrero; Martins-Romeo, Daniela de Araujo; Escudero, Carlos Caparros; Falcon, Maria del Carmen Prieto; Batista, Vinicius Bianchi, E-mail: jaherrero5@hotmail.com [Unidade de Gestao Clinica (UGC) de Diagnostico por Imagem - Hosppital Universitario Virgen Macarena, Sevilha (Spain); Vazquez, Rosa Maria Lepe [Unit of Radiodiagnosis - Hospital Nuestra Senora de la Merced, Osuna, Sevilha (Spain)

    2015-05-15

    Penetrating atherosclerotic aortic ulcer is a rare entity with poor prognosis in the setting of acute aortic syndrome. In the literature, cases like the present one, located in the aortic arch, starting with chest pain and evolving with dysphonia, are even rarer. The present report emphasizes the role played by computed tomography in the diagnosis of penetrating atherosclerotic ulcer as well as in the differentiation of this condition from other acute aortic syndromes. Additionally, the authors describe a new therapeutic approach represented by a hybrid endovascular surgical procedure for treatment of the disease. (author)

  17. Abdominal Aortic Surgery: Anesthetic Implications

    OpenAIRE

    Cunningham, Anthony J.

    1991-01-01

    The objectives of the review are to highlight the clinical characteristics of the patient population; to assess multivariate risk factor analysis and the invasive/non-invasive techniques available for risk factor identification and management in this high-risk surgical population; to assess the major hemodynamic, metabolic, and regional blood flow changes associated with aortic cross-clamping/unclamping procedures and techniques for their modification or attenuation; and to assess the influen...

  18. High-resolution modeling of the cusp density anomaly: Response to particle and Joule heating under typical conditions

    Science.gov (United States)

    Brinkman, Douglas G.; Walterscheid, Richard L.; Clemmons, James H.; Hecht, James. H.

    2016-03-01

    An established high-resolution dynamical model is employed to understand the behavior of the thermosphere beneath the Earth's magnetic cusps, with emphasis on the factors contributing to the density structures observed by the CHAMP and Streak satellite missions. In contrast to previous modeling efforts, this approach combines first principles dynamical modeling with the high spatial resolution needed to describe accurately mesoscale features such as the cusp. The resulting density structure is shown to be consistent with observations, including regions of both enhanced and diminished neutral density along the satellite track. This agreement is shown to be the result of a straightforward application of input conditions commonly found in the cusp rather than exaggerated or extreme conditions. It is found that the magnitude of the density change is sensitive to the width of the cusp region and that models that can resolve widths on the order of 2° of latitude are required to predict density variations that are consistent with the observations.

  19. Numerical method for computing Maass cusp forms on triply punctured two-sphere

    Energy Technology Data Exchange (ETDEWEB)

    Chan, K. T.; Kamari, H. M. [Department of Physics, Faculty of Science, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor (Malaysia); Zainuddin, H. [Department of Physics, Faculty of Science, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor, Malaysia and Institute for Mathematical Research, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor (Malaysia)

    2014-03-05

    A quantum mechanical system on a punctured surface modeled on hyperbolic space has always been an important subject of research in mathematics and physics. This corresponding quantum system is governed by the Schrödinger equation whose solutions are the Maass waveforms. Spectral studies on these Maass waveforms are known to contain both continuous and discrete eigenvalues. The discrete eigenfunctions are usually called the Maass Cusp Forms (MCF) where their discrete eigenvalues are not known analytically. We introduce a numerical method based on Hejhal and Then algorithm using GridMathematica for computing MCF on a punctured surface with three cusps namely the triply punctured two-sphere. We also report on a pullback algorithm for the punctured surface and a point locater algorithm to facilitate the complete pullback which are essential parts of the main algorithm.

  20. Surprises from the resummation of ladders in the ABJ(M) cusp anomalous dimension

    Science.gov (United States)

    Bonini, Marisa; Griguolo, Luca; Preti, Michelangelo; Seminara, Domenico

    2016-05-01

    We study the cusp anomalous dimension in mathcal{N} = 6 ABJ(M) theory, identifying a scaling limit in which the ladder diagrams dominate. The resummation is encoded into a Bethe-Salpeter equation that is mapped to a Schroedinger problem, exactly solvable due to the surprising supersymmetry of the effective Hamiltonian. In the ABJ case the solution implies the diagonalization of the U( N ) and U( M ) building blocks, suggesting the existence of two independent cusp anomalous dimensions and an unexpected exponentiation structure for the related Wilson loops. While consistent with previous perturbative analysis, the strong coupling limit of our result does not agree with the string theory computation, emphasizing a difference with the analogous resummation in the mathcal{N} = 4 case.

  1. Shallowed cusp slope of dark matter in disc galaxy formation through clump clusters

    CERN Document Server

    Inoue, Shigeki

    2011-01-01

    Cusp-core problem is a controversial problem on galactic dark matter haloes. Cosmological N-body simulations has demonstrated that galactic dark matter haloes have a cuspy density profile at the centre. However, baryonic physics may affect the dark matter density profile. For example, it was suggested that adiabatic contraction of baryonic gas makes the dark matter cusp steeper. However, it is still an open question if the gas falls into the galactic centre in smooth adiabatic manner. Recent numerical studies suggested that disc galaxies might experience clumpy phase in their early stage of the disc formation, which could also explain clump clusters and chain galaxies observed in high redshift Universe. In this letter, using numerical simulations with an isolated model, we study how the dark matter halo responds to these clumpy nature of baryon component in disc galaxy formation through the clump cluster phase. Our simulation demonstrates that such clumpy phase leads to a shallower density profile of the dark...

  2. Maxillary and Mandibular First Premolars Showing Three-Cusp Pattern: An Unusual Presentation

    Directory of Open Access Journals (Sweden)

    Ramakant Nayak

    2013-01-01

    Full Text Available Dental anatomy is the study of morphology of various teeth in human dentitions. The application of dental anatomy in clinical practice is important, and dentist should have a thorough knowledge regarding the morphology of the teeth. At times as a result of genetic variation, environmental factors, diet of an individual and race, variations in the morphology of the teeth can be observed. These variations have been extensively studied by the researcher in the field of anthropology to define a particular race. The most commonly observed changes include peg-shaped laterals, shovel-shaped incisors, and extra cusp on molar. Common variations documented with regard to maxillary and mandibular first premolars are the variation in the number of roots. But the variations with respect to crown morphology are few. We report a first documented unusual presentation of maxillary and mandibular first premolars with three-cusps pattern in a female patient.

  3. Maxillary and mandibular first premolars showing three-cusp pattern: an unusual presentation.

    Science.gov (United States)

    Nayak, Ramakant; Kotrashetti, Vijayalakshmi; Nayak, Aarati; Patil, Viraj; Kulkarni, Mayuri; Somannavar, Pradeep; Hosmani, Jagadish

    2013-01-01

    Dental anatomy is the study of morphology of various teeth in human dentitions. The application of dental anatomy in clinical practice is important, and dentist should have a thorough knowledge regarding the morphology of the teeth. At times as a result of genetic variation, environmental factors, diet of an individual and race, variations in the morphology of the teeth can be observed. These variations have been extensively studied by the researcher in the field of anthropology to define a particular race. The most commonly observed changes include peg-shaped laterals, shovel-shaped incisors, and extra cusp on molar. Common variations documented with regard to maxillary and mandibular first premolars are the variation in the number of roots. But the variations with respect to crown morphology are few. We report a first documented unusual presentation of maxillary and mandibular first premolars with three-cusps pattern in a female patient.

  4. Scintillation and loss of signal lock from poleward moving auroral forms in the cusp ionosphere

    CERN Document Server

    Oksavik, K; Lorentzen, D A; Baddeley, L J; Moen, J

    2016-01-01

    We present two examples from the cusp ionosphere over Svalbard,where poleward moving auroral forms (PMAFs) are causing significant phase scintillation in signals from navigation satellites. The data were obtained using a combination of ground-based optical instruments and a newly installed multiconstellation navigation signal receiver at Longyearbyen. Both events affected signals from GPS and Global Navigation Satellite System (GLONASS). When one intense PMAF appeared, the signal from one GPS spacecraft also experienced a temporary loss of signal lock. Although several polar cap patches were also observed in the area as enhancements in total electron content, the most severe scintillation and loss of signal lock appear to be attributed to very intense PMAF activity. This shows that PMAFs are locations of strong ionospheric irregularities, which at times may cause more severe disturbances in the cusp ionosphere for navigation signals than polar cap patches.

  5. On the {Sigma}N cusp in the pp {yields} pK{sup +}{Lambda} reaction

    Energy Technology Data Exchange (ETDEWEB)

    Abd El-Samad, S. [Atomic Energy Authority NRC Cairo, Cairo (Egypt); Borodina, E.; Dzhygadlo, R.; Gast, W.; Gillitzer, A.; Grzonka, D.; Kilian, K.; Ritman, J.; Roderburg, E.; Roeder, M.; Sefzick, T.; Wintz, P. [Forschungszentrum Juelich, Institut fuer Kernphysik, Juelich (Germany); Forschungszentrum Juelich, Juelich Center for Hadron Physics, Juelich (Germany); Brinkmann, K.T. [Physikalisches Institut Justus-Liebig-Universitaet, Giessen (Germany); Clement, H.; Doroshkevich, E.; Ehrhardt, K.; Erhardt, A.; Wagner, G.J. [Physikalisches Institut der Universitaet Tuebingen, Tuebingen (Germany); University of Tuebingen, Kepler Center for Astro and Particle Physics, Tuebingen (Germany); Eyrich, W.; Krapp, M.; Schulte-Wissermann, M. [Friedrich-Alexander-Universitaet Erlangen-Nuernberg, Erlangen (Germany); Freiesleben, H. [Technische Universitaet Dresden, Institut fuer Kern- und Teilchenphysik, Dresden (Germany); Hanhart, C. [Forschungszentrum Juelich, Institut fuer Kernphysik, Juelich (Germany); Forschungszentrum Juelich, Juelich Center for Hadron Physics, Juelich (Germany); Forschungszentrum Juelich, Institute for Advanced Simulation, Juelich (Germany); Hauenstein, F.; Klaja, P.; Schroeder, W. [Forschungszentrum Juelich, Institut fuer Kernphysik, Juelich (Germany); Forschungszentrum Juelich, Juelich Center for Hadron Physics, Juelich (Germany); Friedrich-Alexander-Universitaet Erlangen-Nuernberg, Erlangen (Germany); Wuestner, P. [Forschungszentrum Juelich, Institut fuer Kernphysik, Juelich (Germany); Forschungszentrum Juelich, Juelich Center for Hadron Physics, Juelich (Germany); Forschungszentrum Juelich, Zentralinstitut fuer Elektronik, Juelich (Germany); Collaboration: COSY-TOF Collaboration

    2013-03-15

    Measurements of the pp {yields} pK {sup +} {Lambda} reaction at T{sub p} = 2.28 GeV have been carried out at COSY-TOF. In addition to the {Lambda}p FSI and N {sup *} resonance excitation effects a pronounced narrow structure is observed in the Dalitz plot and in its projection on the p {Lambda} invariant mass. The strongly asymmetric structure appears at the pp {yields} NK {sup +} {Sigma} threshold and is interpreted as the {Sigma}N cusp effect. The observed width of about 20 MeV/c {sup 2} is substantially broader than anticipated from previous measurements as well as theoretical predictions. Angular distributions of this cusp structure are shown to be dissimilar to those in the residual pK {sup +} {Lambda} channel, but similar to those observed in the pK {sup +} {Sigma} {sup 0} channel. (orig.)

  6. Surprises from the resummation of ladders in the ABJ(M) cusp anomalous dimension

    CERN Document Server

    Bonini, Marisa; Preti, Michelangelo; Seminara, Domenico

    2016-01-01

    We study the cusp anomalous dimension in N=6 ABJ(M) theory, identifying a scaling limit in which the ladder diagrams dominate. The resummation is encoded into a Bethe-Salpeter equation that is mapped to a Schroedinger problem, exactly solvable due to the surprising supersymmetry of the effective Hamiltonian. In the ABJ case the solution implies the diagonalization of the U(N) and U(M) building blocks, suggesting the existence of two independent cusp anomalous dimensions and an unexpected exponentiation structure for the related Wilson loops. While consistent with previous perturbative analysis, the strong coupling limit of our result does not agree with the string theory computation, emphasizing a difference with the analogous resummation in the N=4 case.

  7. Letter to the EditorA statistical study of the location and motion of the HF radar cusp

    OpenAIRE

    Yeoman, T. K.; Hanlon, P. G.; K. A. McWilliams

    2002-01-01

    The large-scale and continuous monitoring of the ionospheric cusp region offered by HF radars has been exploited in order to examine the statistical location and motion of the equatorward edge of the HF radar cusp as a function of the upstream IMF BZ component. Although a considerable scatter is seen, both parameters have a clear influence from the north-south component of the IMF. Excellent agreement is achieved with previous observations from low altitude spacecraft ...

  8. Particle-in-cell simulation for different magnetic mirror effects on the plasma distribution in a cusped field thruster

    Science.gov (United States)

    Liu, Hui; Chen, Peng-Bo; Zhao, Yin-Jian; Yu, Da-Ren

    2015-08-01

    Magnetic mirror used as an efficient tool to confine plasma has been widely adopted in many different areas especially in recent cusped field thrusters. In order to check the influence of magnetic mirror effect on the plasma distribution in a cusped field thruster, three different radii of the discharge channel (6 mm, 4 mm, and 2 mm) in a cusped field thruster are investigated by using Particle-in-Cell Plus Monte Carlo (PIC-MCC) simulated method, under the condition of a fixed axial length of the discharge channel and the same operating parameters. It is found that magnetic cusps inside the small radius discharge channel cannot confine electrons very well. Thus, the electric field is hard to establish. With the reduction of the discharge channel’s diameter, more electrons will escape from cusps to the centerline area near the anode due to a lower magnetic mirror ratio. Meanwhile, the leak width of the cusped magnetic field will increase at the cusp. By increasing the magnetic field strength in a small radius model of a cusped field thruster, the negative effect caused by the weak magnetic mirror effect can be partially compensated. Therefore, according to engineering design, the increase of magnetic field strength can contribute to obtaining a good performance, when the radial distance between the magnets and the inner surface of the discharge channel is relatively big. Project supported by the National Natural Science Foundation of China (Grant No. 51006028) and the Foundation for Innovative Research Groups of the National Natural Science Foundation of China (Grant No. 51121004).

  9. Observations of field-aligned currents, particles, and plasma drift in the polar cusps near solstice

    International Nuclear Information System (INIS)

    Observation of particles, magnetic fields, and convective flow in the southern polar region by the AE-C spacecraft in the spinning mode have provided a unique opportunity to study the polar cusp. Magnetic perturbations observed by TRIAD within 2 hours of the AE-C pass provide field-aligned current data from the same local time in the northern hemisphere. The spinning mode of AE-C has enabled the utilization of the Z axis magnetometer for Birkeland current observations in conjunction with particle and drift measurements. This pass, AE-C orbit 16723, occurred on January 15, 1977, at approx.0145 UT, 25 days after solstice. The 3-hour Kp = 4- and the interplanetary magnetic field B/sub y/ was negative during this time. The average B/sub z/ = 1.9 nT and -1.1 nT during the first two hourly intervals on January 15, 1977. At this UT, the geomagnetic axis was at a near maximum inclination of approx.350 with the southern polar cusp directed toward the sun. Measurements from the low energy electron experiment (LEE) revealed intense fluxes of soft (100 eV) 'cusp-like' (Maxwellian) electrons throughout the prenoon polar cap. AE-C magnetometer and drift meter measurements detected three alternately directed current sheets associated with the 'throat' of the ion convection pattern and consistent with gradients in the ion drift velocities. The upward directed current can be identified as the dominant cusp current appropriate for B/sub y/0 lower latitude than those detected by AE-C

  10. Analytic torsion versus Reidemeister torsion on hyperbolic 3-manifolds with cusps

    CERN Document Server

    Pfaff, Jonathan

    2012-01-01

    For a non-compact hyperbolic 3-manifold with cusps we prove an explicit formula that relates the regularized analytic torsion associated to the even symmetric powers of the standard representation of SL_2(C) to the corresponding Reidemeister torsion. Our proof rests on an expression of the analytic torsion in terms of special values of Ruelle zeta functions as well as on recent work of Pere Menal-Ferrer and Joan Porti.

  11. Distinct sources of injections in the polar cusp observed by Cluster

    Science.gov (United States)

    Escoubet, C. Philippe; Reme, Henri; Dunlop, Malcolm; Daly, Patrick; Laakso, Harri; Berchem, Jean; Richard, Robert; Taylor, Matthew; Trattner, Karlheinz; Grison, Benjamin; Dandouras, Iannis; Fazakerley, Andrew; Pitout, Frederic; Masson, Arnaud

    The main process that injects solar wind plasma into the polar cusp is now generally accepted to be magnetic reconnection. Depending on the IMF direction, this process takes place equatorward (for IMF southward), poleward (for IMF northward) or on the dusk or dawn sides (for IMF azimuthal) of the cusp. We report a Cluster crossing on 5 January 2002 near the exterior cusp on the southern dusk side. The IMF was mainly azimuthal (IMF-By around -5 nT), the solar wind speed lower than usual around 280 km/s and the density around 5 cm-3. The four Cluster spacecraft had an elongated configuration near the magnetopause. C4 was the first spacecraft to enter the cusp around 19:52:04 UT, followed by C2 at 19:52:35 UT, C1 at 19:54:24 UT and C3 at 20:13:15 UT. C4 and C1 observed two ion energy dispersions at 20:10 UT and 20:40 UT and C3 at 20:35 UT and 21:15 UT. Using the time of flight technique on the upgoing and downgoing ions in the dispersions, we obtain an altitude of the sources of these ions between 14 and 20 RE. Using Tsyganenko model, these sources are located on the dusk flank, past the terminator. The first injection by C3 is seen at approximately the same time as the 2nd injection on C1 but their sources at the magnetopause were separated by more than 10 RE. This would imply that two distinct sources were active at the same time on the dusk flank of the magnetosphere.

  12. Ionospheric cusp flows pulsed by solar wind Alfvén waves

    OpenAIRE

    Prikryl, P.; Provan, G.; K. A. McWilliams; Yeoman, T. K.

    2002-01-01

    Pulsed ionospheric flows (PIFs) in the cusp foot-print have been observed by the SuperDARN radars with periods between a few minutes and several tens of minutes. PIFs are believed to be a consequence of the interplanetary magnetic field (IMF) reconnection with the magnetospheric magnetic field on the dayside magnetopause, ionospheric signatures of flux transfer events (FTEs). The quasiperiodic PIFs are correlated with Alfvénic fluctuations observed in the upstream solar wind. It is con...

  13. Prevalence of talon cusps in a Portuguese population: Forensic identification significance of a rare trait

    OpenAIRE

    Ricardo Jorge Simões; Hugo F.V. Cardoso; Inês Morais Caldas

    2014-01-01

    Background: Dental techniques are frequently used in human identification; some of those include comparative analyses of dental features that, being rare or unique to an individual, can establish a positive identification. The usefulness of each feature depends on its population, frequency, and uniqueness. The aim of this study was to determine the prevalence of talon cusps in a Portuguese population. Materials and Methods: A prospective study was performed. Three hundred and two patients...

  14. The n{sub f} terms of the three-loop cusp anomalous dimension in QCD

    Energy Technology Data Exchange (ETDEWEB)

    Grozin, Andrey [Russian Academy of Sciences, Novosibirsk (Russian Federation). Budker Inst. of Nuclear Physics; Novosibirsk State Univ. (Russian Federation); Henn, Johannes M. [Institute for Advanced Study, Princeton, NJ (United States); Korchemsky, Gregory P. [CEA Saclay, Gif-sur-Yvette (France). Inst. de Physique Theorique; Marquard, Peter [Deutsches Elektronen-Synchrotron (DESY), Zeuthen (Germany)

    2014-07-15

    In this talk we present the result for the n{sub f} dependent piece of the three-loop cusp anomalous dimension in QCD. Remarkably, it is parametrized by the same simple functions appearing in analogous anomalous dimensions in N=4 SYM at one and two loops. We also compute all required master integrals using a recently proposed refinement of the differential equation method. The analytic results are expressed in terms of harmonic polylogarithms of uniform weight.

  15. Scattering states of Dirac particle equation with position dependent mass under the cusp potential

    CERN Document Server

    Chabab, M; Hassanabadi, H; Oulne, M; Zare, S

    2016-01-01

    We solved the one-dimensional position-dependent mass Dirac equation in the presence of the cusp potential and reported the solutions in terms of the Whittaker functions. We have derived the reflection and transmission coefficients by making use of the matching conditions on the wave functions. The effect of position dependent mass on the reflection and transmission coefficients of the system is duly investigated.

  16. The role of transesophageal echocardiography in aortic surgery.

    Science.gov (United States)

    Nowak-Machen, Martina

    2016-09-01

    Aortic disease, when left untreated, is still associated with major morbidity and mortality. Aortic dissection and aortic aneurysm are the main reasons for performing aortic surgery procedures in the adult. Imaging techniques such as computed tomography and magnetic resonance imaging play a key role in the preoperative evaluation. Transesophageal echocardiography (TEE) has become a safe and invaluable perioperative imaging tool for aortic disease over the past decade with high sensitivity and specificity. TEE can increase patient safety and improve overall patient outcome in aortic surgery. Especially during endovascular aortic repair, TEE is more sensitive than other imaging modalities in diagnosing complications such as graft endoleaks. Newer echocardiographic techniques such as three-dimensional (3D) TEE and contrast-enhanced TEE are emerging and seem to have a valuable role especially in aortic dissection repair and endovascular aortic stent procedures. In the absence of contraindications, TEE should generally be performed during aortic surgery and endovascular aortic procedures. PMID:27650342

  17. In Vitro Repair of Fractured Fiber-Reinforced Cusp-Replacing Composite Restorations

    Directory of Open Access Journals (Sweden)

    Willem M. M. Fennis

    2011-01-01

    Full Text Available Objective. To assess fracture resistance and failure mode of repaired fiber-reinforced composite (FRC cusp-replacing restorations. Methods. Sixteen extracted human premolars with fractured cusp-replacing woven (Group (A or unidirectional (Group (B FRC restorations from a previous loading experiment were repaired with resin composite and loaded to fracture. Results. Differences in fracture loads between groups were not statistically significant (P=0.34. Fracture loads of repaired specimens were significantly lower than those of original specimens (P=0.02 for Group (A and P<0.001 for Group (B. Majority of specimens showed failure along the repaired surface. In Group (B 89% of specimens showed intact tooth substrate after restoration fracture, while this was 28% in Group (A (P=0.04. Conclusion. Fractured cusp-replacing FRC restorations that are repaired with resin composite show about half of fracture resistance of original restorations. Mode of failure with a base of unidirectional fibers is predominantly adhesive.

  18. Observations of field-aligned currents, particles, and plasma drift in the polar cusps near solstice

    Science.gov (United States)

    Bythrow, P. F.; Potemra, T. A.; Hoffman, R. A.

    1982-01-01

    Magnetic perturbations observed by the TRIAD magnetometer within two hours of an AE-C spacecraft pass provide field-aligned current data, from the same local time in the northern hemisphere, for a study of the polar cusp. The AE-C spinning mode has allowed the use of the Z-axis magnetometer for Birkeland current observations, in conjunction with particle and drift measurements. The average B(z) were found to be 1.9 nT and -1.1 nT during the first two hourly intervals on January 15, 1977. Measurements from the low energy electron experiment revealed intense fluxes of soft, cusp-like 100 eV Maxwellian electrons throughout the prenoon polar cap. The upward directed current can be identified as the dominant cusp current appropriate for B(y) values lower than zero, while the downward directed current, which has the appropriate sign of a dayside region 1 current, is observed to lie entirely within a westerly, antisunward-convecting plasma.

  19. Posterior cusp enlargement in mitral valve reconstructive surgery for restrictive valve insufficiency: Case report

    Directory of Open Access Journals (Sweden)

    Stojanović Ivan

    2007-01-01

    Full Text Available Introduction According to Carpentier classification, group III of mitral insufficiency is caused by the restrictive motion of the mitral valve. A rheumatic process and a coronary disease are the main causes. It is very important to examine the valve precisely, to define deformities and aetiology in order to make such a valve functional. In rheumatic disease, fibrosis and degeneration deform the entire mitral apparatus. A surgical principle is to re-establish mobility and pliability of the apparatus taking care of the functional anatomy at the same time. Cusp enlargement, chordal mobilization and ring remodeling are just some of the numerous surgical techniques that could be performed in these patients. Case outlineA 55-year old female patient was admitted to hospital with severe mitral regurgitaion. She belonged to NYHA, functional stage 2. Echocardiography revealed that both cusps, mostly posterior, were of reduced size and mobility, resulting in grade 3 regurgitation. We performed posterior cusp enlargement by using autologous pericardium treated in 0.6% of glutaraldehyde solution. Annulus remodeling was done using size 27 flexible Duran ring. Control echocardiography found trivial regurgitation. The patient was discharged on 12th postoperative day in sinus rhythm. Conclusion Surgical reconstruction of the rheumatic mitral valve back to the functional state is a demanding procedure, which, however, provides certain benefit for the successfully treated patient.

  20. The relation between the spherical aberration of a lens and the spun cusp diffraction catastrophe

    Science.gov (United States)

    Nye, J. F.

    2005-01-01

    A lens with spherical aberration, illuminated with an axial plane wave, produces a rotationally-symmetric cusped caustic together with an axial caustic line. Both caustics are truncated by the finite aperture of the lens, and they are decorated by diffraction. One may pass continuously from the limit of small aperture, where the diffraction pattern consists simply of Airy rings around the focus, to the limit of infinite aperture, where the diffraction pattern is that of the three-dimensional spun cusp. This contains ring zeros both inside and outside the cusped caustic. The rings are structurally stable phase singularities (wave dislocations), whose progress out of the focal plane can be traced as the aperture is enlarged. In any axial plane the dislocations are points. Before reaching their final destinations these dislocation points invariably trace out spirals, whose detailed form may be deduced by a perturbation theory. Apart from this, their trajectories, births and deaths are different from those encountered in the analogous case of the two-dimensional Pearcey pattern.

  1. Four point measurements of electrons using PEACE in the high-altitude cusp

    Directory of Open Access Journals (Sweden)

    M. G. G. T. Taylor

    Full Text Available We present examples of electron measurements from the PEACE instruments on the Cluster spacecraft in the high-latitude, high-altitude region of the Earth’s magnetosphere. Using electron density and energy spectra measurements, we examine two cases where the orbit of the Cluster tetrahedron is outbound over the northern hemisphere, in the afternoon sector approaching the magnetopause. Data from the magnetometer is also used to pinpoint the position of the spacecraft with respect to magnetospheric boundaries. This preliminary work specifically highlights the benefit of the multipoint measurement capability of the Cluster mission. In the first case, we observe a small-scale spatial structure within the magnetopause boundary layer. The Cluster spacecraft initially straddle a boundary, characterised by a discontinuous change in the plasma population, with a pair of spacecraft on either side. This is followed by a complete crossing of the boundary by all four spacecraft. In the second case, Cluster encounters an isolated region of higher energy electrons within the cusp. The characteristics of this region are consistent with a trapped boundary layer plasma sheet population on closed magnetospheric field lines. However, a boundary motion study indicates that this region convects past Cluster, a characteristic more consistent with open field lines. An interpretation of this event in terms of the motion of the cusp boundary region is presented.

    Key words. Magnetospheric physics (magnetopause, cusp and boundary layers; solar wind-magnetosphere interactions

  2. Weak annihilation cusp inside the dark matter spike about a black hole

    CERN Document Server

    Shapiro, Stuart L

    2016-01-01

    We reinvestigate the effect of annihilations on the distribution of collisionless dark matter (DM) in a spherical density spike around a massive black hole. We first construct a very simple, pedagogic, analytic model for an isotropic phase space distribution function that accounts for annihilation and reproduces the "weak cusp" found by Vasiliev for DM deep within the spike and away from its boundaries. The DM density in the cusp varies as $r^{-1/2}$ for $s$-wave annihilation, where $r$ is the distance from the central black hole, and is not a flat "plateau" profile. We then extend this model by incorporating a loss cone that accounts for the capture of DM particles by the hole. The loss cone is implemented by a boundary condition that removes capture orbits, resulting in an anisotropic distribution function. Finally, we evolve an initial spike distribution function by integrating the Boltzmann equation to show how the weak cusp grows and its density decreases with time. We treat two cases, one for $s$-wave a...

  3. Pregnancy after aortic root replacement in Loeys-Dietz syndrome: High risk of aortic dissection.

    Science.gov (United States)

    Braverman, Alan C; Moon, Marc R; Geraghty, Patrick; Willing, Marcia; Bach, Christopher; Kouchoukos, Nicholas T

    2016-08-01

    Loeys-Dietz syndrome due to mutations in TGFBR1 and 2 is associated with early and aggressive aortic aneurysm and branch vessel disease. There are reports of uncomplicated pregnancy in this condition, but there is an increased risk of aortic dissection and uterine rupture. Women with underlying aortic root aneurysm are cautioned about the risk of pregnancy-related aortic dissection. Prophylactic aortic root replacement is recommended in women with aortopathy and aortic root dilatation to lessen the risk of pregnancy. There is limited information in the literature about the outcomes of pregnancy after root replacement in Loeys-Dietz syndrome. We present a case series of three women with Loeys-Dietz syndrome who underwent elective aortic root replacement for aneurysm disease and subsequently became pregnant and underwent Cesarean section delivery. Each of these women were treated with beta blockers throughout pregnancy. Surveillance echocardiograms and noncontrast MRA studies during pregnancy remained stable demonstrating no evidence for aortic enlargement. Despite the normal aortic imaging and careful observation, two of the three women suffered acute aortic dissection in the postpartum period. These cases highlight the high risk of pregnancy following aortic root replacement in Loeys-Dietz syndrome. Women with this disorder are recommended to be counseled accordingly. © 2016 Wiley Periodicals, Inc. PMID:27125181

  4. When and how to replace the aortic root in type A aortic dissection.

    Science.gov (United States)

    Leshnower, Bradley G; Chen, Edward P

    2016-07-01

    Management of aortic root pathology during repair of acute type A aortic dissection (TAAD) requires a comprehensive evaluation of the patient's anatomy, demographics, comorbidities and physiologic status at the time of emergent operative intervention. Surgical options include conservative repair of the root (CRR) (with or without replacement of the aortic valve), replacement of the native valve and aortic root using a composite valve-conduit and valve sparing root replacement (VSRR). The primary objective of this review is to provide data for surgeons to aid in their decision-making process regarding management of the aortic root during repair of TAAD. No time or language restrictions were imposed and references of the selected studies were checked for additional relevant citations. Multiple retrospective reviews have demonstrated equivalent operative mortality between aortic root repair and replacement during TAAD. There is a higher incidence of aortic root reintervention with aortic root repair compared to aortic root replacement (ARR). Experienced, high-volume aortic centers have demonstrated the safety of VSRR in young, hemodynamically stable patients presenting with TAAD. In conclusion, aortic root repair can safely be performed in the vast majority of patients with TAAD. Despite the increased surgical complexity, ARR does not increase operative mortality and improves the freedom from root reintervention. VSRR can be performed in highly selected populations of patients with TAAD with durable mid-term valve function. PMID:27563551

  5. Regional aortic distensibility and its relationship with age and aortic stenosis: a computed tomography study.

    Science.gov (United States)

    Wong, Dennis T L; Narayan, Om; Leong, Darryl P; Bertaso, Angela G; Maia, Murilo G; Ko, Brian S H; Baillie, Timothy; Seneviratne, Sujith K; Worthley, Matthew I; Meredith, Ian T; Cameron, James D

    2015-06-01

    Aortic distensibility (AD) decreases with age and increased aortic stiffness is independently associated with adverse cardiovascular outcomes. The association of severe aortic stenosis (AS) with AD in different aortic regions has not been evaluated. Elderly subjects with severe AS and a cohort of patients without AS of similar age were studied. Proximal aortic cross-sectional-area changes during the cardiac cycle were determined using retrospective-ECG-gating on 128-detector row computed-tomography. Using oscillometric-brachial-blood-pressure measurements, the AD at the ascending-aorta (AA), proximal-descending-aorta (PDA) and distal-descending-aorta (DDA) was determined. Linear mixed effects modelling was used to determine the association of age and aortic stenosis on regional AD. 102 patients were evaluated: 36 AS patients (70-85 years), 24 AS patients (>85 years) and 42 patients without AS (9 patients DDA (1.1 ± 1.2 vs. 1.2 ± 0.8, P = 0.97). In patients without AS, AD decreased with age in all aortic regions (P < 0.001). The AA in patients <50 years were the most distensible compared to other aortic regions. There is regional variation in aortic distensibility with aging. Patients with aortic stenosis demonstrated regional differences in aortic distensibility with lower distensibility demonstrated in the proximal ascending aorta compared to an age-matched cohort. PMID:25855464

  6. Graft infections after surgical aortic reconstructions

    NARCIS (Netherlands)

    Berger, P.

    2015-01-01

    Prosthetic vascular grafts are frequently used to reconstruct (part) of the aorta. Every surgical procedure caries a certain risk for infection and when a prosthetic aortic graft is implanted, this may lead to an aortic graft infection (AGI). Endovascular techniques have gradually replaced open surg

  7. Thoraco-abdominal aortic aneurysm branched repair

    NARCIS (Netherlands)

    Verhoeven, E. L. G.; Tielliu, I. F. J.; Ferreira, M.; Zipfel, B.; Adam, D. J.

    2010-01-01

    Open thoraco-abdominal aortic aneurysm repair is a demanding procedure with high impact on the patient and the operating team. Results from expert centres show mortality rates between 3-21%, with extensive morbidity including renal failure and paraplegia. Endovascular repair of abdominal aortic aneu

  8. Magnetic Resonance Imaging of Thoracic Aortic Dissections

    OpenAIRE

    Sax, Steven L.

    1990-01-01

    Magnetic resonance imaging is an excellent noninvasive method for evaluating thoracic aortic dissections. A variety of magnetic resonance scans of aortic dissections are shown, documenting the ability of magnetic resonance to image the true lumen, the false channel, and the intimal septum. Detail is provided on magnetic resonance imaging techniques and findings. (Texas Heart Institute Journal 1990;17:262-70)

  9. Transcatheter Aortic Valve Replacement in Europe

    DEFF Research Database (Denmark)

    Mylotte, Darren; Osnabrugge, Ruben L J; Windecker, Stephan;

    2013-01-01

    The authors sought to examine the adoption of transcatheter aortic valve replacement (TAVR) in Western Europe and investigate factors that may influence the heterogeneous use of this therapy.......The authors sought to examine the adoption of transcatheter aortic valve replacement (TAVR) in Western Europe and investigate factors that may influence the heterogeneous use of this therapy....

  10. Global Strain in Severe Aortic Valve Stenosis

    DEFF Research Database (Denmark)

    Dahl, Jordi S; Videbæk, Lars; Poulsen, Mikael K;

    2012-01-01

    BACKGROUND: -Global longitudinal systolic strain (GLS) is often reduced in aortic stenosis despite normal ejection fraction. The importance of reduced preoperative GLS on long-term outcome after aortic valve replacement (AVR) is unknown. METHODS AND RESULTS: -A total of 125 patients with severe...

  11. On the Release of Energetic Electrons from the Jovian Magnetosphere: Evidence for a Low Latitude Cusp

    Science.gov (United States)

    Jones, D. E.; Murphy, N.

    2001-12-01

    Magnetic field data from Pioneers 10 and 11 have been used to develop a model magnetosphere for Jupiter consisting of an offset, tilted planetary dipole, a bent and twisted current disc represented by an array of concentric current rings, a dayside tail-like dusk-dawn current sheet, and an image dipole (Jones et al, 1980; Jones et al., 1981, Thomas and Jones, 1984). Such a model also fits the Ulysses magnetic field data as well (Jones et al., 1993). In all cases, the magnetosphere has a low latitude cusp. In this paper we compare the model magnetosphere shape and cusp location with the location of periodic energetic particle bursts observed by outbound Pioneer 11 (Fillius, 1976). It is found that the observed peaks occur very near the model cusp field lines, suggesting that this is where energetic particles leave the magnetosphere to propagate on interplanetary magnetic field lines connecting Jupiter with the sun (Conlon et al., 1974). Moiroka and Tsuchiya (1996) have found that the release of energetic electrons is controlled by the solar wind at Jupiter, as expected if they are released at the cusps. D.L. Chenette, T. F. Conlon, and J. A. Simpson, Bursts of relativistic electrons from Jupiter observed in interplanetary space with the time variations of the planetary rotation period, J. Geophys. Res., 79, 3551-3558, 1974 D. E. Jones, J. G. Melville II, and M. L. Blake, Modeling Jupiter's current disc: Pioneer 10 outbound, J. Geophys. Res., 85, 3329, 1980. D. E. Jones, B. T. Thomas, Equatorial disk and dawn-dusk currents in the frontside magnetosphere of Jupiter: Pioneers 10 and 11, J. Geophys. Res., 86, 1738, 1981. B. T. Thomas and D. E. Jones, Modeling Jupiter's magnetospheric currents using Pioneer data: Evidence for a low-latitude cusp, J. Geophys. Res., 89, 6663, 1984. D. E. Jones, E. J. Smith, N. Murphy, D. Winterhalter, A. Balogh, and D. J. Southwood, A model Jovian magnetospheric current system based upon magnetic field data obtained by the Ulysses helium

  12. Acute aortic dissection in pregnant women.

    Science.gov (United States)

    Yang, Zhaohua; Yang, Shouguo; Wang, Fangshun; Wang, Chunsheng

    2016-05-01

    Acute aortic dissection occurring during pregnancy represents a lethal risk to both the mother and fetus. Management of parturient with acute aortic dissection is complex. We report our experience of two pregnancies with type A acute aortic dissection. One patient is a 31-year-old pregnant woman (33rd gestational week) with a bicuspid aortic valve and the other is a 32-year-old pregnant woman (30th gestational week) with the Marfan syndrome. In both cases, a combined emergency operation consisting of Cesarean section, total hysterectomy prior to corrective surgery for aortic dissection was successfully performed within a relatively short period of time after the onset. Both patients' postoperative recovery was uneventful, and we achieved a favorable maternal and fetal outcome. PMID:25085319

  13. Organ protection during aortic cross-clamping.

    Science.gov (United States)

    Yeung, Kak Khee; Groeneveld, Menno; Lu, Joyce Ja-Ning; van Diemen, Pepijn; Jongkind, Vincent; Wisselink, Willem

    2016-09-01

    Open surgical repair of an aortic aneurysm requires aortic cross-clamping, resulting in temporary ischemia of all organs and tissues supplied by the aorta distal to the clamp. Major complications of open aneurysm repair due to aortic cross-clamping include renal ischemia-reperfusion injury and postoperative colonic ischemia in case of supra- and infrarenal aortic aneurysm repair. Ischemia-reperfusion injury results in excessive production of reactive oxygen species and in oxidative stress, which can lead to multiple organ failure. Several perioperative protective strategies have been suggested to preserve renal function during aortic cross-clamping, such as pharmacotherapy and therapeutic hypothermia of the kidneys. In this chapter, we will briefly discuss the pathophysiology of ischemia-reperfusion injury and the preventative measures that can be taken to avoid abdominal organ injury. Finally, techniques to minimize the risk of complications during and after open aneurysm repair will be presented. PMID:27650341

  14. Intraoperative tracking of aortic valve plane

    Science.gov (United States)

    Nguyen, Duc Long Hung; Garreau, Mireille; Auffret, Vincent; Le Breton, Hervé; Verhoye, Jean-Philippe; Haigron, Pascal

    2013-01-01

    The main objective of this work is to track the aortic valve plane in intra-operative fluoroscopic images in order to optimize and secure Transcatheter Aortic Valve Implantation (TAVI) procedure. This paper is focused on the issue of aortic valve calcifications tracking in fluoroscopic images. We propose a new method based on the Tracking-Learning-Detection approach, applied to the aortic valve calcifications in order to determine the position of the aortic valve plane in intra-operative TAVI images. This main contribution concerns the improvement of object detection by updating the recursive tracker in which all features are tracked jointly. The approach has been evaluated on four patient databases, providing an absolute mean displacement error less than 10 pixels ≈ 2mm). Its suitability for the TAVI procedure has been analyzed. PMID:24110703

  15. Stroke in Patients With Aortic Stenosis

    DEFF Research Database (Denmark)

    Greve, Anders Møller; Dalsgaard, Morten; Bang, Casper N;

    2014-01-01

    , and poststroke survival a secondary outcome. Cox models treating AVR as a time-varying covariate were adjusted for atrial fibrillation and congestive heart failure, hypertension, age≥75 years, diabetes mellitus, stroke/transient ischemic attack, vascular disease, age 65-74 years and female sex (CHA2DS2-VASc......BACKGROUND AND PURPOSE: There are limited data on risk stratification of stroke in aortic stenosis. This study examined predictors of stroke in aortic stenosis, the prognostic implications of stroke, and how aortic valve replacement (AVR) with or without concomitant coronary artery bypass grafting...... influenced the predicted outcomes. METHODS: Patients with mild-to-moderate aortic stenosis enrolled in the Simvastatin and Ezetimibe in Aortic Stenosis (SEAS) study. Diabetes mellitus, known atherosclerotic disease, and oral anticoagulation were exclusion criteria. Ischemic stroke was the primary end point...

  16. Transcatheter aortic valve replacement in elderly patients

    Institute of Scientific and Technical Information of China (English)

    Dimytri Siqueira; Alexandre Abizaid; Magaly Arrais J.; Eduardo Sousa

    2012-01-01

    Aortic stenosis is the most common native valve disease, affecting up to 5% of the elderly population. Surgical aortic valve replacement reduces symptoms and improves survival, and is the definitive therapy in patients with symptomatic severe aortic stenosis. However, despite the good results of classic surgery, risk is markedly increased in elderly patients with co-morbidities. Transcatheter aortic valve replacement (TAVR) allows implantation of a prosthetic heart valve within the diseased native aortic valve without the need for open heart surgery and cardiopulmonary bypass, offering a new therapeutic option to elderly patients considered at high surgical risk or with contraindications to surgery. To date, several multicenter registries and a randomized trial have confirmed the safety and efficacy of TAVR in those patients. In this chapter, we review the background and clinical applications of TAVR in elderly patients.

  17. Reoperation on aortic disease in patients with previous aortic valve surgery

    Institute of Scientific and Technical Information of China (English)

    SUN Xiao-gang; ZHANG Liang; YU Cun-tao; QIAN Xiang-yang; CHANG Qian

    2013-01-01

    Background Aortic valve replacement (AVR) is a safe and effective method in the treatment of aortic valve diseases.This study aimed to increase the understanding on re-treatment of aortic diseases after aortic valve surgery through a retrospective analysis of 47 related cases.Methods Forty-seven patients (38 males and 9 females) with previous aortic valve surgery have received reoperation on aorta from January 2003 to June 2012,and the mean interval time of re-intervention to aortic disease was 6 years ((6.0± 3.8) years).The secondary aortic surgery included aortic root replacement (14 cases),ascending aorta replacement (10 cases),aortic root/ascending aorta plus total arch replacement with stented elephant trunk implantation (21 cases),and total thoracoabdominal aorta replacement (2 cases).All these patients have received outpatient re-exams or follow-up by phone calls.Results After the initial aortic valve replacement,patients suffered from aortic dissection (25 cases,53%),ascending aortic aneurysm (12 cases,26%) or aortic root aneurysm (10 cases,21%).Diameter in ascending aorta increased (5.2±7.1) mm per year and aortic sinus (3.3±3.1) mm per year.The annual growth value of diameter in ascending aorta was higher in patients with rheumatic heart disease than that in Marfan syndrome (P<0.05).All 47 patients have received reoperation on aorta.One patient died in operating room because aortic dissection seriously involved right coronary artery.Seven patients had renal insufficiency after operation; neurological complications occurred in 14 patients including 7 patients with stroke and the others with transient brain dysfunction.All patients were followed up,the mean survival time was (97.25±17.63) months,95% confidence interval was 55.24-73.33 months.Eight cases were died during follow-up and five-year survival rate was 83%.Conclusion To reduce the aortic adverse events after first aortic valve surgery,it is necessary to actively treat and strictly

  18. Screening for Abdominal Aortic Aneurysm

    OpenAIRE

    Linné, Anneli

    2014-01-01

    Abdominal Aortic Aneurysm (AAA) is a common disease with a prevalence of 1.5-2.0% in 65-year old men in Sweden. The risk of having AAA is increased with smoking, high age, family history of AAA and cardiovascular disease. Women have a lower prevalence (0.5%) and develop AAA later in life. An AAA seldom gives any symptom prior to rupture. Untreated rupture is associated with 100% mortality, while surgically treated rupture is associated with 25-70% mortality. Prophylactic sur...

  19. Aortic valve and ascending aortic root modeling from 3D and 3D+t CT

    Science.gov (United States)

    Grbic, Saša; Ionasec, Razvan I.; Zäuner, Dominik; Zheng, Yefeng; Georgescu, Bogdan; Comaniciu, Dorin

    2010-02-01

    Aortic valve disorders are the most frequent form of valvular heart disorders (VHD) affecting nearly 3% of the global population. A large fraction among them are aortic root diseases, such as aortic root aneurysm, often requiring surgical procedures (valve-sparing) as a treatment. Visual non-invasive assessment techniques could assist during pre-selection of adequate patients, planning procedures and afterward evaluation of the same. However state of the art approaches try to model a rather short part of the aortic root, insufficient to assist the physician during intervention planning. In this paper we propose a novel approach for morphological and functional quantification of both the aortic valve and the ascending aortic root. A novel physiological shape model is introduced, consisting of the aortic valve root, leaflets and the ascending aortic root. The model parameters are hierarchically estimated using robust and fast learning-based methods. Experiments performed on 63 CT sequences (630 Volumes) and 20 single phase CT volumes demonstrated an accuracy of 1.45mm and an performance of 30 seconds (3D+t) for this approach. To the best of our knowledge this is the first time a complete model of the aortic valve (including leaflets) and the ascending aortic root, estimated from CT, has been proposed.

  20. Bicuspid Aortic Valve Disease and Ascending Aortic Aneurysms: Gaps in Knowledge

    Directory of Open Access Journals (Sweden)

    Katie L. Losenno

    2012-01-01

    Full Text Available The bicuspid aortic valve is the most common congenital cardiac anomaly in developed nations. The abnormal bicuspid morphology of the aortic valve results in valvular dysfunction and subsequent hemodynamic derangements. However, the clinical presentation of bicuspid aortic valve disease remains quite heterogeneous with patients presenting from infancy to late adulthood with variable degrees of valvular stenosis and insufficiency and associated abnormalities including aortic coarctation, hypoplastic left heart structures, and ascending aortic dilatation. Emerging evidence suggests that the heterogeneous presentation of bicuspid aortic valve phenotypes may be a more complex matter related to congenital, genetic, and/or connective tissue abnormalities. Optimal management of patients with BAV disease and associated ascending aortic aneurysms often requires a thoughtful approach, carefully assessing various risk factors of the aortic valve and the aorta and discerning individual indications for ongoing surveillance, medical management, and operative intervention. We review current concepts of anatomic classification, pathophysiology, natural history, and clinical management of bicuspid aortic valve disease with associated ascending aortic aneurysms.

  1. Aortic root size and prevalence of aortic regurgitation in elite strength trained athletes.

    Science.gov (United States)

    Babaee Bigi, Mohammad Ali; Aslani, Amir

    2007-08-01

    Athletes involved in mainly static or isometric exercise (e.g., weight lifting, power lifting, and bodybuilding) develop pressure overloads due to the high systemic arterial pressure found in this type of exercise. It is hypothesized that chronically elevated aortic wall tension in strength-trained athletes is associated with aortic dilatation and regurgitation. The aim of this study was to evaluate aortic root size and the prevalence of aortic regurgitation in elite strength-trained athletes. The cohort included 100 male athletes (mean age 22.1 +/- 3.6 years; all were finalists or medalists in the country) and 128 healthy age- and height-matched subjects (the control group). Aortic root diameters at end-diastole were measured at 4 locations: (1) the aortic annulus, (2) the sinuses of Valsalva, (3) the sinotubular junction, and (4) the maximal diameter of the proximal ascending aorta. Aortic root diameters at all levels were significantly greater in the strength-trained athletes (p 18 and 36 and 54 months), progressive enlargement was found at all aortic diameters. In conclusion, aortic root diameters in all segments of the aortic root were significantly greater in elite strength-trained athletes compared with an age- and height-matched population.

  2. Giant Thoracic Aneurysm Following Valve Replacement for Bicuspid Aortic Valve.

    Science.gov (United States)

    Tran, Cao; Ul Haq, Ehtesham; Nguyen, Ngoc; Omar, Bassam

    2015-01-01

    Bicuspid aortic valve is a common congenital anomaly associated with aortopathy, which can cause aortic root dilatation, necessitating regular screening if the aortic root is > 4.0 cm. Despite the low absolute incidence of aortic complications associated with bicuspid aortic valve in the general population, the consequences of such complications for an individual patient can be devastating. Herein we propose a balanced algorithm that incorporates recommendations from the three major guidelines for follow-up imaging of the aortic root and ascending thoracic aorta in patients with a bicuspid aortic valve, maintaining the current recommendations with regard to surgical thresholds. PMID:26827748

  3. Quadricuspid aortic valve with ruptured sinus of Valsalva.

    Science.gov (United States)

    Akerem Khan, Shamruz Khan; Tamin, Syahidah Syed; Burkhart, Harold M; Araoz, Philip A; Young, Phillip M

    2013-02-01

    We present a case of a 24-year-old woman who was diagnosed with quadricuspid aortic valve with ruptured sinus of Valsalva. Quadricuspid aortic valve is a rare congenital cardiac anomaly. The recognition of quadricuspid aortic valve has clinical significance as it causes aortic valve dysfunction, and is often associated with other congenital cardiac abnormalities. We showed the important role of multimodality imaging in diagnosing a quadricuspid aortic valve associated with ruptured sinus of Valsalva. PMID:22874066

  4. Hybrid treatment of recurring thoracoabdominal aortic aneurysm concomitant with retrograde type A aortic dissection

    Institute of Scientific and Technical Information of China (English)

    ZHANG Min-hong; GUO Wei; DU Xin; XIONG Jiang

    2010-01-01

    So far, standard therapy of complex thoracoabdominal aortic disease is open surgical repair requiring aortic clamping and replacement of the involved segment.Despite significant improvements, morbidity and mortality of open surgery remain high.I As a result, open surgery is often withheld owing to severe comorbidities of the patients. Endovascular technique has emerged as an alternative for treatment of these diseases in high risk patients,2 and has enlarged the options of treatment of complex aortic diseases. However, an endovascular approach alone is often deemed unsuitable for some complex aortic disorders because of the close proximity of the supraaortic or visceral branches. A hybrid open-endovascular approach has therefore been proposed as a viable alternative. We present here a unique patient with recurring thoracoabdominal aortic aneurysm (TAAA) concomitant with an aortic dissection (AD) treated by a hybrid open-endovascular approach.

  5. Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Severe Aortic Valve Stenosis

    DEFF Research Database (Denmark)

    Thyregod, Hans Gustav; Steinbrüchel, Daniel Andreas; Ihlemann, Nikolaj;

    2015-01-01

    BACKGROUND: Transcatheter aortic valve replacement (TAVR) is an option in certain high-risk surgical patients with severe aortic valve stenosis. It is unknown whether TAVR can be safely introduced to lower-risk patients. OBJECTIVES: The NOTION (Nordic Aortic Valve Intervention Trial) randomized...... clinical trial compared TAVR with surgical aortic valve replacement (SAVR) in an all-comers patient cohort. METHODS: Patients ≥ 70 years old with severe aortic valve stenosis and no significant coronary artery disease were randomized 1:1 to TAVR using a self-expanding bioprosthesis versus SAVR. The primary...... conduction abnormalities requiring pacemaker implantation, larger improvement in effective orifice area, more total aortic valve regurgitation, and higher New York Heart Association functional class at 1 year. SAVR-treated patients had more major or life-threatening bleeding, cardiogenic shock, acute kidney...

  6. Valvular Aortic Stenosis: A Proteomic Insight

    Directory of Open Access Journals (Sweden)

    Fernando Vivanco

    2010-02-01

    Full Text Available Calcified aortic valve disease is a slowly progressive disorder that ranges from mild valve thickening with no obstruction of blood flow, known as aortic sclerosis, to severe calcification with impaired leaflet motion or aortic stenosis. In the present work we describe a rapid, reproducible and effective method to carry out proteomic analysis of stenotic human valves by conventional 2-DE and 2D-DIGE, minimizing the interference due to high calcium concentrations. Furthermore, the protocol permits the aortic stenosis proteome to be analysed, advancing our knowledge in this area. Summary: Until recently, aortic stenosis (AS was considered a passive process secondary to calcium deposition in the aortic valves. However, it has recently been highlighted that the risk factors associated with the development of calcified AS in the elderly are similar to those of coronary artery disease. Furthermore, degenerative AS shares histological characteristics with atherosclerotic plaques, leading to the suggestion that calcified aortic valve disease is a chronic inflammatory process similar to atherosclerosis. Nevertheless, certain data does not fit with this theory making it necessary to further study this pathology. The aim of this study is to develop an effective protein extraction protocol for aortic stenosis valves such that proteomic analyses can be performed on these structures. In the present work we have defined a rapid, reproducible and effective method to extract proteins and that is compatible with 2-DE, 2D-DIGE and MS techniques. Defining the protein profile of this tissue is an important and challenging task that will help to understand the mechanisms of physiological/pathological processes in aortic stenosis valves.

  7. A technique for accurately determining the cusp-region polar cap boundary using SuperDARN HF radar measurements

    Directory of Open Access Journals (Sweden)

    G. Chisham

    Full Text Available Accurately measuring the location and motion of the polar cap boundary (PCB in the high-latitude ionosphere can be crucial for studies concerned with the dynamics of the polar cap, e.g. the measurement of reconnection rates. The Doppler spectral width characteristics of backscatter received by the SuperDARN HF radars have been previously used for locating and tracking the PCB in the cusp region. The boundary is generally observed in meridional beams of the SuperDARN radars and appears as a distinct change between low spectral width values observed equatorward of the cusp region, and high, but variable spectral width values observed within the cusp region. To identify the spectral width boundary (SWB between these two regions, a simple algorithm employing a spectral width threshold has often been applied to the data. However, there is not, as yet, a standard algorithm, or spectral width threshold, which is universally applied. Nor has there been any rigorous assessment of the accuracy of this method of boundary determination. This study applies a series of threshold algorithms to a simulated cusp-region spectral width data set, to assess the accuracy of different algorithms. This shows that simple threshold algorithms correctly identify the boundary location in, at the most, 50% of the cases and that the average boundary error is at least ~ 1–2 range gates (~ 1° latitude. It transpires that spatial and temporal smoothing of the spectral width data (e.g. by median filtering, before application of a threshold algorithm can increase the boundary determination accuracy to over 95% and the average boundary error to much less than a range gate. However, this is sometimes at the cost of temporal resolution in the motion of the boundary location. The algorithms are also applied to a year’s worth of spectral width data from the cusp ionosphere, measured by the Halley SuperDARN radar in Antarctica. This analysis highlights the increased accuracy of

  8. Anatomics Knowledges of Aortic Root in the Transcatheter Aortic Valve Implantation.

    OpenAIRE

    Marcelo Cerezo; Omar Bertani; Gisela Panciroli; Sebastián Duhalde; Karina Ferreira; Luciano Honaine

    2010-01-01

    The Aortic Valve is a valvular system that bears different high pressure forces. It takes part of a complex structure called Aortic Root. Nowadays, anatomic knowledge has taken a preponderant role, due to the use of the Transcatether Aortic Valve Implant (TAVI). To describe the patient´s characteristics which exclude them of the TAVI for anatomic reasons in cadaveric dissections and transthoracic echocardiograms. A descriptive retrospective analysis of 67 individuals was performed and divided...

  9. Open surgical repair of abdominal aortic aneurysm: Proximal aortic control by endoaortic balloon - A novel approach

    OpenAIRE

    Balakrishnan Soundaravalli; Palaniappan, M.; Rajani Sundar; Chandrasekar, P.

    2012-01-01

    Patients with infrarenal abdominal aortic aneurysm with unfavorable anatomy for endovascular aneurysm repair have to undergo open surgical repair. Open surgery has its own morbidity in terms of proximal clamping and declamping, bleeding and prolonged hospital stay and mortality. We present two such patients with juxtarenal abdominal aortic aneurysm who underwent open surgical repair. The proximal aortic control during open surgical repair of the aneurysm was achieved by endoaortic balloon occ...

  10. Open surgical repair of abdominal aortic aneurysm: Proximal aortic control by endoaortic balloon - A novel approach

    Directory of Open Access Journals (Sweden)

    Balakrishnan Soundaravalli

    2012-01-01

    Full Text Available Patients with infrarenal abdominal aortic aneurysm with unfavorable anatomy for endovascular aneurysm repair have to undergo open surgical repair. Open surgery has its own morbidity in terms of proximal clamping and declamping, bleeding and prolonged hospital stay and mortality. We present two such patients with juxtarenal abdominal aortic aneurysm who underwent open surgical repair. The proximal aortic control during open surgical repair of the aneurysm was achieved by endoaortic balloon occlusion technique.

  11. Management of Traumatic Aortic and Splenic Rupture in a Patient With Ascending Aortic Aneurysm.

    Science.gov (United States)

    Topcu, Ahmet Can; Ciloglu, Ufuk; Bolukcu, Ahmet; Dagsali, Sabri

    2016-08-01

    Traumatic aortic rupture is rupture of all or part of the aortic wall, mostly resulting from blunt trauma to the chest. The most common site of rupture is the aortic isthmus. Traumatic rupture of the ascending aorta is rare. A 62-year-old man with a family history of ascending aortic aneurysm was referred to our hospital after a motor vehicle accident. He had symptoms of cardiogenic shock. A contrast-enhanced computed tomographic scan revealed rupture of the proximal ascending aorta and an ascending aortic aneurysm with a diameter of 55 mm at the level of the sinuses of Valsalva. Transthoracic echocardiography at the bedside revealed severe aortic valvular insufficiency. We performed a successful Bentall procedure. During postoperative recovery, the patient experienced a cerebrovascular accident. Transesophageal echocardiography did not reveal thrombosis of the mechanical prosthesis. The patient's symptoms resolved in time, and he was discharged from the hospital on postoperative day 47 without any sequelae. He has been symptom free during a 6-month follow-up period. We suggest that individuals who have experienced blunt trauma to the chest and have symptoms of traumatic aortic rupture and a known medical history of ascending aortic aneurysm should be evaluated for a rupture at the ascending aorta and the aortic isthmus. PMID:27449463

  12. Combined surgical and catheter-based treatment of extensive thoracic aortic aneurysm and aortic valve stenosis

    DEFF Research Database (Denmark)

    De Backer, Ole; Lönn, Lars; Søndergaard, Lars

    2015-01-01

    endovascular aneurysm repair (TEVAR) has changed and extended management options in thoracic aorta disease, including in those patients deemed unfit or unsuitable for open surgery. Accordingly, transcatheter aortic valve replacement (TAVR) is increasingly used to treat patients with symptomatic severe aortic......An extensive thoracic aortic aneurysm (TAA) is a potentially life-threatening condition and remains a technical challenge to surgeons. Over the past decade, repair of aortic arch aneurysms has been accomplished using both hybrid (open and endovascular) and totally endovascular techniques. Thoracic...

  13. Quantum Spectral Curve for a cusped Wilson line in {N}=4 SYM

    Science.gov (United States)

    Gromov, Nikolay; Levkovich-Maslyuk, Fedor

    2016-04-01

    We show that the Quantum Spectral Curve (QSC) formalism, initially formulated for the spectrum of anomalous dimensions of all local single trace operators in {N}=4 SYM, can be extended to the generalized cusp anomalous dimension for all values of the parameters. We find that the large spectral parameter asymptotics and some analyticity properties have to be modified, but the functional relations are unchanged. As a demonstration, we find an all-loop analytic expression for the first two nontrivial terms in the small |ϕ ± θ | expansion. We also present nonperturbative numerical results at generic angles which match perfectly 4-loop perturbation theory and the classical string prediction.

  14. Pitchfork and winged-cusp singularities in iodate-arsenous acid reaction

    Science.gov (United States)

    Li, Ru-Sheng

    1994-09-01

    The iodate-arsenous acid reaction was reported to be able to exhibit hysteresis bistability, including mushrooms and isolas, in a continuous flow stirred tank reactor (CSTR) when an additional flow of solvent is introduced [N. Ganapathisubramanian and K. Showalter, J. Chem. Phys. 80, 4177 (1984)]. Based on their kinetic data and the empirical rate law, it is shown that the reaction may also exhibit pitchfork-type and winged cusp-type singularities if additional flows of the reactants are introduced to the CSTR.

  15. Isotope separation in the reflected ion beam in a with a cusp magnetic field

    International Nuclear Information System (INIS)

    The isotope separation in a reflected ion beam injected into a cusp magnetic field has been considered. The magnetic field configuration was formed by two rings with oppositely directed currents. The motion of the particles entering the system and reflected by the increasing magnetic field of the second ring is numerically calculated. A possibility for reflected particles to be separated in the radial direction is shown. This effect allows an annular ion source to be used, which leads to an increase in the total current and the performance of the system

  16. Magnetosheath-ionspheric plasma interactions in the cusp/cleft. 2: Mesoscale particle simulations

    Science.gov (United States)

    Winglee, R. M.; Menietti, J. D.; Lin, C. S.

    1993-11-01

    Ionospheric plasma flowing out from the cusp can be an important source of plasma to the magnetosphere. One source of free energy that can drive this outflow is the injection of magnetosheath plasma into the cusp. Two-dimensional (three velocity) mesoscale particle simulations are used to investigate the particle dynamics in the cusp during southward interplanetary magnetic field. This mesoscale model self-consistently incorporates (1) global influences such as the convection of plasma across the cusp, the action of the mirror force, and the injection of the magnetosheath plasma, and (2) wave-particle interactions which produce the actual coupling between the magnetosheath and ionospheric plasmas. It is shown that, because the thermal speed of the electrons is higher than the bulk motion of the magnetosheath plasma, an upward current is formed on the equatorward edge of the injection region with return currents on either side. However, the poleward return currents are the stronger due to the convection and mirroring of many of the magnetosheath electrons. The electron distribution in this latter region evolves from upward directed streams to single-sided loss cones or possibly electron conics. The ion distribution also shows a variety of distinct features that are produced by spatial and/or temporal effects associated with varying convection patterns and wave-particle interactions. On the equatorward edge the distribution has a downflowing magnetosheath component and an upflowing cold ionospheric component due to continuous convection of ionospheric plasma into the region. In the center of the magnetosheath region, heating from the development of an ion-ion streaming instability causes the suppression of the cold ionospheric component and the formation of downward ionospheric streams. Further poleward there is velocity filtering of ions with low pitch angles, so that the magnetosheath ions develop a ring-beam distribution and the ensuing wave instabilities generate

  17. Gravitational lens equation. Critical solutions and magnification near folds and cusps

    CERN Document Server

    Alexandrov, A N; Zhdanov, V I

    2013-01-01

    We study approximate solutions of the gravitational lens equation and corresponding lens magnification factor near the critical point. This consideration is based on the Taylor expansion of the lens potential in powers of coordinates and an introduction of a proximity parameter characterising the closeness of a point source to the caustic. Second-order corrections to known approximate solutions and magnification are found in case of a general fold point. The first-order corrections near a general cusp are found as well. Key words: gravitational lensing, methods: analytical

  18. Root abnormalities, talon cusps, dentes invaginati with reduced alveolar bone levels: case report.

    LENUS (Irish Health Repository)

    McNamara, C M

    1998-03-01

    This is a case report of a Caucasian female who presented with an unusual combination of dental anomalies: short roots on the maxillary central incisors and premolars, talon cusps, dentes invaginati, low alveolar bone heights, tubercles of Carabelli on the maxillary first and second permanent molars, with pyramidal root morphology in three of the second permanent molars. None of the anomalies alone are particularly uncommon but they have not previously been reported together. The occurrence of the anomalies is probably incidental as the conditions are aetiologically unrelated.

  19. Cusped and Smooth Solitons for the Generalized Camassa-Holm Equation on the Nonzero Constant Pedestal

    Directory of Open Access Journals (Sweden)

    Dong Li

    2014-01-01

    Full Text Available We investigate the traveling solitary wave solutions of the generalized Camassa-Holm equation ut - uxxt + 3u2ux=2uxuxx + uuxxx on the nonzero constant pedestal limξ→±∞⁡uξ=A. Our procedure shows that the generalized Camassa-Holm equation with nonzero constant boundary has cusped and smooth soliton solutions. Mathematical analysis and numerical simulations are provided for these traveling soliton solutions of the generalized Camassa-Holm equation. Some exact explicit solutions are obtained. We show some graphs to explain our these solutions.

  20. The correlations of ions density with geomagnetic activity and solar dynamic pressure in cusp region

    Institute of Scientific and Technical Information of China (English)

    GUO JianGuang; SHI JianKui; ZHANG TieLong; LIU ZhenXing; A. FAZAKERLEY; H. R(E)ME; Ⅰ. DANDOURAS; E. LUCEK

    2007-01-01

    A statistical study of the properties of ions (O+, He+ and H+) measured by the Cluster-Ⅱ in cusp region as a function of the solar wind dynamic pressure and geomagnetic index Kp respectively was made during the summer and fall of 2001 -2003. The main results are that: (1) O+ ion density responds in a significant way to geomagnetic index Kp, and He+ ion density is not correlated with geomagnetic index Kp,both of them have a significant positive correlation with solar wind dynamic pressure; (2) H+ ion density is also observed to increase with solar wind dynamic pressure, and not correlated with geomagnetic index Kp.

  1. Direct determination of IMF B-Y-related cusp current systems, using SuperDARN radar and multiple ground magnetometer data: A link to theory on cusp current origin

    DEFF Research Database (Denmark)

    Amm, O.; Engebretson, M.J.; Greenwald, R.A.;

    1999-01-01

    a transition of the IMF B-Y component from positive to negative and an associated reconfiguration of the ionospheric electric potential pattern. The data allow an instantaneous two-dimensional view of the event in terms of the ionospheric electric and ground magnetic field. The "method of characteristics......, respectively, with magnitudes of around 0.5 A/km(2). The geometry of the current system resembles a DPY current system [Friis-Christensen and Wilhjelm, 1975]. Using our results, we test alternative theories on cusp current origin that lead to different predictions of the relative location of the cusp current...

  2. Effect of the variable cross-section channel on performance of a cusped field thruster at low power

    International Nuclear Information System (INIS)

    The cusped field thruster has drawn much attention from many institutions due to its wide thrust range, high impulse, and long lifetime. However, lots of experimental results reveal that the cusped field thruster at low power has a poor performance. A cusped field thruster with a variable cross-section channel by putting a ceramic spacer in the channel is introduced in this paper, aimed at improving the thruster performance at low power. The DSMC results validate that the upstream atom density can be increased by a spacer, especially near the wall. Based on simulated results, spacers are put into different positions of the channel. The experimental results show that a suitable spacer can enhance thruster performance at low power, which can be confirmed by the results that the anode efficiency can achieve 40% at 400 V anode voltage and 20 sccm gas flow rate by contrast to 35% without a spacer under the same condition. (paper)

  3. Demonstration of fold and cusp catastrophes in an atomic cloud reflected from an optical barrier in the presence of gravity

    CERN Document Server

    Rosenblum, Serge; Shomroni, Itay; Kaner, Roy; Arusi-Parpar, Talya; Raz, Oren; Dayan, Barak

    2013-01-01

    We experimentally demonstrate first-order (fold) and second-order (cusp) catastrophes in the density of an atomic cloud reflected from an optical barrier in the presence of gravity, and show their corresponding universal asymptotic behavior. The cusp point enables robust, field-free refocusing of an expanding atomic cloud with a wide velocity distribution. Specifically, the density attained at the cusp point in our experiment reached 65% of the peak density of the atoms in the trap prior to their release. We thereby add caustics to the various phenomena with parallels in optics that can be harnessed for manipulation of cold atoms. The structural stability of catastrophes provides inherent robustness against variations in the system's dynamics and initial conditions, making them suitable for manipulation of atoms under imperfect conditions and limited controllability.

  4. Medical image of the week: aortic ring

    Directory of Open Access Journals (Sweden)

    Wong C

    2014-10-01

    Full Text Available No abstract available. Article truncated after 150 words. A 78 year old man presented with altered mental status and was found to have an intraventricular hemorrhage. He was intubated for airway protection. On the post-intubation chest radiograph (Figure 1, the patient was noted to have a widening of the right paratracheal stripe. A CT chest (Figure 2 was obtained to characterize this finding and revealed an aortic ring which encircles the trachea and esophagus. Vascular rings are uncommon congenital abnormalities, accounting for approximately 1% of congenital heart disease. Complete vascular rings can occur with a right aortic arch with a ligamentum arteriosum or with a double aortic arch, such as with our patient (1. This ring can cause airway compression, stridor, esophageal compression, or no symptoms at all. As the embryo develops, the left fourth pharyngeal arch normally persists to become the aortic arch while the right fourth pharyngeal arch regresses. If both fourth pharyngeal arches persist, a ...

  5. Aortic aneurysm secondary to umbilical artery catheterization

    International Nuclear Information System (INIS)

    A 14-month-girl presented with an asymptomatic posterior mediastinal mass. She had a history of prematurity, umbilical artery catheterization, and sepsis. The diagnosis of aortic aneurysm was made by dynamic computed tomography. The aneurysm was successfully resected. (orig.)

  6. Type B Aortic Dissection: Management Updates

    Directory of Open Access Journals (Sweden)

    Naghmeh Moshtaghi

    2009-12-01

    Full Text Available Acute aortic dissection (AAD is the most frequent catastrophic event of the aorta; it occurs nearly three times as frequently as the rupture of abdominal aortic aneurysm. Sixty percent of dissection cases are classified as proximal or type A and 40% as distal or type B, according to the Stanford Classification. The most frequent causes of death in acute type B dissection are aortic rupture and malperfusion syndrome.We herein review recent data suggesting different management modalities of type B aortic dissection, including medical, surgical, and endovascular treatments. Although medical therapy is still the standard approach in uncomplicated cases, there are subgroups of patients who may benefit from endovascular management. Endovascular techniques or surgery are valuable options for complicated cases. Hybrid suites, multidisciplinary approaches, and good imaging techniques can be considered as the key to success in this regard.

  7. Valve selection in aortic valve endocarditis

    Science.gov (United States)

    Zubrytska, Yana

    2016-01-01

    Aortic prosthetic valve endocarditis (PVE) is a potentially life-threatening disease. Mortality and incidence of infective endocarditis have been reduced in the past 30 years. Medical treatment of aortic PVE may be successful in patients who have a prompt response after antibiotic treatment and who do not have prosthetic dysfunction. In advanced stages, antibiotic therapy alone is insufficient to control the disease, and surgical intervention is necessary. Surgical treatment may be lifesaving, but it is still associated with considerable morbidity and mortality. The aim of surgery is to perform a radical excision of all infected and necrotic tissue, reconstruction of the left ventricle outflow tract, and replacement of the aortic valve. There is no unanimous consensus on which is the optimal prosthesis to implant in this context, and several surgical techniques have been suggested. We aim to analyze the efficacy of the surgical treatment and discuss the issue of valve selection in patients with aortic valve endocarditis.

  8. Dissecting aortic aneurysm in maintenance hemodialysis patients

    Directory of Open Access Journals (Sweden)

    Ounissi M

    2009-01-01

    Full Text Available The dissecting aortic aneurysm (DAA is a rare pathology that may result in fatal outcome. We report follow up of three cases of DAA patients undergoing maintenance hemo-dialysis who were managed conservatively.

  9. A rare cause of recurrent aortic dissection.

    Science.gov (United States)

    Agrawal, Yashwant; Gupta, Vishal

    2016-07-01

    We report the case of a 19-year-old man with a history of Loeys-Dietz syndrome (LDS), which was diagnosed when he had a Stanford type A aortic dissection. He also had multiple aneurysms including ones in the innominate, right common carotid, and right internal mammary arteries. He had had multiple procedures including Bentall's procedure, repeat sternotomy with complete arch and valve replacement, and coil embolization of internal mammary artery aneurysm in the past. His LDS was characterized by gene mutation for transforming growth factor-β receptor 1. He presented to our facility with sudden onset of back pain, radiating to the right shoulder and chest. He was diagnosed with Stanford type B aortic dissection and underwent thoracic aorta endovascular repair for his aortic dissection. This case represents the broad spectrum of pathology associated with LDS where even with regular surveillance and aggressive medical management the patient developed Stanford B aortic dissection. PMID:27358537

  10. Anesthetic management of transcatheter aortic valve implantation

    OpenAIRE

    Annalisa Franco; Chiara Gerli; Laura Ruggeri; Fabrizio Monaco

    2012-01-01

    Transcatheter aortic valve implantation (TAVI) is an emergent technique for high-risk patients with aortic stenosis. TAVI poses significant challenges about its management because of the procedure itself and the population who undergo the implantation. Two devices are currently available and marketed in Europe and several other technologies are being developed. The retrograde transfemoral approach is the most popular procedure; nevertheless, it may not be feasible in patients with significant ...

  11. Navigation Technology in Endovascular Aortic Repair

    OpenAIRE

    Manstad-Hulaas, Frode

    2013-01-01

    A number of diseases can affect the aorta, and endovascular (minimally invasive) techniques can be used to treat many of these conditions. During endovascular aortic repair, different instruments, such as catheters (plastic tubes), metal wires and balloons are visualized by X-rays. Intermittent aortic injections of contrast medium improve the depiction of the aorta; however, contrast medium may damage kidney function in some patients, radiation can be harmful and X-ray images are 2- dimension...

  12. Surveillance intervals for small abdominal aortic aneurysms

    DEFF Research Database (Denmark)

    Bown, Matthew J; Sweeting, Michael J; Brown, Louise C;

    2013-01-01

    Small abdominal aortic aneurysms (AAAs [3.0 cm-5.4 cm in diameter]) are monitored by ultrasound surveillance. The intervals between surveillance scans should be chosen to detect an expanding aneurysm prior to rupture.......Small abdominal aortic aneurysms (AAAs [3.0 cm-5.4 cm in diameter]) are monitored by ultrasound surveillance. The intervals between surveillance scans should be chosen to detect an expanding aneurysm prior to rupture....

  13. Aortic dissection. Basic aspects and endovascular management

    International Nuclear Information System (INIS)

    Treatment of thoracic aortic pathology is complicated by the morbidity associated to the surgical procedure and to the frailty of an elderly and difficult population. Surgical operation in this kind of population frequently bears a significant incidence of death and long-term disability. In an effort to reduce the incidence of negative outcomes, minimally invasive techniques in the form of endovascular stenting have been introduced during the past decade. The technology, originally described by Parodi, and initially designed for its use in abdominal aortic aneurysms, has been adapted for the treatment of thoracic aortic aneurysms. Furthermore, an improved understanding of the pathophysiology and the natural history of thoracic aortic disease as well as the analysis of the outcomes have facilitated our treatment decisions in terms of the timing for an appropriate intervention. Treatment of thoracic aortic dissection using endovascular Stent is one of the more recent advances in this condition and is receiving increasing attention, as it is a less invasive alternative to an open surgical repair. Although this technology is still innovative, significant improvements have been made lately in the design and deployment of the endovascular Stent-grafts. These prostheses have been increasingly used to treat aneurysms, dissections and traumatic ruptures, as well as giant penetrating ulcers and intramural hematomas of the descending thoracic aorta with good early and mid-term outcomes. The rareness, complexity and severity of the pathology and the theoretically high risk of complications should render the surgeon extremely cautious especially with young patients. Conceptually, the endo luminal treatment in the acute phase seems to be the solution and will probably become a preferred therapy while technical refinement is under way. Worldwide experience is growing and with this a better understanding of the indications and limitations of this innovative therapy will be

  14. Effect of age on aortic atherosclerosis

    Institute of Scientific and Technical Information of China (English)

    Michael A. Chen; Miwa Kawakubo; Patrick M. Colletti; Dongxiang Xu; Laurie LaBree Dustin; Robert Detrano; Stanley P Azen; Nathan D. Wong; Xue-Qiao Zhao

    2013-01-01

    Objective To examine the association of atherosclerosis burden in the survivors of an asymptomatic elderly cohort study and its relationship to other coronary risk factors (specifically, age) by evaluating aortic atherosclerotic wall burden by magnetic resonance imaging (MRI). Methods A total of 312 participants in an ongoing observational cohort study underwent cardiac and descending thoracic aorta imaging by MRI. Maximum wall thickness was measured and the mean wall thickness calculated. Wall/outer wall ratio was used as a normalized wall index (NWI) adjusted for artery size difference among participants. Percent wall volume (PWV) was calculated as NWI × 100. Results In this asymptomatic cohort (mean age: 76 years), the mean (SD) aortic wall area and wall thickness were 222 ± 45 mm2 and 2.7 ± 0.4 mm, respectively. Maximum wall thickness was 3.4 ± 0.6 mm, and PWV was 32% ± 4%. Women appeared to have smaller wall area, but after correcting for their smaller artery size, had significantly higher PWV than men (P = 0.03). Older age was associated with larger wall area (P = 0.04 for trend) with similar PWVs. However, there were no statistically significant associations between standard risk factors, Framingham global risk, or metabolic syndrome status, therapy for cholesterol or hypertension, coronary or aortic calcium score, and the aortic wall burden. Aortic calcification was associated with coronary calcification. Conclusions Asymptomatic elderly in this cohort had a greater descending thoracic aortic wall volume that correlated with age, and women had a significantly increased PWV compared to men. In these survivors, the atherosclerotic aortic wall burden was not significantly associated with traditional risk factors or with coronary or aortic calcium scores or coronary calcium progression. Results suggest that age, or as yet unidentified risk factor(s), may be responsible for the increase in atherosclerosis.

  15. Aortic Dissection Cases Presenting with Neurological Deficit

    Directory of Open Access Journals (Sweden)

    Sibel Mumcu

    2014-06-01

    Full Text Available Aortic dissection can be fatal in case of underdiagnosis, and early treatment is essential for the survival. Although acute onset of chest or back pain is most common presenting symptoms, some patients might present with atypical findings such as acute stroke, mesenteric ischaemia, renal failure or myocardial infarction. Here, we report two cases presenting emergency room with atypical findings of aortic dissection which diagnosis is made during etiologic work up for ischemic stroke.

  16. Glucose Suppresses Biological Ferroelectricity in Aortic Elastin

    OpenAIRE

    Liu, Yuanming; WANG, YUNJIE; Chow, Ming-Jay; Chen, Nataly Q.; Ma, Feiyue; Zhang, Yanhang; Li, Jiangyu

    2013-01-01

    Elastin is an intriguing extracellular matrix protein present in all connective tissues of vertebrates, rendering essential elasticity to connective tissues subjected to repeated physiological stresses. Using piezoresponse force microscopy, we show that the polarity of aortic elastin is switchable by an electrical field, which may be associated with the recently discovered biological ferroelectricity in the aorta. More interestingly, it is discovered that the switching in aortic elastin is la...

  17. NATO Advanced Research Workshop on The Morphology and Dynamics of the Polar Cusp

    CERN Document Server

    Egeland, Alv

    1985-01-01

    These proceedings are based upon introductory talks, research reports and discussions from the NATO Advanced Workshop on the "Morphology and Dynamics of the Polar Cusp", held at Lillehammer, Norway, 7-12 May, 1984. The upper atmosphere at high latitudes is called the "Earth's win­ dow to outer space". Through various electrodynamic coupling process­ es as well as through direct transfer of particles many geophysical effects displayed there are direct manifestations of phenomena occurring in the deep space. The high latitude ionosphere will also exert a feedback on the regions of the magnetosphere and atmosphere to which it is coupled, acting as a momentum and energy source and sink, and a source of particles. Of particular interest are the sections of the near space known as the Polar Cusp. A vast portion of the earth's magnetic field envelope is electrically connected to these regions. This geometry results in a spatial mapping of the magnetospheric pro­ cesses and a focusing on to the ionosphere. In the ...

  18. LS1 Report: A brand new set-up for ASACUSA-CUSP

    CERN Multimedia

    Antonella Del Rosso

    2014-01-01

    ASACUSA is running for the first time with a totally new set-up. Three new vital instruments have been designed, produced and installed during LS1 in addition to several other major modifications. The collaboration is now ready to perform the first high-precision measurement of the hyperfine structure of antihydrogen – a study that aims at comparing the inner properties of matter and antimatter.   The ASACUSA set-up. The ASACUSA-CUSP collaboration comprises about 30 scientists from various institutes in Europe and Japan. Because of the Japanese contribution, the experiment is often known by its Japanese pronunciation, the experiment’s logo is in Japanese, and the logbook uses Japanese time! This year, for the first time, the experiment is running with a completely new set-up, which now includes a new superconducting double cusp magnet, a new tracking detector and a new final antihydrogen detector. “The magnet is the heart of the ASACUSA experiment,” expl...

  19. Dark-Matter Halo Profiles of a General Cusp/Core with Analytic Velocity and Potential

    CERN Document Server

    Dekel, Avishai; Dutton, Aaron A; Maccio, Andrea V

    2016-01-01

    We present useful functions for the profiles of dark-matter (DM) haloes with a free inner slope, from cusps to cores, where the profiles of density, mass-velocity and potential are simple analytic expressions. Analytic velocity is obtained by expressing the mean density as a simple functional form, and deriving the local density by differentiation. The function involves four shape parameters, with only two or three free: a concentration parameter $c$, inner and outer asymptotic slopes $\\alpha$ and $\\bar{\\gamma}$, and a middle shape parameter $\\beta$. Analytic expressions for the potential and velocity dispersion exist for $\\bar{\\gamma}=3$ and $\\beta$ a natural number. We match the models to the DM haloes in cosmological simulations, with and without baryons, ranging from steep cusps to flat cores. Excellent fits are obtained with three free parameters ($c$, $\\alpha$, $\\bar{\\gamma}$) and $\\beta=2$. For an analytic potential, similar fits are obtained for $\\bar{\\gamma}=3$ and $\\beta=2$ with only two free parame...

  20. Cluster observations of magnetic field fluctuations in the high-altitude cusp

    Directory of Open Access Journals (Sweden)

    K. Nykyri

    2004-07-01

    Full Text Available High-resolution (22 vector/s magnetic field data from Cluster FGM instrument are presented for the high-altitude cusp crossing on 17 March 2001. Despite the quiet solar wind conditions, the cusp was filled with magnetic field turbulence for much of the crossing. Large-scale fluctuations show some correlation between spacecraft but the higher frequency fluctuations show no correlation, indicating that the length scales of these waves are smaller than the spacecraft separation (500km. In many intervals, there are clear peaks in the wave power around the ion cyclotron frequency (~1Hz, and there is some evidence for waves at the first harmonic of this frequency. Both left- and right-hand polarised waves are found, with angles of propagation with respect to the ambient magnetic field that range from parallel to perpendicular. The regions of enhanced magnetic field fluctuations appear to be associated with plasma flows possibly originating from a lobe reconnection site. The most coherent, long lasting wave trains with frequencies close to local ion cyclotron frequency occur at a boundary between a sheared flow and a stagnant plasma.

  1. Contradiction between strong lensing statistics and a feedback solution to the cusp/core problem

    CERN Document Server

    Chen, Da-Ming

    2008-01-01

    Standard cosmology has many successes on large scales, but faces some fundamental difficulties on small, galactic scales. One such difficulty is the cusp/core problem. High resolution observations of the rotation curves for dark matter dominated low surface brightness (LSB) galaxies imply that galactic dark matter halos have a density profile with a flat central core, whereas N-body structure formation simulations predict a divergent (cuspy) density profile at the center. It has been proposed that this problem can be resolved by stellar feedback driving turbulent gas motion that erases the initial cusp. However, strong gravitational lensing prefers a cuspy density profile for galactic halos. In this paper, we use the most recent high resolution observations of the rotation curves of LSB galaxies to fit the core size as a function of halo mass, and compare the resultant lensing probability to the observational results for the well defined combined sample of the Cosmic Lens All-Sky Survey (CLASS) and Jodrell Ba...

  2. Research on traffic flow forecasting model based on cusp catastrophe theory

    Institute of Scientific and Technical Information of China (English)

    张亚平; 裴玉龙

    2004-01-01

    This paper intends to describe the relationship between traffic parameters by using cusp catastrophe theory and to deduce highway capacity and corresponding speed forecasting value through suitable transformation of catastrophe model. The five properties of a catastrophe system are outlined briefly, and then the data collected on freeways of Zhujiang River Delta, Guangdong province, China are examined to ascertain whether they exhibit qualitative properties and attributes of the catastrophe model. The forecasting value of speed and capacity for freeway segments are given based on the catastrophe model. Furthermore, speed-flow curve on freeway is drawn by plotting out congested and uncongested traffic flow and the capacity value for the same freeway segment is also obtained from speed-flow curve to test the feasibility of the application of cusp catastrophe theory in traffic flow analysis. The calculating results of catastrophe model coincide with those of traditional traffic flow models regressed from field observed data, which indicates that the deficiency of traditional analysis of relationship between speed, flow and occupancy in two-dimension can be compensated by analysis of the relationship among speed, flow and occupancy based on catastrophe model in three-dimension. Finally, the prospects and problems of its application in traffic flow research in China are discussed.

  3. Cluster observations of bounday layer structure and a flux transfer event near the cusp

    Directory of Open Access Journals (Sweden)

    R. C. Fear

    2005-10-01

    Full Text Available On the 25th January 2002 between 10:00 and 12:00 UT, the four Cluster spacecraft passed through the northern high-latitude cusp, the dayside magnetosphere and into the magnetosheath in a linear formation. In the magnetosphere the PEACE electron spectrometers on the four spacecraft all observed a series of transient bursts of magnetosheath-like plasma, but without bipolar magnetic signatures in the magnetopause normal component as might be expected if the plasma had been injected by transient reconnection (flux transfer events – FTEs. Reordering the data using the magnetopause transition parameter reveals that these plasma observations, the related variations in the magnetic field and the balance of magnetic and thermal gas pressures are consistent with transient entries into a stable high-latitude boundary layer structure. However, once some of the spacecraft entered the magnetosheath, FTE signatures were observed outside the magnetopause at the same time as some of the boundary layer entries occurred at the other spacecraft inside. Thus, (a the lack of a bipolar BN signature is inconsistent with the traditional picture of a magnetospheric FTE, and (b the cause of the observed entry of the spacecraft into the boundary layer (pressure pulse or passing magnetosheath FTE can only be determined by spacecraft observations in the magnetosheath.

    Keywords. Magnetospheric physics (Magnetopause, cusp and bondary layers; Solar wind- magnetosphere interactions; Magnetosheath

  4. Automatic measurement of cusps in 2.5D dental images

    Science.gov (United States)

    Wolf, Mattias; Paulus, Dietrich W.; Niemann, Heinrich

    1996-01-01

    Automatic reconstruction of occlusal surfaces of teeth is an application which might become more and more urgent due to the toxicity of amalgam. Modern dental chairside equipment is currently restricted to the production of inlays. The automatic reconstruction of the occlusal surface is presently not possible. For manufacturing an occlusal surface it is required to extract features from which it is possible to reconstruct destroyed teeth. In this paper, we demonstrate how intact upper molars can be automatically extracted in dental range and intensity images. After normalization of the 3D location, the sizes of the cusps are detected and the distances between them are calculated. In the presented approach, the detection of the upper molar is based on a knowledge-based segmentation which includes anatomic knowledge. After the segmentation of the interesting tooth the central fossa is calculated. The normalization of the spatial location is archieved by aligning the detected fossa with a reference axis. After searching the cusp tips in the range image the image is resized. The methods have been successfully tested on 60 images. The results have been compared with the results of a dentist's evaluation on a sample of 20 images. The results will be further used for automatic production of tooth inlays.

  5. Distinguishing dark matter stabilization symmetries using multiple kinematic edges and cusps

    International Nuclear Information System (INIS)

    We emphasize that the stabilizing symmetry for dark matter (DM) particles does not have to be the commonly used parity (Z2) symmetry. We therefore examine the potential of the colliders to distinguish models with parity stabilized DM from models in which the DM is stabilized by other symmetries. We often take the latter to be a Z3 symmetry for illustration. We focus on signatures where a single particle, charged under the DM stabilization symmetry decays into the DM and standard model (SM) particles. Such a Z3-charged mother particle can decay into one or two DM particles along with the same SM particles. This can be contrasted with the decay of a Z2-charged mother particle, where only one DM particle appears. Thus, if the intermediate particles in these decay chains are off-shell, then the reconstructed invariant mass of the SM particles exhibits two kinematic edges for the Z3 case but only one for the Z2 case. For the case of on-shell intermediate particles, distinguishing the two symmetries requires more than the kinematic edges. In this case, we note that certain decay chain topologies of the mother particle which are present for the Z3 case (but absent for the Z2 case) generate a cusp in the invariant mass distribution of the SM particles. We demonstrate that this cusp is generally invariant of the various spin configurations. We further apply these techniques within the context of explicit models.

  6. Are small-scale field-aligned currents and magneto sheath-like particle precipitation signatures of the same low-altitude cusp?

    DEFF Research Database (Denmark)

    Watermann, J.; Stauning, P.; Luhr, H.;

    2009-01-01

    satellites were converted into AACGM coordinates, and the geomagnetic latitude of the cusp boundaries (as indicated by precipitating particles and small-scale field-aligned currents) set in relation to the IMF-B-z dependent latitude of the equatorward boundary of the statistical cusp. We find that the...

  7. Repositioning of an Intraventricular Dislocated Aortic Valve during Transcatheter Aortic Valve Implantation

    NARCIS (Netherlands)

    Natour, Ehsan; Douglas, Yvonne L.; Jainandunsing, Jayant S.; Schurer, Remco A. J.; van der Werf, Hendrik W.; van den Heuvel, Ad F. M.

    2014-01-01

    The case is presented of a 75-year-old man referred for transcatheter aortic valve implantation. During the procedure the prosthetic aortic valve became dislocated into the left ventricle shortly after expansion. The subsequent steps taken to reposition the valve using only materials at hand are des

  8. Turner's syndrome associated with bicuspid aortic stenosis and dissecting aortic aneurysm

    OpenAIRE

    Slater, D N; Grundman, M. J.; Mitchell, L

    1982-01-01

    A case of Turner's syndrome is described associated with bicuspid aortic stenosis and fatal rupture of a thoracic dissecting aortic aneurysm. Histology of the aneurysm showed severe cystic medial necrosis. This association has not been previously described in the absence of coarctation.

  9. ALTERNATIVE METHOD OF SURGICAL CORRECTION OF DISSECTING AORTIC ANEURYSMS WITH AORTIC INSUFFIECIENCY

    Directory of Open Access Journals (Sweden)

    M. L. Semenovsky

    2009-01-01

    Full Text Available Patients with dissecting aortic aneurysm and associated acute aortic insufficiency form a group of seriously ill patients with significant cardiac failure, generally involving other organs and systems. It justifies an attempt to reduce a surgical risk, by using more sparing procedures, including supracoronary replacement of the ascending aorta with its root reconstruction. The latter has been performed in 27 patients (mean 54,5 ± 2,1 years with dissecting aortic aneurysm and aortic valvular insufficiency in 1996 to 2009. The major etiological factor was atherosclerosis (88%/ Seventeen (63%, 6 (22,2% and 4 (16% had types I, IIA and II dissection, respectively. Overall hospital mortality was 11%. In late period, progressive aneurysm dissection needed reinterventions in 2 cases. The competence of the reconstructed aortic valve was satisfactory both just after surgery and throughout the follow-up. Indications for this option of chronic correction, surgical techniques, and immediate and long-term results are outlined. 

  10. Abdominal Aortic Diameter Is Increased in Males with a Family History of Abdominal Aortic Aneurysms

    DEFF Research Database (Denmark)

    Mejnert Jørgensen, Trine; Houlind, K; Green, A;

    2014-01-01

    OBJECTIVE: To investigate, at a population level, whether a family history of abdominal aortic aneurysm (AAA) is independently related to increased aortic diameter and prevalence of AAA in men, and to elucidate whether the mean aortic diameter and the prevalence of AAA are different between...... participants with male and female relatives with AAA. DESIGN: Observational population-based cross-sectional study. MATERIALS: 18,614 male participants screened for AAA in the VIVA-trial 2008-2011 with information on both family history of AAA and maximal aortic diameter. METHODS: Standardized ultrasound scan...... measurement of maximum antero-posterior aortic diameter. Family history obtained by questionnaire. Multivariate regression analysis was used to test for confounders: age, sex, smoking, comorbidity and medication. RESULTS: From the screened cohort, 569 participants had at least one first degree relative...

  11. Measurement and determinants of infrarenal aortic thrombus volume

    Energy Technology Data Exchange (ETDEWEB)

    Golledge, Jonathan; Wolanski, Philippe [James Cook University, The Vascular Biology Unit, Townsville, Queensland (Australia); Townsville Hospital, Townsville, Queensland (Australia); Parr, Adam [James Cook University, The Vascular Biology Unit, Townsville, Queensland (Australia); Buttner, Petra [James Cook University, School of Public Health and Tropical Medicine, Townsville, Queensland (Australia)

    2008-09-15

    Intra-luminal thrombus has been suggested to play a role in the progression of abdominal aortic aneurysm (AAA). The aims of this study were twofold. Firstly, to assess the reproducibility of a computer tomography (CT)-based technique for measurement of aortic thrombus volume. Secondly, to examine the determinants of infrarenal aortic thrombus volume in a cohort of patients with aortic dilatation. A consecutive series of 75 patients assessed by CT angiography with maximum aortic diameter {>=}25 mm were recruited. Intra-luminal thrombus volume was measured by a semi-automated workstation protocol based on a previously defined technique to quantitate aortic calcification. Intra- and inter-observer reproducibility were assessed using correlation coefficients, coefficient of variation and Bland-Altman plots. Infrarenal aortic thrombus volume percentage was related to clinical, anatomical and blood characteristics of the patients using univariate and multivariate tests. Infrarenal aortic thrombus volume was related to the severity of aortic dilatation assessed by total aortic volume (r=0.87, P<0.0001) or maximum aortic diameter (r=0.74, P< 0.0001). We therefore examined the clinical determinates of aortic thrombus expressed as a percentage of total aortic volume. Aortic thrombus percentage was negatively correlated with serum high density lipoprotein (HDL, r=-0.31). By ordinal multiple logistic regression analysis serum HDL below median ({<=}1.2 mM) was associated with aortic thrombus percentage in the upper quartile adjusting for other risk factors (odds ratio 5.3, 95% CI 1.1-25.0). Infrarenal aortic thrombus volume can be measured reproducibly on CT. Serum HDL, which can be therapeutically raised, may play a role in discouraging aortic thrombus accumulation with implications in terms of delaying progression of AAA. (orig.)

  12. Transition to palliative care when transcatheter aortic valve implantation is not an option: opportunities and recommendations

    Science.gov (United States)

    Lauck, Sandra B.; Gibson, Jennifer A.; Baumbusch, Jennifer; Carroll, Sandra L.; Achtem, Leslie; Kimel, Gil; Nordquist, Cindy; Cheung, Anson; Boone, Robert H.; Ye, Jian; Wood, David A.; Webb, John G.

    2016-01-01

    Purpose of review Transcatheter aortic valve implantation (TAVI) is the recommended treatment for most patients with symptomatic aortic stenosis at high surgical risk. However, TAVI may be clinically futile for patients who have multiple comorbidities and excessive frailty. This group benefits from transition to palliative care to maximize quality of life, improve symptoms, and ensure continuity of health services. We discuss the clinical determination of utility and futility, explore the current evidence guiding the integration of palliative care in procedure-focused cardiac programs, and outline recommendations for TAVI programs. Recent findings The determination of futility of treatment in elderly patients with aortic stenosis is challenging. There is a paucity of research available to guide best practices when TAVI is not an option. Opportunities exist to build on the evidence gained in the management of end of life and heart failure. TAVI programs and primary care providers can facilitate improved communication and processes of care to provide decision support and transition to palliative care. Summary The increased availability of transcatheter options for the management of valvular heart disease will increase the assessment of people with life-limiting conditions for whom treatment may not be an option. It is pivotal to bridge cardiac innovation and palliation to optimize patient outcomes. PMID:26716394

  13. Aneurismas da aorta Aortic aneurysms

    Directory of Open Access Journals (Sweden)

    Januário M Souza

    1992-09-01

    Full Text Available Entre janeiro de 1979 e janeiro de 1992, foram realizadas 212 operações para correção de aneurismas e de dissecções da aorta. Neste trabalho serão analisados 104 procedimentos cirúrgicos (em 97 pacientes para correção de aneurismas. A idade dos pacientes variou de 14 a 79 anos (média 59,5 anos e o sexo predominante foi o masculino, com 75 pacientes. Os aneurismas localizavam-se na aorta ascendente em 46 pacientes, na croça em 8, na aorta descendente em 8, na aorta toráco-abdominal em 8, na aorta abdominal em 21, na aorta descendente e abdominal em 2, na aorta ascendente e tóraco-abdominal em 2, na aorta ascendente e descendente em 1, na aorta ascendente, croça e descendente em 1. Doenças cardiovasculares associadas estavam presentes em 39 pacientes, sendo valvopatia aórtica em 18 (excluídos os pacientes com ectasiaânulo-aórtíca, insuficiência coronária em 17, coarctação da aorta em 2, persistência do canal arterial em 1 e valvopatia mitral e aórtica em 1. A mortalidade imediata (hospitalar e/ou 30 dias foi de 14,4%, sendo de 27,7% (5/18 para pacientes com mais de 70 anos e de 11,3% (9/79 para pacientes com idade inferior a 70 anos. Os aneurismas localizados na aorta ascendente e croça foram operados como o auxílio de circulação extracorpórea. Parada circulatória e hipotermia profunda foram utilizadas em todos os pacientes com aneurisma da croça. O estudo tomográfico e angiográfico deve ser de toda a aorta, pela possibilidade de aneurismas de localizações múltiplas.Among 212 patients undergoing operation for aortic aneurysm and aortic dissection between January 1979 and January 1992, 97 were operated on for aneurysms. The aneurysms were localized in: ascending aorta in 46 patients, transverse aortic arch in 8, descending aorta in 8, thoracoabdominal aorta in 8, abdominal (infrarenal aorta in 21, descending and abdominal aorta in 2, ascending and thoracoabdominal aorta in 2, ascending and descending in 1

  14. Vasopressor mechanisms in acute aortic coarctation hypertension

    Directory of Open Access Journals (Sweden)

    Salgado H.C.

    1997-01-01

    Full Text Available Angiotensin II (ANG II and vasopressin (AVP act together with the mechanical effect of aortic constriction in the onset of acute aortic coarctation hypertension. Blockade of ANG II and AVP V1 receptors demonstrated that ANG II acts on the prompt (5 min rise in pressure whereas AVP is responsible for the maintenance (30-45 min of the arterial pressure elevation during aortic coarctation. Hormone assays carried out on blood collected from conscious rats submitted to aortic constriction supported a role for ANG II in the early stage and a combined role for both ANG II and AVP in the maintenance of proximal hypertension. As expected, a role for catecholamines was ruled out in this model of hypertension, presumably due to the inhibitory effect of the sinoaortic baroreceptors. The lack of afferent feedback from the kidneys for AVP release from the central nervous system in rats with previous renal denervation allowed ANG II to play the major role in the onset of the hypertensive response. Median eminence-lesioned rats exhibited a prompt increase in proximal pressure followed by a progressive decline to lower hypertensive levels, revealing a significant role for the integrity of the neuroaxis in the maintenance of the aortic coarctation hypertension through the release of AVP. In conclusion, the important issue raised by this model of hypertension is the likelihood of a link between some vascular territory - probably renal - below the coarctation triggering the release of AVP, with this vasoconstrictor hormone participating with Ang II and the mechanical effect of aortic constriction in the acute aortic coarctation hypertension

  15. Atherosclerotic Aortic Plaques Detected by Transesophageal Echocardiography

    Institute of Scientific and Technical Information of China (English)

    赵云; 朱文玲; 倪超; 郭丽琳; 曾勇; 方理刚

    2002-01-01

    Objective To evaluate the predictive value of atherosclerotic aortic plaques in coronary artery disease (CAD) Methods In 50patients with suspected coronary artery disease, transesophageal echocardiography was performed to examine their thoracic aortas 2 weeks before or after coronary angiography. In the cases of coronary angiography studied, stenosis of the coronary artery ≥ 50 % was considered to be due to coronary artery disease,whereas the thickness of the intima ≥ 1.3 mm was taken to be the criteria for the presence of an atherosclerotic aortic plaque on the transesophageal echocardiographic test. Results Among the 50 patients, 37 cases were diagnosed as CAD and 13 cases were considered to be normal. The plaques of the thoracic aorta were observed in 34cases in the CAD group and 3 cases in the normal group. The sensitivity and specificity of aortic plaques for CAD were 91.9 % and 76.9%, respectively. The positive and negative predictive values of the aortic plaques for CAD were 91.9% and 76.9%, respectively. The accuracy was 88.0%. 80 percent of the patients with single- yes sel disease had thoracic aortic plaques, 92 percent of the patients with two-vessel disease and 100 percent of the patients with three-vessel disease had thoracic aortic plaques. There was a significant difference in the thickness of aortic intimas between the normal group and the CAD group. Conclusions Detectingatherosclerotic plaques in the thoracic aorta with transesophageal echocardiography may be of great value in predicting the presence and extent of coronary artery disease.

  16. Cusp-latitude Pc3 spectra: band-limited and power-law components

    Directory of Open Access Journals (Sweden)

    P. V. Ponomarenko

    Full Text Available This work attempts to fill a gap in comparative studies of upstream-generated Pc3–4 waves and broad band ULF noise observed at cusp latitudes. We performed a statistical analysis of the spectral properties of three years of cusp-latitude ground magnetometer data, finding that the average daytime Pc3–4 spectra are characterized by two principal components: an upstream-related band-limited enhancement (‘signal’ and a power-law background (‘noise’ with S(f a  f -4 . Based on this information we developed an algorithm allowing for the deconvolution of these two components in the spectral domain. The frequency of the signal enhancement increases linearly with IMF magnitude as f [mHz] ~ 4.4 | BIMF | [nT], and its power maximizes around IMF cone angles qxB ~ 20 and 160° and at 10:30–11:00 MLT. Both spectral components exhibit similar semiannual variations with equinoctial maxima. The back-ground noise power grows with increasing southward Bz and remains nearly constant for northward Bz . Its diurnal variation resembles that of Pc5 field-line resonance power, with a maximum near 09:00 MLT. Both the band-limited signal and broad band noise components show power-law growth with solar wind velocity a V 5.71sw and a V 4.12sw, respectively. Thus, the effective signal-to-noise ratio increases with in-creasing Vsw. The observations suggest that the noise generation is associated with reconnection processes.

    Key words. Magnetospheric physics (magnetopause, cusp, and boundary layers; MHD waves and instabilities; solar wind magnetosphere interactions

  17. Ionospheric cusp flows pulsed by solar wind Alfvén waves

    Directory of Open Access Journals (Sweden)

    P. Prikryl

    Full Text Available Pulsed ionospheric flows (PIFs in the cusp foot-print have been observed by the SuperDARN radars with periods between a few minutes and several tens of minutes. PIFs are believed to be a consequence of the interplanetary magnetic field (IMF reconnection with the magnetospheric magnetic field on the dayside magnetopause, ionospheric signatures of flux transfer events (FTEs. The quasiperiodic PIFs are correlated with Alfvénic fluctuations observed in the upstream solar wind. It is concluded that on these occasions, the FTEs were driven by Alfvén waves coupling to the day-side magnetosphere. Case studies are presented in which the dawn-dusk component of the Alfvén wave electric field modulates the reconnection rate as evidenced by the radar observations of the ionospheric cusp flows. The arrival of the IMF southward turning at the magnetopause is determined from multipoint solar wind magnetic field and/or plasma measurements, assuming plane phase fronts in solar wind. The cross-correlation lag between the solar wind data and ground magnetograms that were obtained near the cusp footprint exceeded the estimated spacecraft-to-magnetopause propagation time by up to several minutes. The difference can account for and/or exceeds the Alfvén propagation time between the magnetopause and ionosphere. For the case of short period ( < 13 min PIFs, the onset times of the flow transients appear to be further delayed by at most a few more minutes after the IMF southward turning arrived at the magnetopause. For the case of long period (30 – 40 min PIFs, the observed additional delays were 10–20 min. We interpret the excess delay in terms of an intrinsic time scale for reconnection (Russell et al., 1997 which can be explained by the surface-wave induced magnetic reconnection mechanism (Uberoi et al., 1999. Here, surface waves with wavelengths larger than the thickness of the neutral layer induce a tearing-mode instability whose rise time explains the

  18. External aortic wrap for repair of type 1 endoleak

    Directory of Open Access Journals (Sweden)

    Anastasia Dean

    2014-01-01

    CONCLUSION: Provided certain anatomical features are present, an external aortic wrap is a useful and successful option to manage type 1 endoleak in high-risk patients who are unsuitable for aortic clamping.

  19. Outcomes after transcatheter aortic valve implantation: transfemoral versus transapical approach

    NARCIS (Netherlands)

    Ewe, S.H.; Delgado, V.; Ng, A.C.; Antoni, M.L.; Kley, F. van der; Marsan, N.A.; Weger, A. de; Tavilla, G.; Holman, E.R.; Schalij, M.J.; Bax, J.J.

    2011-01-01

    BACKGROUND: Transcatheter aortic valve implantation is commonly implanted through a transfemoral (TFA) or transapical approach (TAA) for patients with severe aortic stenosis. This study aimed to describe the clinical and echocardiographic outcomes of TFA versus TAA. METHODS: Clinical and echocardiog

  20. Design and fabrication of a large magnetic cusp type of plasma generator for the production of negative ions

    Energy Technology Data Exchange (ETDEWEB)

    Biagi, L.A.; Ehlers, K.W.; Leung, K.N.; Matuk, C.A.; Moon, S.D.; Paterson, J.A.

    1981-10-01

    The design and fabrication techniques for a large magnetic bucket type of plasma source designed for the production of negative ions by surface conversion are described. These include the design of a converter structure, cesium oven and injector, variable aperture electrode, accelerator section as well as the features of the magnetic cusp geometry employed.

  1. Letter to the EditorA statistical study of the location and motion of the HF radar cusp

    Directory of Open Access Journals (Sweden)

    K. A. McWilliams

    Full Text Available The large-scale and continuous monitoring of the ionospheric cusp region offered by HF radars has been exploited in order to examine the statistical location and motion of the equatorward edge of the HF radar cusp as a function of the upstream IMF BZ component. Although a considerable scatter is seen, both parameters have a clear influence from the north-south component of the IMF. Excellent agreement is achieved with previous observations from low altitude spacecraft data. The HF radar cusp region is seen to migrate equatorward at a rate of 0.02° min-1 nT-1 under IMF BZ south conditions, but remains static for IMF BZ north. The motion of the cusp implies an addition of magnetic flux of ~ 2 × 104 Wbs-1 nT-1 under IMF BZ south conditions, equivalent to a reconnection voltage of 20 kV nT-1, which is consistent with previous estimates from case studies on both the dayside and nightside regions.Key words. Ionosphere (auroral ionosphere – Magnetospheric physics (magnetosphere-ionosphere interaction; solar wind magnetosphere interactions

  2. Design and fabrication of a large magnetic cusp type of plasma generator for the production of negative ions

    International Nuclear Information System (INIS)

    The design and fabrication techniques for a large magnetic bucket type of plasma source designed for the production of negative ions by surface conversion are described. These include the design of a converter structure, cesium oven and injector, variable aperture electrode, accelerator section as well as the features of the magnetic cusp geometry employed

  3. Efficient Word Reading: Automaticity of Print-Related Skills Indexed by Rapid Automatized Naming through Cusp-Catastrophe Modeling

    Science.gov (United States)

    Sideridis, Georgios D.; Simos, Panagiotis; Mouzaki, Angeliki; Stamovlasis, Dimitrios

    2016-01-01

    The study explored the moderating role of rapid automatized naming (RAN) in reading achievement through a cusp-catastrophe model grounded on nonlinear dynamic systems theory. Data were obtained from a community sample of 496 second through fourth graders who were followed longitudinally over 2 years and split into 2 random subsamples (validation…

  4. Cusp deflection, infraction and fracture in endodontically treated teeth filled with three temporary filling materials (in vitro

    Directory of Open Access Journals (Sweden)

    Ali Eskandarizade

    2015-12-01

    Full Text Available Aim: the aim of this study was to compare cusp deflection, infraction and fracture in teeth filled with three temporary filling materials. Materials & method: Forty five extracted human premolar teeth were chosen. After root canal therapy and mesio-occluso-distal cavity preparation, samples were randomly divided into three groups , each contained 15 teeth and filled with three temporary filling materials: Cavisol (Golchai-Iran, Coltosol F (Coltene,Swiss and Coltene (Ariadent,Iran. Teeth were kept in normal saline at room temperature and every day the intercuspal distance was measured under stereomicroscope for 20 days. Infractions as well as fractures were also noted. Data were analyzed in SPSS 17 using Repeated measurement ANOVA test to evaluate the intercuspal distance and expansion of each sample every day. Results: Intercuspal distance increased in all three groups but was significantly more in Coltosol F group. On the days 10 and 16 two teeth filled with Coltosol F had cusp fracture. Conclusion: Temporary filling materials have hygroscopic expansion and cause cusp deflection which may lead to cusp fracture, so it is recommended to use them in short period of time.

  5. Electron-electron cusp condition and asymptotic behavior for the Pauli potential in pair density functional theory.

    Science.gov (United States)

    Nagy, A; Amovilli, C

    2008-03-21

    In the ground state, the pair density n can be determined by solving a single auxiliary equation of a two-particle problem. Electron-electron cusp condition and asymptotic behavior for the Pauli potential of the effective potential of the two-particle equation are presented. PMID:18361562

  6. The German Aortic Valve Registry (GARY): in-hospital outcome

    OpenAIRE

    Hamm, Christian W.; Möllmann, Helge; Holzhey, David; Beckmann, Andreas; Veit, Christof; Figulla, Hans-Reiner; Cremer, J; Kuck, Karl-Heinz; Lange, Rüdiger; Zahn, Ralf; Sack, Stefan; Schuler, Gerhard; Walther, Thomas; Beyersdorf, Friedhelm; Böhm, Michael

    2013-01-01

    Background Aortic stenosis is a frequent valvular disease especially in elderly patients. Catheter-based valve implantation has emerged as a valuable treatment approach for these patients being either at very high risk for conventional surgery or even deemed inoperable. The German Aortic Valve Registry (GARY) provides data on conventional and catheter-based aortic procedures on an all-comers basis. Methods and results A total of 13 860 consecutive patients undergoing repair for aortic valve d...

  7. A Clinicopathological Study on Aortic Valves in Children

    Institute of Scientific and Technical Information of China (English)

    HUANG Ping; WANG Hongwei; ZHANG Zhenlu; HU Xiufen; LI Yanping; CHENG Peixuan; LIU Jianying

    2007-01-01

    In order to investigate the clinicopathological characteristics of aortic valve disease in children, all the native surgically excised aortic valves obtained between January 2003 and December 2005 were studied macroscopically and microscopically. The patients' medical records were reviewed and the clinical information was extracted. According to preoperative echocardiography, intraoperative assessment, and postoperative pathology, combined with clinical symptoms and signs, aortic valve diseases were divided into three categories: aortic stenosis (AS), aortic insufficiency (AI), and aortic stenosis with insufficiency (AS-AI). The etiology was determined according to the macroscopic, microscopic and clinical findings. The results showed that among 70 aortic valves, patient age ranged from 6 to 18 years, with a mean of 15.4 years, and there were 56 boys and 14 girts (male: female=4:1). Forty-four children only had pure aortic valve disease, and the other 26 children had aortic valve disease associated with other heart valve diseases. There were 5 cases of AS (7.14%), 60 cases of AI (85.71%) and 5 cases of AS-AI (7.14%). The causes were congenital aortic valve malformation (32 cases, 45.71%), rheumatic disease (28 cases, 40%), infective endocarditis (7 cases,10%), Marfan syndrome (2 cases, 2.86%), and undetermined (1 case, 1.43%). It was concluded that the common causes of aortic valve disease in order of frequency in children were congenital aortic valve malformation, rheumatic disease, infective endocarditis, and Marfan syndrome. AI was more common in children with aortic valve disease. Compared with adult patients, congenital bicuspid aortic valve in children was often AI. Histologically, the leaflets of congenital bicuspid aortic valve were mainly myxomatous, fibrosis and calcification less seen. AI was frequently found in rheumatic disease, mostly associated with other heart valve diseases. Macroscopic and microscopic examinations together with clinical

  8. Rapid prototyping in aortic surgery.

    Science.gov (United States)

    Bangeas, Petros; Voulalas, Grigorios; Ktenidis, Kiriakos

    2016-04-01

    3D printing provides the sequential addition of material layers and, thus, the opportunity to print parts and components made of different materials with variable mechanical and physical properties. It helps us create 3D anatomical models for the better planning of surgical procedures when needed, since it can reveal any complex anatomical feature. Images of abdominal aortic aneurysms received by computed tomographic angiography were converted into 3D images using a Google SketchUp free software and saved in stereolithography format. Using a 3D printer (Makerbot), a model made of polylactic acid material (thermoplastic filament) was printed. A 3D model of an abdominal aorta aneurysm was created in 138 min, while the model was a precise copy of the aorta visualized in the computed tomographic images. The total cost (including the initial cost of the printer) reached 1303.00 euros. 3D imaging and modelling using different materials can be very useful in cases when anatomical difficulties are recognized through the computed tomographic images and a tactile approach is demanded preoperatively. In this way, major complications during abdominal aorta aneurysm management can be predicted and prevented. Furthermore, the model can be used as a mould; the development of new, more biocompatible, less antigenic and individualized can become a challenge in the future. PMID:26803324

  9. Endovascular repair of abdominal aortic aneurysms.

    Science.gov (United States)

    Arnaoutakis, Dean J; Zammert, Martin; Karthikesalingam, Alan; Belkin, Michael

    2016-09-01

    Endovascular repair of abdominal aortic aneurysms is an important technique in the vascular surgeon's armamentarium, which has created a seismic shift in the management of aortic pathology over the past two decades. In comparison to traditional open repair, the endovascular approach is associated with significantly improved perioperative morbidity and mortality. The early survival benefit of endovascular abdominal aortic aneurysm repair is sustained up to 3 years postoperatively, but longer-term life expectancy remains poor regardless of operative modality. Nonetheless, most abdominal aortic aneurysms are now repaired using endovascular stent grafts. The technology is not perfect as several postoperative complications, namely endoleak, stent-graft migration, and graft limb thrombosis, can develop and therefore lifelong imaging surveillance is required. In addition, a postoperative inflammatory response has been documented after endovascular repair of aortic aneurysms; the clinical significance of this finding has yet to be determined. Subsequently, the safety and applicability of endovascular stent grafts are likely to improve and expand with the introduction of newer-generation devices and with the simplification of fenestrated systems. PMID:27650343

  10. Singularity of free-surface curvature in convergent flow: Cusp or corner?

    International Nuclear Information System (INIS)

    The nature of singularities that arise in the mathematical modeling of free-surface flows and the ways of their analysis and regularization aimed at removing the physically unacceptable features is one of fundamental issues in theoretical fluid dynamics. The present work considers the type of the free-surface curvature singularity emerging in the steady two-dimensional convergent flow of a Newtonian fluid near a free boundary. The unphysical singularities in the flow field, unavoidable in the conventional model, are removed by describing this flow as a particular case of the interface formation/disappearance process in the framework of an earlier developed macroscopic theory of such processes which is applied without any ad hoc alterations. The near-field asymptotic analysis of the problem shows that at finite capillary numbers the singularity of the free-surface curvature is always a sharp corner, not a cusp

  11. Structure of Dark Matter Halos From Hierarchical Clustering. III. Shallowing of The Inner Cusp

    CERN Document Server

    Fukushige, T; Makino, J; Fukushige, Toshiyuki; Kawai, Atsushi; Makino, Junichiro

    2004-01-01

    We investigate the structure of the dark matter halo formed in the cold dark matter scenarios by N-body simulations with parallel treecode on GRAPE cluster systems. We simulated 8 halos with the mass of $4.4\\times 10^{14}M_{\\odot}$ to $1.6\\times 10^{15}M_{\\odot}$ in the SCDM and LCDM model using up to 30 million particles. With the resolution of our simulations, the density profile is reliable down to 0.2 percent of the virial radius. Our results show that the slope of inner cusp within 1 percent virial radius is shallower than -1.5, and the radius where the shallowing starts exhibits run-to-run variation, which means the innermost profile is not universal.

  12. Symmetry, cusp bifurcation and chaos of an impact oscillator between two rigid sides

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Both the symmetric period n-2 motion and asymmetric one of a one-degree-of-freedom impact oscillator are considered. The theory of bifurcations of the fixed point is applied to such model, and it is proved that the symmetric periodic motion has only simulation shows that one symmetric periodic orbit could bifurcate into two antisymmetric ones via pitchfork bifurcation. While the control parameter changes continuously,the two antisymmetric periodic orbits will give birth to two synchronous antisymmetric period-doubling sequences, and bring about two antisymmetric chaotic attractors subsequently. If the symmetric system is transformed into asymmetric one, bifurcations of the asymmetric period n-2 motion can be described by a two-parameter unfolding of cusp,and the pitchfork changes into one unbifurcated branch and one fold branch.

  13. Countering the stray magnetic field of the CUSP trap by using additional coils

    CERN Document Server

    Thole, Jelle

    2016-01-01

    The ASACUSA experiment at the Antiproton Decelerator (AD) at CERN tries to measure the Hyperfine Structure (HFS) of Antihydrogen (H ̄) using a Rabi spectroscopy set-up. In measuring this HFS it will yield a very precise test of CPT-symmetry. For this set-up to work a homogeneous magnetic field is needed in the cavity where the Hyperfine transition of H ̄ occurs. Due to the stray fields from the CUSP trap, where H ̄ is produced, additional coils are needed to counter these fields. It is found, using COMSOL simulations, that two coils are suitable for this. Leading to a relative standard deviation of the magnetic field of σB/B = 1.06%.

  14. Challenging Friesian horse diseases : aortic rupture and megaesophagus

    NARCIS (Netherlands)

    Ploeg, M.

    2015-01-01

    Aortic rupture is quite rare in Warmblood horses and is best known as an acute and fatal rupture of the aortic root in older breeding stallions. It has now become clear that aortic rupture, which is diagnosed around an age of 4 years, is more frequent in the Friesian breed than in others. The high p

  15. Aneurysm sac enlargement after endovascular Abdominal Aortic Aneurysm repair

    NARCIS (Netherlands)

    Dingemans, Siem A; Jonker, Frederik H W; Moll, Frans L; van Herwaarden, JA

    2015-01-01

    The aim of this study is to give an overview of current knowledge regarding abdominal aortic aneurysm (AAA) growth after endovascular aortic aneurysm repair (EVAR) that could potentially lead to aortic rupture. A search on Pubmed was performed. A total of 705 articles were found after initial search

  16. Immediate post-operative responses to transcatheter aortic valve implantation

    DEFF Research Database (Denmark)

    Egerod, Ingrid; Nielsen, Susanne; Lisby, Karen H.;

    2015-01-01

    Background:Conventional treatment for patients with severe symptomatic aortic stenosis is surgical aortic valve replacement (SAVR), but transcatheter aortic valve implantation (TAVI) has become a reliable alternative in high-risk patients.Aims:The aim of our study was to describe the post...

  17. Study of Coronary Artery Disease in Single Aortic Valvular Disease

    Institute of Scientific and Technical Information of China (English)

    张斌; 杨伟民; 占亚平

    2003-01-01

    Objectives To analyze the results of coronary angiographies (GAG) in patients with single aortic valvular heart disease; To study the relationship between aortic valve diseases and coronary artery disease (CAD). Methods 105 patients with single aortic valvular heart disease before surgery underwent angiography. The data of clinical characteristics and angiographies were analyzed. Results 51 patients had symptoms of angina pectoris among 105 patients with single aortic valvular heart disease. Seven of them were confirmed coronary artery disease by angiographies. Although the incidence of angina in aortic valve stenosis group was significantly higher than that in aortic valve regurgitation, the probability of combination of CAD in aortic valve stenosis group was similar to the later. However, the probability of combination of CAD in degenerative aortic valve group was significantly higher than the groups of rheumatic, congenitally bicuspid aortic valves, and other causes (p <0.01).Conclusions Angina pectoris is not sensitive for diagnosis of CAD in single aortic valve heart disease.The probability of combination of CAD in degenerative aortic valve disease is higher than that in aortic valve disease with other causes. Coronary angiography is strongly suggested for these patients.

  18. Balloon aortic valvuloplasty in pregnancy with severe aortic stenosis and infective endocarditis

    Directory of Open Access Journals (Sweden)

    Vinotha

    2012-12-01

    Full Text Available Twenty seven year old lady, previously diagnosed to have aortic stenosis, presented to the obstetric outpatient department at 19 weeks of gestation with fever and breathlessness, NYHA class 4, for one week. Two D Echo revealed left ventricular hypertrophy, a severely stenosed, calcified bicuspid aortic valve, with vegetations on aortic and mitral valves and severe mitral regurgitation. Blood cultures grew nutrionally variant streptococci and she was treated with crystalline penicillin and gentamicin. She stabilised clinically by 21 weeks, by which time, the risk of termination of pregnancy was comparable to continuing the pregnancy. She underwent balloon aortic valvuloplasty. Post balloon aortic valvuloplasty, she was stable. At 34+2 weeks, she underwent emergency LSCS, the indication being intrauterine growth restriction with fetal compromise and breech presentation. She delivered a baby girl, 1.6 kg, Apgar 9 & 10. Our case report highlights the fact that a timely, balloon aortic valvuloplasty can be life saving for patients with pregnancy complicated by severe aortic stenosis and infective endocarditis. [Int J Reprod Contracept Obstet Gynecol 2012; 1(1.000: 69-71

  19. The effects of relative food item size on optimal tooth cusp sharpness during brittle food item processing.

    Science.gov (United States)

    Berthaume, Michael A; Dumont, Elizabeth R; Godfrey, Laurie R; Grosse, Ian R

    2014-12-01

    Teeth are often assumed to be optimal for their function, which allows researchers to derive dietary signatures from tooth shape. Most tooth shape analyses normalize for tooth size, potentially masking the relationship between relative food item size and tooth shape. Here, we model how relative food item size may affect optimal tooth cusp radius of curvature (RoC) during the fracture of brittle food items using a parametric finite-element (FE) model of a four-cusped molar. Morphospaces were created for four different food item sizes by altering cusp RoCs to determine whether optimal tooth shape changed as food item size changed. The morphospaces were also used to investigate whether variation in efficiency metrics (i.e. stresses, energy and optimality) changed as food item size changed. We found that optimal tooth shape changed as food item size changed, but that all optimal morphologies were similar, with one dull cusp that promoted high stresses in the food item and three cusps that acted to stabilize the food item. There were also positive relationships between food item size and the coefficients of variation for stresses in food item and optimality, and negative relationships between food item size and the coefficients of variation for stresses in the enamel and strain energy absorbed by the food item. These results suggest that relative food item size may play a role in selecting for optimal tooth shape, and the magnitude of these selective forces may change depending on food item size and which efficiency metric is being selected.

  20. Artificial plasma cusp generated by upper hybrid instabilities in HF heating experiments at HAARP

    Science.gov (United States)

    Kuo, Spencer; Snyder, Arnold

    2013-05-01

    High Frequency Active Auroral Research Program digisonde was operated in a fast mode to record ionospheric modifications by the HF heating wave. With the O mode heater of 3.2 MHz turned on for 2 min, significant virtual height spread was observed in the heater off ionograms, acquired beginning the moment the heater turned off. Moreover, there is a noticeable bump in the virtual height spread of the ionogram trace that appears next to the plasma frequency (~ 2.88 MHz) of the upper hybrid resonance layer of the HF heating wave. The enhanced spread and the bump disappear in the subsequent heater off ionograms recorded 1 min later. The height distribution of the ionosphere in the spread situation indicates that both electron density and temperature increases exceed 10% over a large altitude region (> 30 km) from below to above the upper hybrid resonance layer. This "mini cusp" (bump) is similar to the cusp occurring in daytime ionograms at the F1-F2 layer transition, indicating that there is a small ledge in the density profile reminiscent of F1-F2 layer transitions. Two parametric processes exciting upper hybrid waves as the sidebands by the HF heating waves are studied. Field-aligned purely growing mode and lower hybrid wave are the respective decay modes. The excited upper hybrid and lower hybrid waves introduce the anomalous electron heating which results in the ionization enhancement and localized density ledge. The large-scale density irregularities formed in the heat flow, together with the density irregularities formed through the parametric instability, give rise to the enhanced virtual height spread. The results of upper hybrid instability analysis are also applied to explain the descending feature in the development of the artificial ionization layers observed in electron cyclotron harmonic resonance heating experiments.

  1. Fenestrated endovascular aortic repair for juxtarenal abdominal aortic aneurysm

    Institute of Scientific and Technical Information of China (English)

    GUO Wei; ZHANG Hong-peng; LIU Xiao-ping; JIA Xin; XIONG Jiang; MA Xiao-hui

    2013-01-01

    Background Endovascular stent-graft with fenestration can improve proximal sealing in patients with juxtarenal abdominal aortic aneurysm (JAAA).The purpose of this study was to describe our primary experience and evaluate the safety and efficacy of fenestrated device for JAAA in high-risk patients.Methods Between March 2011 and May 2012,nine male patients (mean age,(79.6±8.6) years) with asymptomatic JAAAs underwent elective deployment of the Zenith fenestrated stent-grafts at a single institution.All patients were treated in the hybrid operating room under general anesthesia.Follow-up computed tomography angiography (CTA) was routinely performed before discharge,at 3,6,and 12 months and annually thereafter.Results Procedural success was achieved in all cases.Total sixteen small fenestrations,two large fenestrations and eight scallops were used.Intra-operative complications occurred in four patients,which included one proximal type Ⅰ endoleak,two type Ⅱ endoleaks,and one renal artery dissection.The mean hospital stay was (8.9±1.4) days,mean blood loss was (360.5±46.8) ml,and mean iodinated contrast volume was (230.6±58.3) ml.The mean follow-up time was (7.6±4.2) months.The visceral graft patency was 100% until now.One patient had an increase of serum creatinine of more than 30%,but did not require dialysis.No patients died,no stent fractured,and migration were diagnosed during the follow-up.Conclusions The early results of fenestrated device for high-risk patients with complex JAAAs are satisfactory.However,long-term fenestrated graft durability and branch vessel patency remain to be determined.

  2. The future of aortic surgery in Europe

    DEFF Research Database (Denmark)

    Czerny, Martin; Bachet, Jean; Bavaria, Joseph;

    2012-01-01

    At least every ten years, each specialty should reflect upon its past, its present and its future, in order to be able to reconfirm the direction in which it is headed, to adopt suggestions from inside and outside and, consequently, to improve. As such, the aim of this manuscript is to provide th...... in Europe, namely the Vascular Domain of the European Association of Cardio-Thoracic Surgery (EACTS)....... the interested reader with an overview of how aortic surgery and (perhaps more accurately) aortic medicine has evolved in Europe, and its present standing; also to provide a glimpse into the future, trying to disseminate the thoughts of a group of people actively involved in the development of aortic medicine...

  3. ED 02-1 ACUTE AORTIC SYNDROME.

    Science.gov (United States)

    Song, Jae-Kwan

    2016-09-01

    The successful clinical introduction of various non-invasive imaging modalities has contributed to the establishment of 'acute aortic syndrome', a relatively new clinical syndrome incorporating several disease entities with similar clinical features (at the time of clinical presentation). Aortic dissection (AD) with intimal flap and two aortic channels (true and false lumens) is the most important disease entity in acute aortic syndrome. Clinical characteristics of AD have been established, with standardized treatment strategies depending on the affected site of the aorta. For the past several decades, variant forms of classic AD, including aortic intramural hematoma (IMH) and incomplete dissection, have been increasingly diagnosed in routine clinical practice worldwide, and imaging findings characteristic of these variant forms have been established for their differential diagnosis. As imaging findings, rather than clinical features, are critical for the differential diagnosis of acute aortic syndrome, careful interpretation of imaging results is necessary for accurate diagnosis and better clinical decision-making, thus improving patient outcomes. IMH is probably the most important variant form of classic AD and has been the source of intense controversy regarding its pathogenesis and optimal treatment options. Clinical reports regarding outcomes of patients with IMH from different centers have shown conflicting results and risk stratification based on imaging findings remains a challenging clinical issue.Intimal tears can have a very wide spectrum. For example, a stellate or linear intimal tear can involve the exposure of the underlying aortic media or adventitial layers but without the progression and separation of the medial layers, resulting in extensive undermining of the intimal layers. This incomplete dissection, characterized by an intimal tear without an intimal flap or hematoma, was reported to be present in 9 of 181 (5%) consecutive patients with

  4. Acute Aortic Dissection Extending Into the Lung.

    Science.gov (United States)

    Makdisi, George; Said, Sameh M; Schaff, Hartzell V

    2015-07-01

    The radiologic manifestations of ruptured acute aortic dissection, Stanford type A aortic dissection, DeBakey type 1 can present in different radiographic scenarios with devastating outcomes. Here, we present a rare case of a 70-year-old man who presented to the emergency department with chest pain radiating to the back. A chest computed tomography scan showed a Stanford type A, DeBakey type 1, acute aortic dissection ruptured into the aortopulmonary window and stenosing the pulmonary trunk, both main pulmonary arteries, and dissecting the bronchovascular sheaths and flow into the pulmonary interstitium, causing pulmonary interstitial hemorrhage. The patient underwent emergent ascending aorta replacement with hemiarch replacement with circulatory arrest. The postoperative course was unremarkable. PMID:26140779

  5. Temporary extracorporeal bypass modalities during aortic surgery.

    Science.gov (United States)

    Bassin, Levi; Bell, David

    2016-09-01

    The key to aortic surgery is protection of the brain, heart, spinal cord, and viscera. For operations involving the aortic arch, the focus is on cerebral protection, while for pathology involving the descending thoracic aorta, the focus is on spinal protection. Optimal cerebral and spinal protection requires an extensive knowledge of the operative steps and an understanding of the cardiopulmonary bypass modalities that are possible. A bloodless field is required when operating on the aorta. As a result, periods of ischemia to the central nervous system and end-organ viscera are often unavoidable. The main techniques to mitigate ischemia include hypothermia and selective perfusion of the ischemic organ in question. This chapter will first briefly review bypass modalities and then describe how they can be used for various aortic scenarios. PMID:27650344

  6. Transcatheter CoreValve valve-in-valve implantation in a stentless porcine aortic valve for severe aortic regurgitation

    OpenAIRE

    Yong, Celina M; Buchbinder, Maurice; Giacomini, John C

    2014-01-01

    Key Clinical Message We describe the first valve-in-valve Corevalve transcatheter aortic valve replacement in the St. Jude Toronto stentless porcine aortic valve in the United States, which enabled this 59-year-old patient with a history of bacterial endocarditis and aortic regurgitation to avoid heart transplant with complete resolution of his severe left ventricular dysfunction.

  7. Diagnostic imaging of acute aortic dissection

    International Nuclear Information System (INIS)

    One hundred and nineteen patients with aortic dissection who underwent diagnostic imaging were reviewed and angiographic findings as well as those of CT were analysed. Thirty eight cases (43.1%) had non-contrast opacified false lumen, the type of which we call 'thrombosed type aortic dissection'. A comparative study of the thrombosed type with the patent type of false lumens was made particularly from the stand point of the characteristic diagnostic imagings (CT and angiography). At the same time, the pitfalls of these imagings in thrombosed type aortic dissection were studied. At the onset the average age of thrombosed type was 62.3 years old, while that of the patent type was 57.3. A statistical significance between the two groups was p<0.05. Thrombosed type in all cases was caused by atherosclerosis, whereas patent type was caused by the Marfan's syndrome in 11 cases. Other clinical findings, such as initial symptoms and blood pressure revealed no significant differences between the two groups. Pre-contrast CT in acute thrombosed type aortic dissection showed 'hyperdense crescent sign' in 89.4%. However, in 3 cases with thrombosed type in which the pre-contrast CT showed 'hyperdense crescent sign' contrast-enhanced CT detected no clear evidence of aortic dissection in the same site. This was due to obscurity induced by contrast medium. Angiographic findings of thrombosed type were classified into 3 groups: normal type, stenosed true lumen type and ulcer-like projection type. The incidence of normal type was estimated to be 48.4%, whereas stenosed true lumen type was 24.2% and ulcer-like projection was 27.7%. The present study concluded that thrombosed type is not rare in acute aortic dissection and contrast-enhanced CT as well as pre-contrast CT, is of great value in diagnosing thrombosed type. 'Hyperdense crescent sign' in pre-contrast CT is characteristic of intramural hematoma. (author)

  8. Anesthesia Approach in Endovascular Aortic Reconstruction

    Directory of Open Access Journals (Sweden)

    Ayşin Alagöl

    2013-03-01

    Full Text Available Introduction: We have analyzed our initial results of our anesthesia techniques in our new-onset endovascular aortic reconstruction cases.Patients and Methods: The perioperative data of 15 elective and emergent endovascular aortic reconstruction cases that were operated in 2010-2011 were collected in a database. The choice of anesthesia was made by the risk factors, surgical team’s preferences, type and location of the aortic pathology and by the predicted operation duration. The data of local and general anesthesia cases were compared.Results: Thirteen (86.7% cases were male and 2 (13.3% female. Eleven patients were in ASA Class III. The demographic parameters, ASA classifications, concurrent diseases were similar in both groups. Thirteen (86.7% cases had infrarenal abdominal aortic aneurysm and 2 (13.3% had Type III aortic dissection. The diastolic arterial pressures were lower in general anesthesia group in 20th and 40th minutes’ measurements just like the mean arterial pressure measurements at the 40th, 100th minutes and during the deployment of the graft. Postoperative mortality occurred in 3 (20.0% patients and they all had general anesthesia and they were operated on emergency basis. Postoperative morbidity occurred in four patients that had general anesthesia (acute renal failure, multi-organ failure and pneumonia. The other patient had atrial fibrillation on the 1st postoperative day and was converted to sinus rhythm with amiodarone infusion.Conclusion: Edovascular aortic reconstruction procedures can safely be performed with both general and local anesthesia less invasively compared to open surgery. General anesthesia may be preferred for the better hemodynamic control.

  9. Idiopathic thoracic aortic aneurysm at pediatric age.

    Science.gov (United States)

    Marín-Manzano, E; González-de-Olano, D; Haurie-Girelli, J; Herráiz-Sarachaga, J I; Bermúdez-Cañete, R; Tamariz-Martel, A; Cuesta-Gimeno, C; Pérez-de-León, J

    2009-03-01

    A 6-year-old-boy presented with epigastric pain and vomiting over 1 year. Chest X-ray and esophagogastric transit showed a mediastinal mass. A chest computerized tomography angiogram demonstrated a descending thoracic aortic aneurysm. Analytical determinations carried out were all negative. The aneurysm was surgically repaired using a Dacron patch. The anatomopathological study described atherosclerotic lesions with calcifications, compatible with an atherosclerotic aneurysm wall. Aneurysms are uncommon in the pediatric population. Usually, no pathogenesis can be determined, and thus, such cases are grouped as idiopathic. Direct repair with or without patch is a therapeutic alternative in pediatric aneurysms and can allow the growth of the aortic circumference.

  10. Chylous complications after abdominal aortic surgery.

    Science.gov (United States)

    Haug, E S; Saether, O D; Odegaard, A; Johnsen, G; Myhre, H O

    1998-12-01

    Two patients developed chylous complications following abdominal aortic aneurysm repair. One patient had chylous ascitis and was successfully treated by a peritoneo-caval shunt. The other patient developed a lymph cyst, which gradually resorbed after puncture. Chylous complications following aortic surgery are rare. Patients in bad a general condition should be treated by initial paracentesis and total parenteral nutrition, supplemented by medium-chain triglyceride and low-fat diet. If no improvement is observed on this regimen, the next step should be implementation of a peritoneo-venous shunt, whereas direct ligation of the leak should be reserved for those who are not responding to this treatment. PMID:10204656

  11. Infective endocarditis following transcatheter aortic valve replacement-

    DEFF Research Database (Denmark)

    Loh, Poay Huan; Bundgaard, Henning; S�ndergaard, Lars

    2013-01-01

    Transcatheter aortic valve replacement (TAVR) can improve the symptoms and prognosis of patients with severe aortic stenosis who, due to a high expected operative risk, would not have otherwise been treated surgically. If these patients develop prosthetic valve endocarditis, their presentations may...... be atypical causing a delay in the diagnosis and treatment. The management is also complicated by their comorbidities, and surgical treatment may not be feasible leading to a significant morbidity and mortality. We describe a case of an 85-year-old man with TAVI prosthetic valve endocarditis successfully...

  12. Contemporary management of blunt aortic trauma.

    Science.gov (United States)

    Dubose, J J; Azizzadeh, A; Estrera, A L; Safi, H J

    2015-10-01

    Blunt thoracic aortic injury (BTAI) remains a common cause of death following blunt mechanisms of trauma. Among patients who survive to reach hospital care, significant advances in diagnosis and treatment afford previously unattainable survival. The Society for Vascular Surgery (SVS) guidelines provide current best-evidence suggestions for treatment of BTAI. However, several key areas of controversy regarding optimal BTAI care remain. These include the refinement of selection criteria, timing for treatment and the need for long-term follow-up data. In addition, the advent of the Aortic Trauma Foundation (ATF) represents an important development in collaborative research in this field. PMID:25868973

  13. Aortic valve replacement in octogenarians

    Directory of Open Access Journals (Sweden)

    Dark John H

    2007-07-01

    Full Text Available Abstract Background and Aims As our population ages and life expectancy increases the number of people aged over 80 and more referred for cardiac surgery is growing. This study sought to identify the outcome of aortic valve replacement (AVR in octogenarians. Methods 68 patients aged 80 years or more underwent AVR at the Freeman Hospital, between April 2001 and April 2004. A retrospective review of the notes and outcomes from the patients' GP and the NHS strategic tracking service was performed. 54% (37 underwent isolated AVR whilst 46% (31 underwent combined AVR and CABG. Results Follow up was 100% complete. The mean age was 83.1 ± s.d. 2.9 years, a mean gradient of 83 ± s.d. 31 mmHg and mean AVA of 0.56 cm2. The mean additive EuroSCORE was 8.6 ± s.d. 1.2, the logistic EuroSCORE mean 12.0 ± s.d. 5.9. In hospital 30 day mortality was 13 %. Survival was 80% at 1 year and 78% at 2 years. Median follow up was for 712 days. Stepwise logistic regression identified chronic obstructive airways disease as an independent predictor of mortality (p Conclusion Our study demonstrates that the operative mortality for AVR in the over eighties is good, whilst the mid to long term outcome is excellent There is a very low attrition rate with those undergoing the procedure living as long than their age matched population. This study confirms AVR is a safe, acceptable treatment for octogenarians with excellent mid term outcomes.

  14. Treatment of infrarenal abdominal aortic dissection concomitant with an aneurysm

    Institute of Scientific and Technical Information of China (English)

    WANG Li-xin; ZHU Ting; FU Wei-guo; WANG Yu-qi; XI Xun; GUO Da-qiao; CHEN Bin; JIANG Jun-hao; YANG Ju; SHI Zhen-yu

    2007-01-01

    @@ Aortic dissection occurs when layers of the aortic walls are separated by the blood flow through an intimal tear. Dissection of the aorta most frequently originates in the ascending aorta (70%), followed by the descending aorta (22%), the aortic arch (7%) and the abdominal aorta (1/%).1 The dissection limited to the abdominal aorta is rare.2 An isolated abdominal aortic dissection (IAAD) concomitant with an abdominal aortic aneurysm (AAA) is uncommon. We present here one patient with IAAD and AAA treated by endovascular therapy.

  15. Infected abdominal aortic aneurysm due to Morganella morganii: CT findings.

    Science.gov (United States)

    Kwon, Oh Young; Lee, Jong Seok; Choi, Han Sung; Hong, Hoon Pyo; Ko, Young Gwan

    2011-02-01

    An infected aortic aneurysm, or mycotic aneurysm, is a rare arterial dilatation due to destruction of the infected vessel wall. Common pathogens resulting in an infected aortic aneurysm are Salmonella and Clostridium species, as well as Staphylococcus aureus; Morganella morganii, on the other hand, is very rare. An infected abdominal aortic aneurysm has tendencies to grow rapidly and to rupture. The mortality rate is high in patients undergoing emergent surgical intervention. We report the case of a 65-year-old man who presented with an infected abdominal aortic aneurysm caused by M. morganii. A high index of suspicion and imaging tests are necessary in order to diagnose an infected aortic aneurysm.

  16. Diffuse Supravalvular Aortic Stenosis: Surgical Repair in Adulthood

    Directory of Open Access Journals (Sweden)

    Giovanni Ferlan

    2009-01-01

    Full Text Available We present the case of a 54-year-old woman in which a diffuse congenital supravalvular aortic stenosis (SVAS was associated with a severe aortic valve incompetence and heavy calcification of the aortic annulus. Repair consisted in resection of the ascending aorta, patch augmentation of the hypoplastic aortic root and annulus, placement of a 20 mm Dacron tubular graft (Vascutek, Renfrewshire, UK and aortic valve replacement with a mechanical prosthesis (Sorin, Turin, Italy. Follow-up echocardiography demonstrated normal prosthetic valve function and a postoperative three-dimensional computed tomographic scan showed a normal shape of the reconstructed ascending aorta.

  17. Congenital quadricuspid aortic valve: analysis of 11 surgical cases

    Institute of Scientific and Technical Information of China (English)

    TANG Yang-feng; XU Ji-bin; HAN Lin; LU Fang-lin; LANG Xi-long; SONG Zhi-gang; XU Zhi-yun

    2011-01-01

    Background Congenital quadricuspid aortic valve is rarely seen during aortic valve replacement (AVR).The diagnosis and treatment of the disease were reported in 11 cases.Methods Eleven patients (nine men and two women,mean age 33.4 years) with quadricuspid aortic valve were retrospectively evaluated.Medical records,echocardiograms and surgical treatment were reviewed.Results In accordance with the Hurwitz and Roberts classification,the patients were classified as type A (n=2),type B (n=7),type F (n=1) and type G (n=1).Three patients were associated with other heart diseases,including infective endocarditis and mitral prolaps,left superior vena cava,aortic aneurysm.All had aortic regurgitation (AR) except two with aortic stenosis (AS),detected by color-flow Doppler echocardiography.The congenital quadricuspid aortic valve deformity in seven patients was diagnosed by echocardiography.All patients underwent successful aortic valve replacement.Conclusion Quadricuspid aortic valve is a rare cause of aortic insufficiency,while echocardiography plays an important role in diagnosing the disease.Aortic valve replacement is the major therapy for the disease.

  18. Experimental study on aortic remodeling in sinoaortic denervated rats

    Institute of Scientific and Technical Information of China (English)

    MIAO Chao-yu; TAO Xia; GUAN Yun-feng; YANG You-cai; CHU Zheng-xu; SU Ding-feng

    2001-01-01

    Objective: To study the aortic remodeling produced by chronic sinoaortic denervation (SAD) and its time course, and to study the role of humoral factor in the SAD-induced aortic remodeling. Methods: In rats with chronic SAD or sham operation, the aortic structure was measured by computer-assisted image analysis, the aortic function by isolated artery preparation, and angiotensin Ⅱ concentration by radioimmunoassay. Results and Conclusion: The aortic structural remodeling developed progressively at 4, 8, 16 and 32 weeks after SAD. Aortic structural remodeling after SAD expressed mainly as aortic hypertrophy due to SMC growth and collagen accumulation. The aortic contraction elicited by norepinephrine (NE) was progressively increased 8, 16 and 32 weeks after SAD. The aortic relaxation elicited by acetylcholine (ACh) was depressed 8, 16 and 32 weeks after SAD. In addition, in 32-week SAD rats the NE-induced contraction was not increased by endothelial denudation. These indicated that the increased contraction and depressed relaxation after SAD were related to the change of endothelium and/or the change of interaction between endothelium and SMC. In 10-week SAD rats, plasma angiotensin Ⅱ concentration remained unchanged, whereas aortic angiotensin Ⅱ concentration was significantly increased, suggesting that activation of tissue renin-angiotensin system may be involved in SAD-induced aortic remodeling.

  19. Aortic root, not valve, calcification correlates with coronary artery calcification in patients with severe aortic stenosis

    DEFF Research Database (Denmark)

    Henein, Michael; Hällgren, Peter; Holmgren, Anders;

    2015-01-01

    BACKGROUND: The underlying pathology in aortic stenosis (AS) and coronary artery stenosis (CAS) is similar including atherosclerosis and calcification. We hypothesize that coronary artery calcification (CAC) is likely to correlate with aortic root calcification (ARC) rather than with aortic valve...... calcification (AVC), due to tissue similarity between the two types of vessel rather than with the valve leaflet tissue. MATERIAL AND METHODS: We studied 212 consecutive patients (age 72.5 ± 7.9 years, 91 females) with AS requiring aortic valve replacement (AVR) in two Heart Centers, who underwent multidetector...... even after adjusting for age (p = 0.01). AVC score was associated with BAV after adjusting for age (p = 0.03) but ARC was not. Of the total cohort, 82 patients (39%) had significant coronary stenosis (>50%), but these were not different in the pattern of calcification from those without CAS. CAC...

  20. Computed tomography angiography of hybrid thoracic endovascular aortic repair of the aortic arch.

    Science.gov (United States)

    Akhtar, Nila J; Oderich, Gustavo S; Vrtiska, Terri J; Williamson, Eric E; Araoz, Philip A

    2013-05-01

    Endovascular repair of the aorta has traditionally been limited to the abdominal aorta and, more recently, the descending thoracic aorta. However, recently hybrid repairs (a combination of open surgical and endovascular repair) have made endovascular repair of the aortic arch possible. Hybrid repair of the aortic arch typically involves an open surgical debranching procedure that allows for revascularization of the aortic arch vessels and subsequent endovascular stent placement. These approaches avoid the deep hypothermic circulatory arrest required for full, open surgical repair of the aortic arch. In hybrid repairs, the stent landing zone determines which branch vessels will be covered and therefore need revascularization. This article will review the preprocedure assessment with computed tomography angiography, techniques for revascularization and postprocedure complications. PMID:23621141

  1. Cardiovascular magnetic resonance of quinticuspid aortic valve with aortic regurgitation and dilated ascending aorta

    OpenAIRE

    Zhang Zhaoqi; Zhang Lijun; Meng Yanfeng; Wang Yongmei; Yang Xiaoming

    2009-01-01

    Abstract We report a rare case of a quinticuspid aortic valve associated with regurgitation and dilation of the ascending aorta, which was diagnosed and post-surgically followed up by cardiovascular magnetic resonance and dual source computed tomography.

  2. Factors influencing long-term survival after aortic valve replacement.

    Directory of Open Access Journals (Sweden)

    Shigenobu,Masaharu

    1980-06-01

    Full Text Available In the aortic stenosis group, the left ventricular (LV muscle mass index was a good parameter for predicting the prognosis. Associated mitral valve disease had no influence on long term survival after aortic valve replacement. In the aortic insufficiency group, associated mitral valve disease had a marked influence on the results of aortic valve replacement. In general, the aortic insufficiency group had less clinical improvement postoperatively than the aortic stenosis group. In the annuloaortic ectasia group, left ventricular enddiastolic pressure (LVEDP might be the predictor to the prognosis. This group had the worst prognosis, of the three groups. Early operation should be considered for patients who have no, or only mild symptoms of, aortic valve disease.

  3. Marfan syndrome in children and adolescents: predictive and prognostic value of aortic root growth for screening for aortic complications

    OpenAIRE

    Groenink, M; Rozendaal, L; Naeff, M.S.J.; Hennekam, R.C.M.; Hart, A.A.M.; Wall; Mulder, B.J.M.

    1998-01-01

    Objective—To assess and measure the diagnostic and prognostic value of individual aortic root growth in children and adolescents with Marfan syndrome.
Design—From 1983 to 1996, 250 children were screened for Marfan syndrome. Serial echocardiographic aortic root measurements of 123 children (57 Marfan, 66 control) were available for evaluation of aortic root growth. Aortic root diameters were correlated with body surface area. Based on individual growth of the aortic root a discrimination form...

  4. The ascending aortic image quality and the whole aortic radiation dose of high-pitch dual-source CT angiography

    OpenAIRE

    Liu, Ying; Xu, Jian; Jian LI; Ren, Jing; LIU, HONGTAO; Xu, Junqing; Wei, Mengqi; Hao, Yuewen; Zheng, Minwen

    2013-01-01

    Background Aortic dissection is a lift-threatening medical emergency associated with high rates of morbidity and mortality. The incidence rate of aortic dissection is estimated at 5 to 30 per 1 million people per year. The prompt and correct diagnosis of aortic dissection is critical. This study was to compare the ascending aortic image quality and the whole aortic radiation dose of high-pitch dual-source CT angiography and conventional dual-source CT angiography. Methods A total of 110 conse...

  5. Anatomics Knowledges of Aortic Root in the Transcatheter Aortic Valve Implantation.

    Directory of Open Access Journals (Sweden)

    Marcelo Cerezo

    2010-12-01

    Full Text Available The Aortic Valve is a valvular system that bears different high pressure forces. It takes part of a complex structure called Aortic Root. Nowadays, anatomic knowledge has taken a preponderant role, due to the use of the Transcatether Aortic Valve Implant (TAVI. To describe the patient´s characteristics which exclude them of the TAVI for anatomic reasons in cadaveric dissections and transthoracic echocardiograms. A descriptive retrospective analysis of 67 individuals was performed and divided into two groups. Group A: Formalized cadaveric dissections with hypertrofic hearts and aortic sclerosis signs from the Chair A of Anatomy of the University of La Plata (UNLP. Group B: Transthoracic Echocardiograms realized at the San Martín Hospital of La Plata between January 2005 and December 2009. Out of 67 individuals assessed, 17 (25% had one or more contraindications for TAVI. Five on Group A (36%, and 12 on Group B (23%. The most common anatomic contraindication was the Ascending Aortic diameter less than 30mm and the aortic annulus less than 20mm, following to the RAo-TSVI Angle more than 145° (2 to Group A, and 4 to Group B and the Septal thickness more than 17mm (no one to Group A, and 3 to Group B. Only just one individual was found with a low implant left coronary artery in the Group A avoiding TAVI. According to this study, the anatomic contraindications to realize TAVI are frequent due to the diagnosis devices available at the moment. The anatomic aortic root knowledge and the aortic valve interindividual variability will allow the improvement of the manufactured devices made in the market.

  6. Origin of energetic ions in the polar cusp inferred from ion composition measurements by the Viking satellite

    Directory of Open Access Journals (Sweden)

    G. Kremser

    Full Text Available The magnetospheric ion composition spectrometer MICS on the Swedish Viking satellite provided measurements of the ion composition in the energy range 10.1 keV/eleqE/Qleq326.0 keV/e. Data obtained during orbit 842 were used to investigate the ion distribution in the northern polar cusp and its vicinity. The satellite traversed the outer ring current, boundary region, cusp proper and plasma mantle during its poleward movement. H+ and He++ ions were encountered in all of these regions. He+ ions were present only in the ring current. The number of O+ and O++ ions was very small. Heavy high-charge state ions typical for the solar wind were observed for the first time, most of them in the poleward part of the boundary region and in the cusp proper. The H+ ions exhibited two periods with high intensities. One of them, called the BR/CP event, appeared at energies up to 50 keV. It started at the equatorward limit of the boundary region and continued into the cusp proper. Energy spectra indicate a ring current origin for the BR/CP event. Pitch angle distributions show downward streaming of H+ ions at its equatorward limit and upward streaming on the poleward side. This event is interpreted as the result of pitch angle scattering of ring current ions by fluctuations in the magnetopause current layer in combination with poleward convection. The other of the two periods with high H+ ion intensities, called the accelerated ion event, was superimposed on the BR/CP event. It was restricted to energies leq15 keV and occurred in the poleward part of the boundary region. This event is regarded as the high-energy tail of magnetosheath ions that were accelerated while penetrating into the magnetosphere. The cusp region thus contains ions of magnetospheric as well as of magnetosheath origin. The appearance of the ions depends, in addition to the ion source, on the

  7. Surgical Treatment of Aortic Aneurysm and Aortic Dissection:A Retrospective Analysis of 122 Cases

    Institute of Scientific and Technical Information of China (English)

    Tucheng SUN; Xionggang JIANG; Kailun ZHANG; Jie CAI; Shu CHEN; NYANGASSA B J; Zongquan SUN

    2009-01-01

    The study summarizes the clinical experience of surgical treatments of various types of thoracic aneurysm and aortic dissection.Clinical data of 122 patients with thoracic aneurysm and aortic dissection during July 2005 to July 2008 were retrospectively analyzed.The elective operations were performed in 107 patients while emergency surgery was done in 15 cases.Different surgical strategies were employed on the basis of diseased region,including simple ascending aortic replacement (n=3),aortic root replacement (n=43),hemi-arch replacement/total arch replacement + elephant trunk technique (n=32),thoracic/thoracoabdominal aortic replacement (n=8) and endovascular repair (n=36).In this series,there is 4 cases of perioperative death due to massive cerebral hemorrhage (n=1),respiratory failure (n=1) and multiple organ dysfunction syndrome (MODS) (n=2).Three cases developed post-operative massive cerebral infarction and the relatives of the patients abandoned treatment.Instant success rate of endovascular repair was 100%.The intimal rupture was sealed.Blood flow was unobstructed in true lumen and no false lumen was visualized.It was concluded that aggressive surgery should be considered in the patients with thoracic aneurysm and aortic dissection.Surgical procedures should vary with the location and the nature of the lesions.

  8. Ultrasonic delineation of aortic microstructure: The relative contribution of elastin and collagen to aortic elasticity

    Science.gov (United States)

    Marsh, Jon N.; Takiuchi, Shin; Lin, Shiow Jiuan; Lanza, Gregory M.; Wickline, Samuel A.

    2004-05-01

    Aortic elasticity is an important factor in hemodynamic health, and compromised aortic compliance affects not only arterial dynamics but also myocardial function. A variety of pathologic processes (e.g., diabetes, Marfan's syndrome, hypertension) can affect aortic elasticity by altering the microstructure and composition of the elastin and collagen fiber networks within the tunica media. Ultrasound tissue characterization techniques can be used to obtain direct measurements of the stiffness coefficients of aorta by measurement of the speed of sound in specific directions. In this study we sought to define the contributions of elastin and collagen to the mechanical properties of aortic media by measuring the magnitude and directional dependence of the speed of sound before and after selective isolation of either the collagen or elastin fiber matrix. Formalin-fixed porcine aortas were sectioned for insonification in the circumferential, longitudinal, or radial direction and examined using high-frequency (50 MHz) ultrasound microscopy. Isolation of the collagen or elastin fiber matrices was accomplished through treatment with NaOH or formic acid, respectively. The results suggest that elastin is the primary contributor to aortic medial stiffness in the unloaded state, and that there is relatively little anisotropy in the speed of sound or stiffness in the aortic wall.

  9. Medtronic Freestyle Aortic Root Bioprosthesis Implantation for the Infective Endocarditis on Aortic Root

    Directory of Open Access Journals (Sweden)

    Zekeriya Arslan

    2013-10-01

    Full Text Available    Infective endocarditis and periannular abscess formation are serious problems in cardiac valve surgery, requiring extensive surgical debridement and reconstruction of the aortic annulus. We aimed to report two cases which were successfully treated with bioprosthetic valve implantation for infective endocarditis. Transosephageal echocardiography were performed for the diagnosis of one prosthetic and one native destructive aortic valve endocarditis in association with congestive heart failure (NYHA class-VI and abscess formation. Medtronic Freestyle stentless aortic root bioprosthesis was implanted into the left ventricular outflow tract after surgical radical aortic root debridement for each patient followed with medical treatment, which was extended to six weeks. Neither early nor late mortality was detected. One patient required prolonged ventilatory support (two days and permanent DDD-R pacing. Echocardiography showed no signs of valve dysfunction or recurrent endocarditis for both patients in 10 months follow up.Medtronic Freestyle stentless aortic root bioprosthesis may be a good alternative way of treatment to aortic valve and root endocarditis instead of homograft.

  10. Aorto-right atrial fistula after ascending aortic replacement or aortic value replacement

    International Nuclear Information System (INIS)

    Objective: To evaluate the CT features of aorto-right atrial fistula after aortic valve replacement (AVR) or ascending aortic replacement. Methods: Eighty-seven patients with aortic-right atrial fistula underwent CT after operation. The CT features were retrospectively analyzed. Fistula was measured according to maximum width of the shunt. Results: Aorto-right atrial fistula was detected in 87 patients after aortic valve replacement or ascending aortic replacement by CT scan. Among them, 25 patients were diagnosed as mild aorto-right atrial fistula, 47 patients as moderate, and 15 patients as severe. Thirty-seven patients underwent follow-up CT.Among them, 10 patients with mild to moderate aorto-right atrial fistula were considered to have complete regression, 8 patients with mild aorto-right atrial fistula considered to have incomplete regression, 14 patients with mild to moderate aorto-right atrial fistula considered to have stable condition, and 5 patients with moderate aorto-right atrial fistula considered to have progression at the 3-month follow-up. Conclusion: CT is a useful tool for defining aorto-right atrial fistula after AVR or ascending aortic replacement and for evaluating it in follow-up. (authors)

  11. Endovascular resection of the native aortic valve before transcatheter aortic valve implantation: state of the art and review.

    Science.gov (United States)

    Navarra, Emiliano; Mosala Nezhad, Zahra; Bollen, Xavier; Gielen, Charles-Edouard; Mastrobuoni, Stefano; De Kerchove, Laurent; Raucent, Benoit; Astarci, Parla

    2016-09-01

    Transcatheter aortic valve implantation was introduced into clinical practice in 2002 as a rescue approach in patients presenting with symptomatic severe aortic stenosis but not eligible for conventional aortic valve replacement. This technique allows implantation of a balloon expandable bioprosthesis without resection of the native aortic valve. Several complications are described as a consequence of the residual highly calcified valve being squeezed against the aortic wall by the stent of the implant. This can result in deformation of the metal stent and paravalvular leakage, risk of occlusion of the coronary ostia, or central and peripheral embolization of valvular debris. To avoid these complications, many authors suggest the possibility to resect and remove the native aortic valve before transcatheter aortic valve implantation. In this field, different authors have described possible techniques and different sources of energy to resect the calcified valve. In this article, we review the development of these experimental techniques and discuss future prospects in this field. PMID:27032472

  12. Endovascular aortic repair: First twenty years

    Directory of Open Access Journals (Sweden)

    Končar Igor

    2012-01-01

    Full Text Available Endovascular aortic/aneurysm repair (EVAR was introduced into clinical practice at the beginning of the nineties. Its fast development had a great influence on clinicians, vascular surgeons and interventional radiologists, educational curriculums, patients, industry and medical insurance. The aim of this paper is to present the contribution of clinicians and industry to the development and advancement of endovascular aortic repair over the last 20 years. This review article presents the development of EVAR by focusing on the contribution of physicians, surgeons and interventional radiologists in the creation of the new field of vascular surgery termed hybrid vascular surgery, and also the contribution of technological advancement by a significant help of industrial representatives – engineers and their counselors. This article also analyzes studies conducted in order to compare the successfulness of EVAR with up-to-now applied open surgical repair of aortic aneurysms, and some treatment techniques of other aortic diseases. During the first two decades of its development the EVAR method was rapidly progressing and was adopted concurrently with the expansion of technology. Owing to large randomized studies, early and long-term results indicate specific complications of this method, thus influencing further technological improvement and defining risk patients groups in whom the use of the technique should be avoided. Good results are insured only in centers, specialized in vascular surgery, which have on their disposal adequate conditions for solving all complications associated with this method.

  13. [Albert Einstein and his abdominal aortic aneurysm].

    Science.gov (United States)

    Cervantes Castro, Jorge

    2011-01-01

    The interesting case of Albert Einstein's abdominal aortic aneurysm is presented. He was operated on at age 69 and, finding that the large aneurysm could not be removed, the surgeon elected to wrap it with cellophane to prevent its growth. However, seven years later the aneurysm ruptured and caused the death of the famous scientist.

  14. The future of transcatheter aortic valve implantation.

    Science.gov (United States)

    Hamm, Christian W; Arsalan, Mani; Mack, Michael J

    2016-03-01

    Since the introduction of transcatheter aortic valve implantation (TAVI) into clinical practice, the treatment of aortic stenosis has changed dramatically. In the past, medical therapy with or without balloon aortic valvuloplasty was the only option for inoperable patients. More recently, TAVI has become the treatment of choice for these patients and the preferred alternative for high-risk operable patients. Surgical aortic valve replacement (SAVR) currently remains the gold standard for patients at low or intermediate operative risk. As randomized trials have demonstrated comparable results between TAVI and SAVR in the high-risk population, there is now a clear trend towards performing TAVI even in intermediate-risk patients while awaiting the results of randomized trials in that population. Nevertheless, there are still questions regarding TAVI involving paravalvular leak (PVL), stroke, pacemaker requirements, and durability that remain to be more definitively answered before TAVI can routinely be performed in a broader, lower risk population. Improvements in patient selection, imaging, and second and third generation devices have decreased the incidence of PVLs and vascular complications that followed the earliest TAVI procedures, but the rates of perioperative stroke and permanent pacemaker implantation must still be addressed. Furthermore, the long-term durability of TAVI devices and a role for post-procedure antithrombotic management remain unanswered. Until these questions are more clearly answered, it is the Heart Team's task to determine the optimal treatment for each patient based on risk scores, frailty metrics, comorbidities, patient preference, and potential for improvement in quality of life.

  15. Interplanetary magnetic field control of Saturn's polar cusp aurora

    Directory of Open Access Journals (Sweden)

    E. J. Bunce

    2005-06-01

    Full Text Available Dayside UV emissions in Saturn's polar ionosphere have been suggested to be the first observational evidence of the kronian "cusp" (Gérard et al., 2004. The emission has two distinct states. The first is a bright arc-like feature located in the pre-noon sector, and the second is a more diffuse "spot" of aurora which lies poleward of the general location of the main auroral oval, which may be related to different upstream interplanetary magnetic field (IMF orientations. Here we take up the suggestion that these emissions correspond to the cusp. However, direct precipitation of electrons in the cusp regions is not capable of producing significant UV aurora. We have therefore investigated the possibility that the observed UV emissions are associated with reconnection occurring at the dayside magnetopause, possibly pulsed, akin to flux transfer events seen at the Earth. We devise a conceptual model of pulsed reconnection at the low-latitude dayside magnetopause for the case of northwards IMF which will give rise to pulsed twin-vortical flows in the magnetosphere and ionosphere in the vicinity of the open-closed field-line boundary, and hence to bi-polar field-aligned currents centred in the vortical flows. During intervals of high-latitude lobe reconnection for southward IMF, we also expect to have pulsed twin-vortical flows and corresponding bi-polar field-aligned currents. The vortical flows in this case, however, are displaced poleward of the open-closed field line boundary, and are reversed in sense, such that the field-aligned currents are also reversed. For both cases of northward and southward IMF we have also for the first time included the effects associated with the IMF By effect. We also include the modulation introduced by the structured nature of the solar wind and IMF at Saturn's orbit by developing "slow" and "fast" flow models corresponding to intermediate and high strength IMF respectively. We then

  16. Endovascular treatment of thoracic aortic diseases

    Directory of Open Access Journals (Sweden)

    Davidović Lazar

    2013-01-01

    Full Text Available Bacground/Aim. Endovascular treatment of thoracic aortic diseases is an adequate alternative to open surgery. This method was firstly performed in Serbia in 2004, while routine usage started in 2007. Aim of this study was to analyse initial experience in endovacular treatment of thoracic aortic diseses of three main vascular hospitals in Belgrade - Clinic for Vascular and Endovascular Surgery of the Clinical Center of Serbia, Clinic for Vascular Surgery of the Military Medical Academy, and Clinic for Vascular Surgery of the Institute for Cardiovascular Diseases “Dedinje”. Methods. Between March 2004. and November 2010. 41 patients were treated in these three hospitals due to different diseases of the thoracic aorta. A total of 21 patients had degenerative atherosclerotic aneurysm, 6 patients had penetrating aortic ulcer, 6 had posttraumatic aneurysm, 4 patients had ruptured thoracic aortic aneurysm, 1 had false anastomotic aneurysm after open repair, and 3 patients had dissected thoracic aneurysm of the thoracoabdominal aorta. In 15 cases the endovascular procedure was performed as a part of the hybrid procedure, after carotidsubclavian bypass in 4 patients and subclavian artery transposition in 1 patient due to the short aneurysmatic neck; in 2 patients iliac conduit was used due to hypoplastic or stenotic iliac artery; in 5 patients previous reconstruction of abdominal aorta was performed; in 1 patient complete debranching of the aortic arch, and in 2 patients visceral abdominal debranching were performed. Results. The intrahospital mortality rate (30 days was 7.26% (3 patients with ruptured thoracic aneurysms died. Endoleak type II in the first control exam was revealed in 3 patients (7. 26%. The patients were followed up in a period of 1-72 months, on average 29 months. The most devastating complication during a followup period was aortoesofageal fistula in 1 patient a year after the treatment of posttraumatic aneurysm. Conversion was

  17. A statistical study of traveling convection vortices using the Magnetometer Array for Cusp and Cleft Studies

    Science.gov (United States)

    Zesta, E.; Hughes, W. J.; Engebretson, M. J.

    2002-10-01

    The Magnetometer Array for Cusp and Cleft Studies (MACCS) is primarily a longitudinal magnetometer array located in the eastern Canadian arctic at cusp latitudes. We present a statistical study of traveling convection vortices (TCVs) as observed by MACCS from the first year of operations, August 1992 to July 1993. For this period, data are routinely available from three stations, extending more than 2 hours in magnetic local time (MLT) and located roughly on a line of constant geomagnetic latitude at 75°. With the selection criteria used, we find an average of 38 TCV events per month. We characterize the events as "isolated" and "nonisolated". The isolated events have the typical, accepted signature of a TCV while the nonisolated ones are events that satisfy the selection criteria but occur among relatively strong magnetic activity. The diurnal distribution of these events shows a prenoon-afternoon asymmetry, but the distribution has a single peak at 10 MLT and then falls off smoothly in the afternoon hours. It does not show the previously reported minimum of event occurrence around magnetic local noon except for isolated events occurring during higher Kp values. The most likely explanation for this discrepancy is the wide longitudinal extent of MACCS. The majority of the events have propagation velocities between 3 and 11 km/s, which can be a factor of 2 larger than the events reported in previous studies. The majority of the events move away from noon, as is expected, with a small fraction moving toward noon. Most (80%) of the studied events exhibit all the characteristics of a typical TCV, while the remaining 20% show some form of irregularity. We find four different types of irregularities. The isolated and nonisolated events have many similar morphological and propagation characteristics. However, quantitative comparison of the statistical distributions of the two types of TCVs indicates that they belong to different populations. We also find that nonisolated

  18. An Unusual Occurrence of Bilateral Maxillary Supernumerary Teeth with Dilaceration in Impacted Tooth and Talon Cusp in Erupted Tooth

    Directory of Open Access Journals (Sweden)

    D Vijayalakshmi

    2016-01-01

    Full Text Available An apparently h ealthy 12-year-old boy was referred to the Department of Oral and Maxillofacial Pathology whose chief complaint was the presence of an additional tooth in the upper front teeth region. His medical, dental and family history was not relevant. Intraoral examination revealed an erupted, supernumerary tooth palatal to permanent maxillary right central incisor and radiograph revealed another supernume - rary tooth with dilaceration. The erupted supernumerary tooth showed presence of a talon’s cusp on the lingual aspect. Occlu - sal interference, displacement of adjacent teeth and impaired esthetics are the common complications of supernumerary tooth. This report presents a case of talon cusp in a super- numerary tooth and an additional impacted supernumerary with dilaceration which is an extremely rare condition with only few reported cases in the literature

  19. Cusps in the center of galaxies: a real conflict with observations or a numerical artefact of cosmological simulations?

    CERN Document Server

    Baushev, A N; Campusano, L E; Escala, A; Muñoz, R R; Palma, G A

    2016-01-01

    Galaxy observations and N-body cosmological simulations produce conflicting dark matter halo density profiles for galaxy central regions. While simulations suggest a cuspy and universal profile (UDP) of this region, the majority of observations favor variable profiles with a core in the center. In this paper, we investigate the convergency of standard N-body simulations, especially in the cusp region, following the approach proposed by (Baushev, 2015). We simulate the well known Hernquist model using the SPH code Gadget-3 and consider the full array of dynamical parameters of the particles. We find that, although the cuspy profile is stable, all integrals of motion characterizing individual particles suffer strong unphysical variations along the whole halo, revealing an effective interaction between the test bodies. This result casts doubts on the reliability of the velocity distribution function obtained in the simulations. Moreover, we find unphysical Fokker-Planck streams of particles in the cusp region. T...

  20. Correlative magnetic resonance imaging in the evaluation of aortic and pulmonary artery abnormalities

    Energy Technology Data Exchange (ETDEWEB)

    Risius, B.; O' Donnell, J.K.; Geisinger, M.A.; Zelch, M.G.; George, C.R.; Graor, R.A.; Moodie, D.S.

    1985-05-01

    Magnetic resonance imaging (MRI) yields excellent quality images of the cardiovascular system utilizing the inherent natural contrast between flowing blood and the surrounding anatomic structures. To evaluate the clinical usefulness of MRI in the noninvasive diagnosis of large vessel disorders, the authors have performed MRI on 40 pts with either aortic or pulmonary artery abnormalities (18 thoracic or abdominal aortic aneurysms, 8 aorto-occlusive disease, 6 dissecting aneurysms, 4 Marfan's syndrome, 2 pulmonary artery aneurysms 1 pulmonary artery occlusion, 1 aortic coarctation). Images were obtained in the transverse, coronal and sagital body planes utilizing a 0.6T superconductive magnet. Cardiac and/or respiratory gating was employed in most cases. Correlation was made for all studies with conventional or digital subtraction angiography, computed tomography, and/or ultrasound. The diagnostic information obtained by MRI equaled or exceeded that obtained by other imaging techniques except for the few cases where cardiac arrhythmias precluded adequate gated acquisition. All aneurysms and their relationships to adjacent structures were readily demonstrated as were the presence or absence of mural thrombi and dissecting intimal flaps. Angiographically demonstrated atherosclerotic plaques and luminal stenoses were seen by MRI in all patients without arrhythmias. The authors concluded that MRI is a powerful noninvasive diagnostic aid in the delineation of large vessel disorders, especially where knowledge of anatomic interrelationships can guide surgical or other interventional planning.

  1. Cusps in the center of galaxies: a real conflict with observations or a numerical artefact of cosmological simulations?

    OpenAIRE

    Baushev, A. N.; Del Valle, L; Campusano, L. E.; Escala, A.; Muñoz, R. R.; Palma, G. A.

    2016-01-01

    Galaxy observations and N-body cosmological simulations produce conflicting dark matter halo density profiles for galaxy central regions. While simulations suggest a cuspy and universal profile (UDP) of this region, the majority of observations favor variable profiles with a core in the center. In this paper, we investigate the convergency of standard N-body simulations, especially in the cusp region, following the approach proposed by (Baushev, 2015). We simulate the well known Hernquist mod...

  2. The registry of anomalous aortic origin of the coronary artery of the Congenital Heart Surgeons' Society.

    Science.gov (United States)

    Brothers, Julie A; Gaynor, J William; Jacobs, Jeffrey P; Caldarone, Christopher; Jegatheeswaran, Anusha; Jacobs, Marshall L

    2010-12-01

    The anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva with interarterial, intramural, and/or intraconal course is a rare congenital anomaly that is associated with a high risk of sudden death in children. The Congenital Heart Surgeons' Society established the Registry of Anomalous Aortic Origin of the Coronary Artery to help determine the outcome of children and young adults managed with surgical intervention versus observation and to test the hypothesis that subsets of patients with anomalous aortic origin of a coronary artery can be identified in whom the risk of intervention is less than the risk of observation. All institutional members of the Congenital Heart Surgeons' Society were recruited for participation. The registry consists of a retrospective cohort of patients diagnosed between 1 January, 1998 and 20 January, 2009 and a prospective, population-based cohort of patients newly diagnosed from 21 January, 2009 onwards. Baseline demographics, diagnoses, and results of tests will be obtained through a review of the medical records. Annual follow-up data will be collected. Data will be analysed for different factors of risk at diagnosis, different strategies of treatment, and the impact of both on the outcomes of the patients. As of June 2010, 28 institutions had applied for approval from their institutional review board and 16 institutions had received approval from their institutional review board. Seventy-four patients have enrolled to date. We hope to use the established Pediatric Cardiomyopathy Registry as a guide to successful implementation, with a cooperative effort between institutions. The overall purpose of the Registry of Anomalous Aortic Origin of the Coronary Artery is to determine the outcome of surgical intervention versus observation in children and young adults with anomalous aortic origin of a coronary artery, and to describe the natural and "unnatural" history of these patients over the course of their lifetime

  3. Different mandibular first molar shapes according to groove and cusp configuration in relation to suggested bracket position.

    Science.gov (United States)

    Park, Doo Eun; Kim, Hong-Kyun; Lim, Young Seol; Nakatsuka, Michiko; Kwon, Ho Beom; Han, Seong Ho; Park, Young-Seok

    2013-12-01

    The aim of this study was to explore the shape differences in the mandibular first molars through orthographic measurements using three-dimensional (3D) virtual models, and study the possibility of new morphologic categories that require more than subjective visual inspection. A total of 164 mandibular first molars with five cusps were selected for classification. Using 3D laser scanning and reconstruction software, virtual casts were constructed. After several linear and angular measurements on the virtual occlusal plane, the teeth were clustered using the partitioning around medoids methods-an unsupervised classification. The cluster analysis presented two clusters that showed statistically significant differences in the measurements over the cusp locations and groove configurations. However, gender differences were not shown in the angular groove and cusp configurations. Two clusters were found in the population of the present study, and this result suggested the existence of a diverse morphologic trait in the mandibular molar even in the same origin and could be considered in positioning orthodontic brackets that have built-in prescriptions. PMID:23364951

  4. Studies on density dependence of charge separation in a direct energy converter using slanted Cusp magnetic field

    International Nuclear Information System (INIS)

    In an advanced fusion, fusion-produced charged particles must be separated from each other for efficient energy conversion to electricity. The CuspDEC performs this function of separation and direct energy conversion. Analysis of working characteristics of CuspDEC on plasma density is an important subject. This paper summarizes and discusses experimental and theoretical works for high density plasma by using a small scale experimental device employing a slanted cusp magnetic field. When the incident plasma is low-density, good separation of the charged particles can be accomplished and this is explained by the theory based on a single particle motion. In high density plasma, however, this theory cannot be always applied due to space charge effects. In the experiment, as gradient of the field line increases, separation capability of the charged particles becomes higher. As plasma density becomes higher, however, separation capability becomes lower. This can be qualitatively explained by using calculations of the modified Störmer potential including space charge potential. (author)

  5. Particle-In-Cell Simulations of the Solar Wind Interaction with Lunar Crustal Magnetic Anomalies: Magnetic Cusp Regions

    Science.gov (United States)

    Poppe, A. R.; Halekas, J. S.; Delory, G. T.; Farrell, W. M.

    2012-01-01

    As the solar wind is incident upon the lunar surface, it will occasionally encounter lunar crustal remanent magnetic fields. These magnetic fields are small-scale, highly non-dipolar, have strengths up to hundreds of nanotesla, and typically interact with the solar wind in a kinetic fashion. Simulations, theoretical analyses, and spacecraft observations have shown that crustal fields can reflect solar wind protons via a combination of magnetic and electrostatic reflection; however, analyses of surface properties have suggested that protons may still access the lunar surface in the cusp regions of crustal magnetic fields. In this first report from a planned series of studies, we use a 1 1/2-dimensional, electrostatic particle-in-cell code to model the self-consistent interaction between the solar wind, the cusp regions of lunar crustal remanent magnetic fields, and the lunar surface. We describe the self-consistent electrostatic environment within crustal cusp regions and discuss the implications of this work for the role that crustal fields may play regulating space weathering of the lunar surface via proton bombardment.

  6. Overlapping ion structures in the mid-altitude cusp under northward IMF: signature of dual lobe reconnection?

    Directory of Open Access Journals (Sweden)

    F. Pitout

    2012-03-01

    Full Text Available On some rare occasions, data from the Cluster Ion Spectrometer (CIS in the mid-altitude cusp reveal overlapping ion populations under northward interplanetary magnetic field (IMF. While the poleward part of the cusp exhibits the expected reverse dispersion due to lobe reconnection, its equatorward part shows a second ion population at higher-energy that coexists with the low energy tail of the dispersion. This second population is either dispersionless or slightly dispersed with energies increasing with increasing latitudes, indicative of lobe reconnection as well. Our analysis of a case that occurred 3 September 2002 when the IMF stayed northward for more than two hours suggests that the second population comes from the opposite hemisphere and is very likely on newly-closed field lines. We interpret this overlap of cusp populations as a clear mid-altitude signature of re-closed magnetic field lines by double lobe reconnection (reconnection in both hemispheres under northward IMF. This interpretation is supported by modelling performed with the Cooling model and an MHD model.

  7. Study and observation of the great solar event in July 2000 at cusp latitude

    Institute of Scientific and Technical Information of China (English)

    刘勇华; 刘瑞源; 胡红桥; 徐中华

    2001-01-01

    A series of solar flare and coronal mass ejection (CME) event occurred in July 2000, particularly the largest flare (X5.7/3B) with CME on 14th of July since 1989, which stimulated a great geomagnetic storm with Dst index reaching -300 nT. A number of data have been obtained from the Chinese Antarctic Zhongshan Station (ZHS, INT Lat. 74.5°, L≈14), which is located at cusp latitude, and from the ACE satellite. After analyzing these data we have got the results as follows: a lot of solar high energy particles penetrated into the polar ionosphere and ionized it, which significantly increased the cosmic noise absorption (CNA) and blanked the DPS-4 data for more than two days. The magnetic pulsation in Pc 3/5 frequency band on the ground has a high relation with the fluctuation of interplanetary magnetic field (IMF) Bz, which shows the contribution of interplanetary magnetohydrodynamical (MHD) waves to the Pc 3/5 pulsation on the ground. The Pc 3/5 pulsation was intensified much during the great magnetic storm. The H component of the magnetic field at ZHS varied with the southern value of IMF Bz but lagged behind for about 8 10 h. While Dst index responded to the variation of the IMF Bz very quickly, which suggested that the magnetic storm occurred at low latitude firstly and then effected the ionospheric current at high latitude.

  8. Analytical and experimental determination of the multipole cusp magnetic field in the VISIONI plasmatron

    Energy Technology Data Exchange (ETDEWEB)

    Van Hoey, Olivier, E-mail: ovhoey@sckcen.be [SCK-CEN, Boeretang 200, 2400 Mol (Belgium); Ghent University, Rozier 44, 9000 Ghent (Belgium); Schuurmans, Johan; Uytdenhouwen, Inge [SCK-CEN, Boeretang 200, 2400 Mol (Belgium); Van Oost, Guido [Ghent University, Rozier 44, 9000 Ghent (Belgium)

    2013-10-15

    Highlights: ► The magnetic field of one rectangular homogeneously magnetized permanent magnet was calculated analytically from Biot–Savart's law. ► The resulting equations were used to calculate the magnetic field inside the plasma chamber of the VISIONI plasmatron. ► Hall probe measurements of the magnetic field inside the plasma chamber of the VISIONI plasmatron benchmarked and verified the calculations. ► The analytical formulas are directly useable in simulation codes like ERO. -- Abstract: The VISIONI plasmatron is a plasma simulator dedicated to thermonuclear fusion material studies. The plasma is confined by means of a strong multipole cusp magnetic field produced by rectangular permanent samarium–cobalt magnets positioned just outside of the plasma chamber. The magnitude of this field as a function of the location in the plasma chamber is an important input for the ongoing plasma and material migration computer simulations for VISIONI. In this work the magnetic field in the VISIONI plasma chamber was calculated analytically. The calculated results were benchmarked and verified experimentally by Hall probe measurements. The analytical formulas are very convenient for use in different simulation codes.

  9. Field-aligned currents in the dayside cusp and polar cap region during northward IMF

    DEFF Research Database (Denmark)

    Vennerstrøm, Susanne; Moretto, T.; Olsen, Nils;

    2002-01-01

    [1] The field-aligned currents in the dayside cusp and polar cap region are examined using magnetic data from the low-altitude polar-orbiting satellite Orsted. The study is confined to cases where the interplanetary magnetic field (IMF) has a steady northward component and to a rather narrow region...... spanning similar to 4 hours around magnetic noon. We examine individual passes using a maximum variance analysis method, and we complement, for a single event, with ground-based data from the Greenland meridian chain of magnetometers. We suggest that when an east-west component B-y of the IMF exists...... for positive IMF B-z, the two NBZ (northward B-z) field-aligned currents that prevail over the polar region rotate to form the two field-aligned currents equatorward and poleward of the east-west flowing ionospheric DPY current in the dayside. The high accuracy of the Orsted data makes it possible to uncover...

  10. Polar spacecraft observations of the turbulent outer cusp/magnetopause boundary layer of Earth

    Directory of Open Access Journals (Sweden)

    J. S. Pickett

    1999-01-01

    Full Text Available The orbit of the Polar spacecraft has been ideally suited for studying the turbulent region of the cusp that is located near or just outside the magnetopause current sheet at 7-9 RE. The wave data obtained in this region show that electromagnetic turbulence is dominant in the frequency range 1-10 Hz. The waves responsible for this turbulence usually propagate perpendicular to the local magnetic field and have an index of refraction that generally falls between the estimated cold plasma theoretical values of the electromagnetic lower hybrid and whistler modes and may be composed of both modes in concert with kinetic Alfvén waves and/or fast magnetosonic waves. Fourier spectra of the higher frequency wave data also show the electromagnetic turbulence at frequencies up to and near the electron cyclotron frequency. This higher frequency electromagnetic turbulence is most likely associated with whistler mode waves. The lower hybrid drift and current gradient instabilities are suggested as possible mechanisms for producing the turbulence. The plasma and field environment of this turbulent region is examined and found to be extremely complex. Some of the wave activity is associated with processes occurring locally, such as changes in the DC magnetic field, while others are associated with solar wind and interplanetary magnetic field changes.

  11. Climatology of the Ionospheric Scintillations over the Auroral and Cusp European Regions

    Science.gov (United States)

    Spogli, L.; Alfonsi, L.; de Franceschi, G.; Romano, V.; Aquino, M.; Dodson, A.

    2009-04-01

    Under perturbed conditions coming from the outer space, the ionosphere may become highly turbulent and small scale (from centimeters to meters) irregularities, typically enhancements or depletions of the electron density embedded in the ambient ionosphere, can form causing diffraction effects on the satellites signals passing through them. Such effect can abruptly corrupt the performance of the positioning systems affecting, in turn, the awareness and safety of the modern devices. In this paper we analyze data of ionospheric scintillation in the latitudinal range 57°- 88° N during the period October, November and December 2003 as a first step to develop a "scintillation climatology" over the Northern Europe. The behavior of the scintillation occurrence as function of the magnetic local time and of the corrected magnetic latitude is investigated to characterize the scintillation conditions. The Istituto Nazionale di Geofisica e Vulcanologia (INGV) and the Institute of Engineering Surveying and Space Geodesy (IESSG) of the University of Nottingham manage the same kind of GISTM (GPS Ionospheric Scintillation and TEC monitor) receivers over the European middle and high latitude regions. The results here shown and obtained merging observations from three GISTM, highlight also the possibility to investigate the dynamics of irregularities causing scintillation by combining the information coming from auroral to cusp latitudes. The findings, even if at a very preliminary stage, are here presented also in the frame of possible Space Weather implications.

  12. Magnetic and optical measurements and signatures of reconnection in the cusp and vicinity

    Science.gov (United States)

    Safargaleev, V. V.; Sergienko, T. I.; Safargaleev, A. V.; Kotikov, A. L.

    2015-06-01

    The study of geophysical processes in the cusp and its nearby magnetospheric regions — the mantle and the low-latitude boundary layer — is a crucial link in the chain of understanding the mechanism of the solar-terrestrial relationship. The magnetic conjugation of these regions with the high-latitude ionosphere permits the study of the solar wind-dayside magnetopause interaction via ground-observed ionospheric phenomena. The major topics covered are the dayside aurora in Spitsbergen and the Alfvén waves detected by an induction magnetometer as high-latitude geomagnetic Pc1 pulsations. The results presented establish a relation between the aurora and pulsation dynamics and the reconnection phenomenon which occurs at negative IMF {B}_z values and which is commonly accepted to be the most likely way for solar wind energy to penetrate into the inner magnetosphere. The results also suggest that the Spitsbergen optical and magnetic measurements provide an opportunity for the world scientific community to solve the major space weather problem of monitoring the replenishment of the energy expended in the course of magnetospheric substorms.

  13. On the altitude dependence of transversely heated O+ distributions in the cusp/cleft

    Directory of Open Access Journals (Sweden)

    L. Kistler

    2004-04-01

    Full Text Available The present paper focuses on the altitude dependence of oxygen ion conics in the dayside cusp/cleft region. Here, combining oxygen data from the Akebono, Interball-2 and Cluster satellites allows, for the first time, one to follow the global development of energetic (up to ~10keV ion outflow over a continuous and broad altitude range up to about 5.5 Earth radii (RE. According to earlier statistical studies, the results are consistent with a height-integrated energization of ions at altitudes up to 3.5 RE. Higher up, the results inferred from Cluster observations put forward evidence of a saturation of both a transverse energization rate and ion gyroradii. We suggest that such results may be interpreted as finite perpendicular wavelength effects (a few tens of km in the wave-particle interactions. To substantiate the suggestion, we carry out two-dimensional, Monte Carlo simulations of ion conic production that incorporate such effects and limited residence times due to the finite latitudinal extent of the heating region.Key words. Magnetospheric physics (auroral phenomena – Space plasma physics (charged particle motion and acceleration; wave-particle interactions

  14. The Cusp/Core problem: supernovae feedback versus the baryonic clumps and dynamical friction model

    CERN Document Server

    Del Popolo, A

    2015-01-01

    In the present paper, we compare the predictions of two well known mechanisms considered able to solve the cusp/core problem (a. supernova feedback; b. baryonic clumps-DM interaction) by comparing their theoretical predictions to recent observations of the inner slopes of galaxies with masses ranging from dSphs to normal spirals. We compare the $\\alpha$-$V_{\\rm rot}$ and the $\\alpha$-$M_{\\ast}$ relationships, predicted by the two models with high resolution data coming from \\cite{Adams2014}, \\cite{Simon2005}, LITTLE THINGS \\citep{Oh2014}, THINGS dwarves \\citep{Oh2011a,Oh2011b}, THINGS spirals \\citep{Oh2014}, Sculptor, Fornax and the Milky Way. The comparison of the theoretical predictions with the complete set of data shows that the two models perform similarly, while when we restrict the analysis to a smaller subsample of higher quality, we show that the method presented in this paper (baryonic clumps-DM interaction) performs better than the one based on supernova feedback. We also show that, contrarily to t...

  15. The impact of dark matter cusps and cores on the satellite galaxy population around spiral galaxies

    CERN Document Server

    Penarrubia, Jorge; Walker, Matthew G; Gilmore, Gerard; McConnachie, Alan; Mayer, Lucio

    2010-01-01

    (Abridged) We use N-body simulations to study the effects that a divergent (i.e. "cuspy") dark matter (DM) profile introduces on the tidal evolution of dwarf spheroidal galaxies (dSphs). Our models assume cosmologically-motivated initial conditions where dSphs are DM-dominated systems on eccentric orbits about a host galaxy composed of a dark halo and a baryonic disc. We find that the resilience of dSphs to tidal stripping is extremely sensitive to the halo cuspiness; whereas dwarfs with a cored profile can be easily destroyed by the host disc, those with cusps always retain a bound remnant. For a given halo profile the evolution of the structural parameters as driven by tides is controlled solely by the total amount of mass lost. This information is used to construct a semi-analytic code that simulates the hierarchical build-up of spiral galaxies assuming different halo profiles and disc masses. We find that tidal encounters with discs tend to decrease the average mass of satellites at all galactocentric rad...

  16. N-Body Growth of a Bahcall-Wolf Cusp Around a Black Hole

    CERN Document Server

    Preto, M; Spurzem, R; Preto, Miguel; Merritt, David; Spurzem, Rainer

    2004-01-01

    We present a clear N-body realization of the growth of a Bahcall-Wolf f ~ E^0.25 (rho ~ 1/r^1.75) density cusp around a massive object ("black hole") at the center of a stellar system. Our N-body algorithm incorporates a novel implementation of Mikkola-Aarseth chain regularization to handle close interactions between star and black hole particles. Forces outside the chain were integrated on a GRAPE-6A/8 special-purpose computer with particle numbers up to N=0.25 x 10^6. We compare our N-body results with predictions of the isotropic Fokker-Planck equation and verify that the time dependence of the density (both configuration and phase-space) predicted by the Fokker-Planck equation is well reproduced by the N-body algorithm, for various choices of N and of the black hole mass. Our results demonstrate the feasibility of direct-force integration techniques for simulating the evolution of galactic nuclei on relaxation time scales.

  17. Propagation and source of Pc5 frequency range pulsation at cusp latitude

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Two induction magnetometers have been installed at Chinese Zhongshan Station and Australia Davis Station, Antarctica respectively. We adopt the cross-spectral analysis technique to analyze the data of the two induction magnetometers, in June, September, December 1996 and March 1997, and to investigate Pc5 frequency range pulsation (150 600 s) occurrence and propagation in cusp latitude. The results are summarized as follows: At Zhongshan-Davis Station, the magnetic pulsations in Pc5 frequency band can occurs over a wide time, but more frequently at pre local magnetic noon and pre local magnetic midnight. The Pc5 pulsations have no significant seasonal variation in the amplitude, occurrence and propagation. The amplitude has a small peak at pre local magnetic noon and large value sometimes at pre local magnetic midnight. In daytime, the Pc5 pulsations propagate westward in morning and eastward in afternoon, and reversal at local magnetic noon. In nighttime, the Pc5 pulsations propagate westward before 20:00 MLT and eastward after 20:00 MLT. Near dusk time, the Pc5 pulsations propagate irregularly. These characteristics indicate that the Pc5 pulsations have different source at different local magnetic time.

  18. The Cusp/Core problem: supernovae feedback versus the baryonic clumps and dynamical friction model

    Science.gov (United States)

    Del Popolo, A.; Pace, F.

    2016-05-01

    In the present paper, we compare the predictions of two well known mechanisms considered able to solve the cusp/core problem (a. supernova feedback; b. baryonic clumps-DM interaction) by comparing their theoretical predictions to recent observations of the inner slopes of galaxies with masses ranging from dSphs to normal spirals. We compare the α-V_{rot} and the α-M_{ast} relationships, predicted by the two models with high resolution data coming from Adams et al. (Astrophys. J. 789, 63, 2014), Simon et al. (Astrophys. J. 621, 757, 2005), LITTLE THINGS (Oh et al. in Astron. J. 149, 180, 2015), THINGS dwarves (Oh et al. in Astron. J. 141, 193, 2011a; Oh et al. in Astron. J. 142, 224, 2011b), THINGS spirals (Oh et al. in Astron. J. 149, 180, 2015), Sculptor, Fornax and the Milky Way. The comparison of the theoretical predictions with the complete set of data shows that the two models perform similarly, while when we restrict the analysis to a smaller subsample of higher quality, we show that the method presented in this paper (baryonic clumps-DM interaction) performs better than the one based on supernova feedback. We also show that, contrarily to the first model prediction, dSphs of small mass could have cored profiles. This means that observations of cored inner profiles in dSphs having a stellar mass <106 M_{⊙} not necessarily imply problems for the ΛCDM model.

  19. Cluster observations of high-frequency waves in the exterior cusp

    Directory of Open Access Journals (Sweden)

    Y. Khotyaintsev

    2004-07-01

    Full Text Available We study wave emissions, in the frequency range from above the lower hybrid frequency up to the plasma frequency, observed during one of the Cluster crossings of a high-beta exterior cusp region on 4 March 2003. Waves are localized near narrow current sheets with a thickness a few times the ion inertial length; currents are strong, of the order of 0.1-0.5μA/m2 (0.1-0.5mA/m2 when mapped to ionosphere. The high frequency part of the waves, frequencies above the electron-cyclotron frequency, is analyzed in more detail. These high frequency waves can be broad-band, can have spectral peaks at the plasma frequency or spectral peaks at frequencies below the plasma frequency. The strongest wave emissions usually have a spectral peak near the plasma frequency. The wave emission intensity and spectral character change on a very short time scale, of the order of 1s. The wave emissions with strong spectral peaks near the plasma frequency are usually seen on the edges of the narrow current sheets. The most probable generation mechanism of high frequency waves are electron beams via bump-on-tail or electron two-stream instability. Buneman and ion-acoustic instability can be excluded as a possible generation mechanism of waves. We suggest that high frequency waves are generated by electron beams propagating along the separatrices of the reconnection region.

  20. Magnetic Field Effects on the Plume of a Diverging Cusped-Field Thruster

    KAUST Repository

    Matlock, Taylor

    2010-07-25

    The Diverging Cusped-Field Thruster (DCFT) uses three permanent ring magnets of alternating polarity to create a unique magnetic topology intended to reduce plasma losses to the discharge chamber surfaces. The magnetic field strength within the DCFT discharge chamber (up to 4 kG on axis) is much higher than in thrusters of similar geometry, which is believed to be a driving factor in the high measured anode efficiencies. The field strength in the near plume region is large as well, which may bear on the high beam divergences measured, with peaks in ion current found at angles of around 30-35 from the thruster axis. Characterization of the DCFT has heretofore involved only one magnetic topology. It is then the purpose of this study to investigate changes to the near-field plume caused by altering the shape and strength of the magnetic field. A thick magnetic collar, encircling the thruster body, is used to lower the field strength outside of the discharge chamber and thus lessen any effects caused by the external field. Changes in the thruster plume with field topology are monitored by the use of normal Langmuir and emissive probes interrogating the near-field plasma. Results are related to other observations that suggest a unified conceptual framework for the important near-exit region of the thruster.

  1. Aortic Blood Flow Reversal Determines Renal Function: Potential Explanation for Renal Dysfunction Caused by Aortic Stiffening in Hypertension.

    Science.gov (United States)

    Hashimoto, Junichiro; Ito, Sadayoshi

    2015-07-01

    Aortic stiffness determines the glomerular filtration rate (GFR) and predicts the progressive decline of the GFR. However, the underlying pathophysiological mechanism remains obscure. Recent evidence has shown a close link between aortic stiffness and the bidirectional (systolic forward and early diastolic reverse) flow characteristics. We hypothesized that the aortic stiffening-induced renal dysfunction is attributable to altered central flow dynamics. In 222 patients with hypertension, Doppler velocity waveforms were recorded at the proximal descending aorta to calculate the reverse/forward flow ratio. Tonometric waveforms were recorded to measure the carotid-femoral (aortic) and carotid-radial (peripheral) pulse wave velocities, to estimate the aortic pressure from the radial waveforms, and to compute the aortic characteristic impedance. In addition, renal hemodynamics was evaluated by duplex ultrasound. The estimated GFR was inversely correlated with the aortic pulse wave velocity, reverse/forward flow ratio, pulse pressure, and characteristic impedance, whereas it was not correlated with the peripheral pulse wave velocity or mean arterial pressure. The association between aortic pulse wave velocity and estimated GFR was independent of age, diabetes mellitus, hypercholesterolemia, and antihypertensive medication. However, further adjustment for the aortic reverse/forward flow ratio and pulse pressure substantially weakened this association, and instead, the reverse/forward flow ratio emerged as the strongest determinant of estimated GFR (P=0.001). A higher aortic reverse/forward flow ratio was also associated with lower intrarenal forward flow velocities. These results suggest that an increase in aortic flow reversal (ie, retrograde flow from the descending thoracic aorta toward the aortic arch), caused by aortic stiffening and impedance mismatch, reduces antegrade flow into the kidney and thereby deteriorates renal function.

  2. Acute aortic occlusion as an unusual embolic complication of cardiac myxoma

    Institute of Scientific and Technical Information of China (English)

    ZHANG Jian; DUAN Zhi-quan; WANG Chuan-jiang; SONG Qing-bin; LUO Ying-wei; XIN Shi-jie

    2006-01-01

    @@ Acute aortic occlusion is an infrequent but dangerous vascular emergency with a mortality rate of 50%,1 resulting from aortic saddle embolus, thrombosis of an atherosclerotic abdominal aorta, or sudden thrombosis of a small abdominal aortic aneurysm.

  3. Aortic tear and dissection related to connective tissues abnormalities resembling Marfan syndrome in a Great Dane.

    Science.gov (United States)

    Lenz, Jennifer A; Bach, Jonathan F; Bell, Cynthia M; Stepien, Rebecca L

    2015-06-01

    Aortic tears and acute aortic dissection are rarely reported in dogs. This report describes a case of aortic dissection and probable sinus of Valsalva rupture in a young Great Dane with associated histopathologic findings suggestive of a connective tissue abnormality.

  4. Cluster observations of the high-latitude magnetopause and cusp: initial results from the CIS ion instruments

    Directory of Open Access Journals (Sweden)

    J. M. Bosqued

    Full Text Available Launched on an elliptical high inclination orbit (apogee: 19.6 RE since January 2001 the Cluster satellites have been conducting the first detailed three-dimensional studies of the high-latitude dayside magnetosphere, including the exterior cusp, neighbouring boundary layers and magnetopause regions. Cluster satellites carry the CIS ion spectrometers that provide high-precision, 3D distributions of low-energy (<35 keV/e ions every 4 s. This paper presents the first two observations of the cusp and/or magnetopause behaviour made under different interplanetary magnetic field (IMF conditions. Flow directions, 3D distribution functions, density profiles and ion composition profiles are analyzed to demonstrate the high variability of high-latitude regions. In the first crossing analyzed (26 January 2001, dusk side, IMF-BZ < 0, multiple, isolated boundary layer, magnetopause and magnetosheath encounters clearly occurred on a quasi-steady basis for ~ 2 hours. CIS ion instruments show systematic accelerated flows in the current layer and adjacent boundary layers on the Earthward side of the magnetopause. Multi-point analysis of the magnetopause, combining magnetic and plasma data from the four Cluster spacecraft, demonstrates that oscillatory outward-inward motions occur with a normal speed of the order of ± 40 km/s; the thickness of the high-latitude current layer is evaluated to be of the order of 900–1000 km. Alfvénic accelerated flows and D-shaped distributions are convincing signatures of a magnetic reconnection occurring equatorward of the Cluster satellites. Moreover, the internal magnetic and plasma structure of a flux transfer event (FTE is analyzed in detail; its size along the magnetopause surface is ~ 12 000 km and it convects with a velocity of ~ 200 km/s. The second event analyzed (2 February 2001 corresponds to the first Cluster pass within the cusp when the IMF-BZ component was northward directed. The analysis of

  5. [Use of sutureless prosthetic aortic valves in cardiac surgery].

    Science.gov (United States)

    Santarpino, Giuseppe; Fischlein, Theodor

    2014-03-01

    In the last years, an increasing proportion of high-risk patients undergo surgical aortic valve replacement. In order to reduce the risk associated with cross-clamp time or cardioplegic ischemic time, sutureless aortic prostheses have been developed. These bioprosthetic valves are not hand sewn, and this technological advance translates into reduced implantation times, thus improving outcome of patients referred for aortic valve replacement. At present, three sutureless bioprostheses are available on the market: 3f Enable (Medtronic Inc., Minneapolis, Minnesota, USA), Perceval (Sorin Group, Saluggia, Italy) and Intuity (Edwards Lifesciences, Irvine, California, USA). This article provides an overview of the available literature on sutureless aortic valves with the aim to better define current role and future perspectives of sutureless aortic bioprostheses for the treatment of aortic valve stenosis. PMID:24770430

  6. Adjusting parameters of aortic valve stenosis severity by body size

    DEFF Research Database (Denmark)

    Minners, Jan; Gohlke-Baerwolf, Christa; Kaufmann, Beat A;

    2014-01-01

    BACKGROUND: Adjustment of cardiac dimensions by measures of body size appears intuitively convincing and in patients with aortic stenosis, aortic valve area (AVA) is commonly adjusted by body surface area (BSA). However, there is little evidence to support such an approach. OBJECTIVE: To identify...... the adequate measure of body size for the adjustment of aortic stenosis severity. METHODS: Parameters of aortic stenosis severity (jet velocity, mean pressure gradient (MPG) and AVA) and measures of body size (height, weight, BSA and body mass index (BMI)) were analysed in 2843 consecutive patients with aortic...... stenosis (jet velocity ≥2.5 m/s) and related to outcomes in a second cohort of 1525 patients from the Simvastatin/Ezetimibe in Aortic Stenosis (SEAS) study. RESULTS: Whereas jet velocity and MPG were independent of body size, AVA was significantly correlated with height, weight, BSA and BMI (Pearson...

  7. Diagnosis of aortic aneurysms by scintigraphy and ultrasonography

    Energy Technology Data Exchange (ETDEWEB)

    Caille, G. (Centre Hospitalier, Saint-Nazaire (France)); Chatal, J.F.; Tellier, J.L.; Talmant, C.; Guihard, R. (Centre Rene-Gauducheau, 44 - Nantes (France))

    1981-10-01

    Angioscintigraphy, performed on 50 patients suspected of aortic aneurysm and complemented by abdominal ultrasonography in 31 cases, disclosed: - Three cases of thoracic aortic aneurysm, 2 of which were confirmed by arteriography and surgery. It was impossible to perform surgery in the third case, no arteriography was done. Strict agreement with standard thoracic images had made the angioscintigraphic diagnosis seem correct. Twenty-seven cases of abdominal aortic aneurysms were confirmed by arteriography or surgery. Ultrasonography disclosed an abdominal aortic aneurysm in 26 cases, 20 of which were confirmed. The agreement of the two procedures in 10 unconfirmed cases led us to consider the diagnosis as correct. Angioscintigraphy appears to be a reliable procedure for detecting thoracic and abdominal aortic aneurysms. Ultrasonography is the simplest and least costly procedure for study of abdominal aortic aneurysms.

  8. Diagnosis of aortic aneurysms by scintigraphy and ultrasonography

    International Nuclear Information System (INIS)

    Angioscintigraphy, performed on 50 patients suspected of aortic aneurysm and complemented by abdominal ultrasonography in 31 cases, disclosed: - Three cases of thoracic aortic aneurysm, 2 of which were confirmed by arteriography and surgery. It was impossible to perform surgery in the third case, no arteriography was done. Strict agreement with standard thoracic images had made the angioscintigraphic diagnosis seems correct. - Twenty-seven cases of abdominal aortic aneurysms confirmed by arteriography or surgery. Ultrasonography disclosed an abdominal aortic aneurysm in 26 cases, 20 of which were confirmed. The agreement of the two procedures in 10 unconfirmed cases led us to consider the diagnosis as correct. Angioscintigraphy appears to be a reliable procedure for detecting thoracic and abdominal aortic aneurysms. Ultrasonography is the simplest and least costly procedure for study of abdominal aortic aneurysms

  9. Small aortic valve annulus in children with fixed subaortic stenosis.

    Science.gov (United States)

    Thilenius, O G; Campbell, D; Bharati, S; Lev, M; Arcilla, R A

    1989-01-01

    Twenty-one hearts with fixed subaortic stenosis (FSAS) were examined pathologically. Thirty children with no hemodynamically significant heart disease, 31 children with valvar aortic stenosis, and 25 children with FSAS were studied by echo- and angiocardiography. The following conclusions were drawn: (1) Patients with FSAS often have abnormal aortic valve leaflets as well as small aortic valve annulus. (2) A small aortic annulus/descending aorta ratio is probably present at birth, and may decrease with increasing age. (3) In some patients with FSAS the aortic valve annulus is too small for simple resection of the fibroelastic tissue. A Konno operation is needed for these patients. (4) M-mode echocardiography has not been useful in identifying abnormally small aortic valve annulus in FSAS patients.

  10. Fluid dynamics of aortic root dilation in Marfan syndrome

    CERN Document Server

    Querzoli, Giorgio; Espa, Stefania; Costantini, Martina; Sorgini, Francesca

    2014-01-01

    Aortic root dilation and propensity to dissection are typical manifestations of the Marfan Syndrome (MS), a genetic defect leading to the degeneration of the elastic fibres. Dilation affects the structure of the flow and, in turn, altered flow may play a role in vessel dilation, generation of aneurysms, and dissection. The aim of the present work is the investigation in-vitro of the fluid dynamic modifications occurring as a consequence of the morphological changes typically induced in the aortic root by MS. A mock-loop reproducing the left ventricle outflow tract and the aortic root was used to measure time resolved velocity maps on a longitudinal symmetry plane of the aortic root. Two dilated model aortas, designed to resemble morphological characteristics typically observed in MS patients, have been compared to a reference, healthy geometry. The aortic model was designed to quantitatively reproduce the change of aortic distensibility caused by MS. Results demonstrate that vorticity released from the valve ...

  11. Effect of abdominal aortic grafts on aortic stiffness and central hemodynamics.

    Science.gov (United States)

    Lantelme, Pierre; Dzudie, Anastase; Milon, Hugues; Bricca, Giampiero; Legedz, Liliana; Chevalier, Jean-Michel; Feugier, Patrick

    2009-06-01

    Graft-prosthesis and stentgraft placements are effective modalities for treating abdominal aortic aneurysm, but related changes in arterial stiffness are not well established. The present study sought to assess aortic stiffness after aneurism repair by measuring pulse wave velocity (PWV). The graft-related variation of carotid-femoral PWV was compared with that of carotid-radial PWV, the latter being unaffected by vascular treatment. The secondary objective was to evaluate potential differences between graft-prosthesis and stentgraft in terms of aortic stiffness and augmentation index, a composite indicator integrating wave reflexion. Fifty patients were included (39 had a graft-prosthesis and 11 had a stentgraft). In the whole group and after a median postoperative follow-up of 47 days, carotid-femoral PWV increased by +1.0 m/s [-12.3, +10.3], while carotid-radial PWV slightly decreased by -0.3 m/s [-4.4; +3.5] (P = 0.001). The effect of the type of prosthesis on the PWV was not significant. Nevertheless, the augmentation index increased after stentgraft implantation (+4% [-10; +17]) and decreased after graft-prosthesis placement (-8.5% [-47; +17]) (P aortic grafts on aortic stiffness. Besides, it suggests that stentgraft increases reflected waves more than graft-prostheses. These changes of vascular properties may influence the outcomes after surgery. PMID:19342960

  12. Recent developments for surgical aortic valve replacement: the concept of sutureless valve technology

    OpenAIRE

    Carrel, Thierry; Englberger, Lars; Stalder, Mario

    2013-01-01

    Aortic stenosis has become the most frequent type of valvular heart disease in Europe and North America and presents in the large majority of patients as calcified aortic stenosis in adults of advanced age. Surgical aortic valve replacement has been recognized to be the definitive therapy which improves considerably survival for severe aortic stenosis since more than 40 years. In the most recent period, operative mortality of isolated aortic valve replacement for aortic stenosis varies betwee...

  13. Aortic incompetence in HLA B27-positive juvenile arthritis.

    OpenAIRE

    Kean, W F; Anastassiades, T. P.; Ford, P M

    1980-01-01

    The early onset of isolated aortic incompetence in a male child with HLA B27 and peripheral arthritis is reported. Acute anterior uveitis and lone aortic incompetence occurred at 1 and 9 months respectively after the development of the acute inflammatory arthritis. The uveitis resolved with local therapy and the arthritis remitted 10 months after the onset. There has been no recurrence of the arthritis after 10 years of close follow-up but the aortic incompetence has persisted, though it rema...

  14. Use of omental pedicles in mycotic abdominal aortic aneurysm repair

    OpenAIRE

    Alibhai, M.K.; Samee, A; Ahmed, M.; Duffield, R.

    2011-01-01

    We report a case of a sixty year old man with a mycotic infra-renal abdominal aortic aneurysm complicated by a left psoas abscess. After treatment with parenteral antibiotics he underwent early aortic reconstruction with an in-situ prosthetic graft wrapped in an omental pedicle. Mycotic abdominal aortic aneurysms can be treated in this way despite the potential for graft infection from persisting retroperitoneal sepsis.

  15. Aortic stiffness: pathophysiology, clinical implications, and approach to treatment

    OpenAIRE

    Sethi S; Rivera O.; Oliveros R; Chilton R

    2014-01-01

    Salil Sethi, Oscar Rivera, Rene Oliveros, Robert Chilton University of Texas Health Science Center, San Antonio, TX, USA Abstract: Aortic stiffness is a hallmark of aging, and classic cardiovascular risk factors play a role in accelerating this process. Current changes in medicine, which focus on preventive care, have led to a growing interest in noninvasive evaluation of aortic stiffness. Aortic stiffness has emerged as a good tool for further risk stratification because it has been linked ...

  16. Giant aortic arch aneurysm complicating Kawasaki′s disease

    OpenAIRE

    Kaouthar Hakim; Rafik Boussada; Lilia Chaker; Fatma Ouarda

    2014-01-01

    Kawasaki disease (KD) is a common acute vasculitis in pediatric population that usually involves small- and middle-sized arteries, commonly coronary arteries. Although the incidence and natural course of coronary aneurysms after KD are well documented in studies, related reports on peripheral arterial and aortic aneurysms are scarce. We report the occurrence of a giant aortic aneurysm involving the horizontal part of aortic arch in a 28-month-old boy diagnosed with KD. This complication was m...

  17. DEGENERATIVE AORTIC STENOSIS: PATHOGENESIS AND NEW PRINCIPLES OF TREATMENT

    OpenAIRE

    O. V. Andropova; V. N. Anokhin

    2016-01-01

    Aim. To reveal of markers of inflammation and progression of calcification in patients with degenerative aortic stenosis (DAS). Material and methods. A single-stage study was done in 85 patients with degenerative calcification of aortic valve (42 patients with DAS and 43 patients without DAS). The techniques for assessing the severity of aortic valve calcification included ultrasonic diagnostics and multislice spiral computed tomography. Markers of inflammation and lipid profile were investig...

  18. Transcatheter aortic valve prosthesis surgically replaced 4 months after implantation

    DEFF Research Database (Denmark)

    Thyregod, Hans Gustav; Lund, Jens Teglgaard; Engstrøm, Thomas;

    2010-01-01

    Transcatheter aortic valve implantation is a new and rapidly evolving treatment option for high-risk surgical patients with degenerative aortic valve stenosis. Long-term results with these new valve prostheses are lacking, and potential valve dysfunction and failure would require valve replacement....... We report the first case of surgical valve replacement in a patient with a dysfunctional transcatheter-implanted aortic valve prosthesis 4 months after implantation....

  19. Transcatheter aortic valve prosthesis surgically replaced 4 months after implantation

    DEFF Research Database (Denmark)

    Thyregod, Hans Gustav; Lund, Jens Teglgaard; Engstrøm, Thomas;

    2010-01-01

    Transcatheter aortic valve implantation is a new and rapidly evolving treatment option for high-risk surgical patients with degenerative aortic valve stenosis. Long-term results with these new valve prostheses are lacking, and potential valve dysfunction and failure would require valve replacemen....... We report the first case of surgical valve replacement in a patient with a dysfunctional transcatheter-implanted aortic valve prosthesis 4 months after implantation....

  20. Acute aortic and mitral valve regurgitation following blunt chest trauma.

    Science.gov (United States)

    Bernabeu, Eduardo; Mestres, Carlos A; Loma-Osorio, Pablo; Josa, Miguel

    2004-03-01

    Traumatic rupture of intracardiac structures is an uncommon phenomenon although there are a number of reports with regards to rupture of the tricuspid, mitral and aortic valves. We report the case of a 25-year-old patient who presented with acute aortic and mitral valve regurgitation of traumatic origin. Both lesions were seen separated by 2 weeks. Pathophysiology is reviewed. The combination of both aortic and mitral lesions following blunt chest trauma is almost exceptional.

  1. Acute aortic syndromes: Role of multi-detector row CT

    Energy Technology Data Exchange (ETDEWEB)

    Salvolini, Luca; Renda, Pietro [Department of Radiology, University ' Politecnica delle Marche' , Ancona (Italy); Fiore, Davide [Department of Radiology, University of Padova, Padova (Italy); Scaglione, Mariano [Emergency and Trauma CT Section, Department of Radiology, Cardarelli Hospital, Naples (Italy); Piccoli, GianPiero [Cardiosurgery Division, Ospedali Riuniti ' Torrette-Lancisi-Salesi' , Ancona (Italy); Giovagnoni, Andrea [Department of Radiology, University ' Politecnica delle Marche' , Ancona (Italy)], E-mail: a.giovagnoni@univpm.it

    2008-03-15

    Acute thoracic aortic syndromes encompass a spectrum of emergencies including aortic dissection, intramural haematoma, penetrating atherosclerotic ulcer and aneurysm rupture. All these life-threatening conditions require prompt diagnosis and appropriate management. To date multi-detector row Computed Tomography represents a valuable diagnostic tool especially in the emergency setting. This paper focus on the use of multi-detector row Computed Tomography in the evaluation of acute thoracic aortic syndromes and illustrates the key imaging findings related to each disease.

  2. Glucose Suppresses Biological Ferroelectricity in Aortic Elastin

    Science.gov (United States)

    Liu, Yuanming; Wang, Yunjie; Chow, Ming-Jay; Chen, Nataly Q.; Ma, Feiyue; Zhang, Yanhang; Li, Jiangyu

    2013-04-01

    Elastin is an intriguing extracellular matrix protein present in all connective tissues of vertebrates, rendering essential elasticity to connective tissues subjected to repeated physiological stresses. Using piezoresponse force microscopy, we show that the polarity of aortic elastin is switchable by an electrical field, which may be associated with the recently discovered biological ferroelectricity in the aorta. More interestingly, it is discovered that the switching in aortic elastin is largely suppressed by glucose treatment, which appears to freeze the internal asymmetric polar structures of elastin, making it much harder to switch, or suppressing the switching completely. Such loss of ferroelectricity could have important physiological and pathological implications from aging to arteriosclerosis that are closely related to glycation of elastin.

  3. Spontaneous aortic dissecting hematoma in two dogs.

    Science.gov (United States)

    Boulineau, Theresa Marie; Andrews-Jones, Lydia; Van Alstine, William

    2005-09-01

    This report describes 2 cases of spontaneous aortic dissecting hematoma in young Border Collie and Border Collie crossbred dogs. Histology was performed in one of the cases involving an unusual splitting of the elastin present within the wall of the aorta, consistent with elastin dysplasia as described in Marfan syndrome in humans. The first case involved a young purebred Border Collie that died suddenly and the second case involved a Border Collie crossbred dog that died after a 1-month history of seizures. Gross lesions included pericardial tamponade with dissection of the ascending aorta in the former case and thoracic cavity hemorrhage, mediastinal hematoma, and aortic dissection in the latter. Histologic lesions in the case of the Border Collie crossbred dog included a dissecting hematoma of the ascending aorta with elastin dysplasia and right axillary arterial intimal proliferation. PMID:16312247

  4. Evaluation of regional aortic distensibility using color kinesis.

    Science.gov (United States)

    Kato, Yoshimasa; Kotoh, Keiju; Yamashita, Akio; Furuta, Hidetoshi; Shimazu, Chikasi; Misaki, Takurou

    2003-01-01

    Regional aortic stiffness cannot be evaluated by conventional methods. Regional aortic wall velocity during systole in the descending aorta was evaluated by using transesophageal echocardiography with color kinesis. The authors defined regional aortic distensibility (RAD) by considering pulse pressure, with RAD (microm/s/mm Hg) = (regional aortic wall velocity)/(pulse pressure). RAD was evaluated in 38 patients who had coronary artery disease (CAD) and 10 who did not. RAD decreased depending on aging (partial regression coefficient was -5.39 x 10(-1), pkinesis provides information on characteristic difference between calcified and noncalcified plaque.

  5. Aortic aneurysm disease vs. aortic occlusive disease - differences in outcome and intensive care resource utilisation after elective surgery

    DEFF Research Database (Denmark)

    Bisgaard, Jannie; Gilsaa, Torben; Rønholm, Ebbe;

    2013-01-01

    clamping is more pronounced in patients with aortic aneurysm disease, which may affect outcome. OBJECTIVES: The aim of this observational cohort study was to evaluate outcome after open elective abdominal aortic surgery, hypothesising a higher 30-day mortality, a higher incidence of postoperative organ...... dysfunction and a longer length of stay in patients with aortic aneurysm compared with aortic occlusive disease. DESIGN: Cohort observational study based on prospective registrations from national databases. SETTING: Eight Danish hospitals, including four university and four non-university centres, from 1...... or inotropes, ICU stay more than 24 h, hospital length of stay and mortality. RESULTS: Compared with aortic occlusive disease, more patients with aortic aneurysm disease had ICU stays more than 24 h (62 vs. 45%, P ...

  6. Aortic Disease in the Young: Genetic Aneurysm Syndromes, Connective Tissue Disorders, and Familial Aortic Aneurysms and Dissections

    Directory of Open Access Journals (Sweden)

    Marcelo Cury

    2013-01-01

    Full Text Available There are many genetic syndromes associated with the aortic aneurysmal disease which include Marfan syndrome (MFS, Ehlers-Danlos syndrome (EDS, Loeys-Dietz syndrome (LDS, familial thoracic aortic aneurysms and dissections (TAAD, bicuspid aortic valve disease (BAV, and autosomal dominant polycystic kidney disease (ADPKD. In the absence of familial history and other clinical findings, the proportion of thoracic and abdominal aortic aneurysms and dissections resulting from a genetic predisposition is still unknown. In this study, we propose the review of the current genetic knowledge in the aortic disease, observing, in the results that the causative genes and molecular pathways involved in the pathophysiology of aortic aneurysm disease remain undiscovered and continue to be an area of intensive research.

  7. Animal Models of Calcific Aortic Valve Disease

    OpenAIRE

    Sider, Krista L.; Blaser, Mark C.; Simmons, Craig A.

    2011-01-01

    Calcific aortic valve disease (CAVD), once thought to be a degenerative disease, is now recognized to be an active pathobiological process, with chronic inflammation emerging as a predominant, and possibly driving, factor. However, many details of the pathobiological mechanisms of CAVD remain to be described, and new approaches to treat CAVD need to be identified. Animal models are emerging as vital tools to this end, facilitated by the advent of new models and improved understanding of the u...

  8. Diagnostic imaging of abdominal aortic aneurysms

    International Nuclear Information System (INIS)

    The survey explains the available methods for diagnostic imaging of aortic aneurysms, i.e. the conventional methods of ultrasonography and intra-arterial angiography as well as the modern tomographic and image processing techniques such as CT, DSA, and MRT. The various methods are briefly discussed with respect to their sensitivity and specificity. The authors expect that MRI will become the modality of choice, due to absence of radiation exposure of the patients

  9. Incidence of patients with acute aortic dissection

    OpenAIRE

    Salkovski, Safet; Panova, Gordana; Velickova, Nevenka; Panova, Blagica; Panov, Nenad; Nikolovska, Lence; Dzidrova, Violeta

    2012-01-01

    Introduction: Acute aortic dissection (AAD) e life-threatening condition that characterizes the high mortality worldwide (7-8%). When AAD is split in the wall of the aorta where the blood circulates between layers of the wall which can lead to its rupture. Early recognition of symptoms and appropriate response to the medical team is crucial to the outcome of the patient. On receipt of a patient with chest pain to bear in mind the possibility of AAD. Standard diagnostics when fasti...

  10. Thrombocytosis following splenectomy and aortic valve replacement for idiopathic thrombocytopaenic purpura with bicuspid aortic valve

    Directory of Open Access Journals (Sweden)

    Sarika Katiyar

    2015-01-01

    Full Text Available Idiopathic thrombocytopaenic purpura (ITP patients are at high risk for complications during and after cardiac surgeries involving cardiopulmonary bypass. The main clinical problem of primary ITP is an increased risk of bleeding although bleeding may not always be present. More recently, thrombosis has become appreciated as another potential complication of the procedure. We report a 22-year-old female patient with ITP with bicuspid aortic valve and splenomegaly, who underwent uncomplicated aortic valve replacement and splenectomy simultaneously. She was readmitted with chest pain due to coronary thrombosis following splenectomy which made the management difficult. We describe our experience in managing this patient who presented with thrombotic complication rather than bleeding in post-operative period and the challenges met in maintaining appropriate anticoagulation for aortic valve replacement as well as thrombosis, post-splenectomy

  11. Myocardial Infarction and Aortic Root Mycotic Aneurysm Complicating Aortic Valve Endocarditis: Utility of Cardiac CT.

    Science.gov (United States)

    Moores, Aimee E; Cahill, Michael S; Villines, Todd C

    2016-01-01

    Aortic mycotic aneurysms are a rare but life-threatening potential complication of infective endocarditis. Rapid deterioration of the vascular wall in highly focal areas makes these pseudoaneurysms particularly prone to rupture, resulting in uncontrolled aortic hemorrhage. While computed tomography angiography (CTA) is the imaging modality of choice for the evaluation of mycotic aneurysms, it is not routinely performed in patients with known or suspected infective endocarditis (IE). However, current valvular heart disease guidelines support the use of cardiac CTA in cases of IE and suspected perivalvular extension when there is inadequate or ambiguous visualization on echocardiography. Here, we describe a case of IE in which cardiac CTA was used for two purposes: to assess perivalvular complications and to define coronary anatomy in a patient with a suspected embolic myocardial infarction. Subsequent detection of an aortic root mycotic aneurysm not previously demonstrated on transthoracic or transesophageal echocardiography allowed for timely and uncomplicated surgical intervention, while avoiding invasive coronary angiography. PMID:27642299

  12. Techniques for aortic arch endovascular repair.

    Science.gov (United States)

    kHONGKU, Kiattisak; Dias, Nuno; Sonesson, Bjorn; Resch, Timothy

    2016-06-01

    This article reviews endovascular strategies for aortic arch repair. Open repair remains the gold standard particularly for good risk patients. Endovascular treatment potentially offers a less invasive repair. Principles, technical considerations, devices and outcomes of each technique are discussed and summarized. Hybrid repair combines less invasive revascularization options, instead of arch replacement while extending stent-graft into the arch. Outcomes vary with regard to extent of repair and aortic arch pathologies treated. Results of arch chimney and other parallel graft techniques perhaps make it a less preferable choice for elective cases. However, they are very appealing options for urgent or bailout situations. Fenestrated stent-grafting is subjected to many technical challenges in aortic arch due to difficulties in stent-graft orientation and fenestration positioning. In situ fenestration techniques emerge to avoid these problems, but durability of stent-grafts after fenestration and ischemic consequences of temporary carotid arteries coverage raises some concern total arch repair using this technique. Arch branched graft is a new technology. Early outcomes did not meet the expectation; however the results have been improving after its learning curve period. Refining stent-graft technologies and implantation techniques positively impact outcomes of endovascular approaches. PMID:26940011

  13. Volumetric analysis of abdominal aortic aneurysm

    Science.gov (United States)

    Baskin, Kevin M.; Kusnick, Catherine A.; Shamsolkottabi, Susanne; Lang, Elvira V.; Corson, J. D.; Stanford, William; Thompson, Brad H.; Hoffman, Eric A.

    1996-04-01

    The purpose of this study was to develop a valid, reliable and accurate system of measurement of abdominal aortic aneurysms, using volumetric analysis of x-ray computed tomographic data. This study evaluates illustrative cases, and compares measurements of AAA phantoms, using standard 2D versus volumetric methods. To validate the volumetric analysis, four phantom aneurysms were constructed in a range of diameters (4.5 - 7.0 cm) which presents the greatest management challenge to the clinician. These phantoms were imaged using a Toshiba Xpress SX helical CT. Separate scans were obtained at conventional (10 mm X 10 mm) and thin slice (5 mm X 5 mm) collimations. The thin slices were reconstructed at 2 mm intervals. Data from each of the 96 scans were interpreted using a standard 2D approach, then analyzed using task-oriented volumetric software. We evaluate patient assessments, and compare greatest outer diameters of phantoms, by standard versus volumetric methods. Qualitative differences between solutions based on standard versus volumetric analysis of illustrative patient cases are substantial. Expert radiologists' standard measurements of phantom aneurysms are highly reliable (r2 equals 0.901 - 0.958; p aneurysm diameters in the range of clinical interest. For the same phantoms, volumetric analysis was both more reliable (r2 equals 0.986 - 0.996; p abdominal aortic aneurysms. It is particularly valuable in the presence of aortic tortuosity, vessel eccentricity, and uncertain involvement of critical vessels.

  14. Recurrent Pneumonia due to Double Aortic Arch

    Directory of Open Access Journals (Sweden)

    I. Sedighi

    2012-04-01

    Full Text Available Introduction: Pneumonia is one of the most common infections during childhood. In children with recurrent bacterial pneumonia complete evaluation for underlying factors is necessary. The most common underlying diseases include: antibody deficiencies , cystic fibrosis , tracheoesophageal fistula and increased pulmonary blood flow. Vascular ring and its pressure effect is a less common cause of stridor and recurrent pneumonia. Congenital abnormalities in aortic arch and main branches which form vascular ring around esophagus and trachea with variable pressure effect cause respiratory symptoms such as stridor , wheezing and recurrent pneumoniaCase Report: A 2 year old boy was admitted in our hospital with respiratory distress and cough . Chest x-Ray demonstrated right lobar pneumonia. He had history of stridor and wheezing from neonatal period and hospitalization due to pneumonia for four times. The patient received appropriate antibiotics. Despite fever and respiratory distress improvement, wheezing continued. Review of his medical documents showed fixed pressure effect on posterior aspect of esophagus in barium swallow. In CT angiography we confirmed double aortic arch.Conclusion: Double aortic arch is one of the causes of persistant respiratory symptom and recurrent pneumonia in children for which fluoroscopic barium swallow is the first non-invasive diagnostic method.(Sci J Hamadan Univ Med Sci 2012;19(1:70-74

  15. Acute aortic dissection: be aware of misdiagnosis

    Directory of Open Access Journals (Sweden)

    Asteri Theodora

    2009-02-01

    Full Text Available Abstract Background Acute aortic dissection (AAD is a life-threatening condition requiring immediate assessment and therapy. A patient suffering from AAD often presents with an insignificant or irrelevant medical history, giving rise to possible misdiagnosis. The aim of this retrospective study is to address the problem of misdiagnosing AD and the different imaging studies used. Methods From January 2000 to December 2004, 49 patients (41 men and 8 women, aged from 18–75 years old presented to the Emergency Department of our hospital for different reasons and finally diagnosed with AAD. Fifteen of those patients suffered from arterial hypertension, one from giant cell arteritis and another patient from Marfan's syndrome. The diagnosis of AAD was made by chest X-ray, contrast enhanced computed tomography (CT, transthoracic echocardiography (TTE and coronary angiography. Results Initial misdiagnosis occurred in fifteen patients (31% later found to be suffering from AAD. The misdiagnosis was myocardial infarction in 12 patients and cerebral infarction in another three patients. Conclusion Aortic dissection may present with a variety of clinical manifestations, like syncope, chest pain, anuria, pulse deficits, abdominal pain, back pain, or acute congestive heart failure. Nearly a third of the patients found to be suffering from AD, were initially otherwise diagnosed. Key in the management of acute aortic dissection is to maintain a high level of suspicion for this diagnosis.

  16. Cadaveric aorta implantation for aortic graft infection.

    Science.gov (United States)

    Ali, Asad; Bahia, Sandeep S S; Ali, Tahir

    2016-01-01

    This case report describes a 73-year-old gentleman who underwent explantation of an infected prosthetic aorto-iliac graft and replacement with a cryopreserved thoracic and aorto-iliac allograft. The patient has been followed up a for more than a year after surgery and remains well. After elective tube graft repair of his abdominal aortic aneurysm (AAA) in 2003, he presented to our unit in 2012 in cardiac arrest as a result of a rupture of the distal graft suture line due to infection. After resuscitation he underwent aorto-bifemoral grafting using a cuff of the original aortic graft proximally. Distally the new graft was anastomosed to his common femoral arteries, with gentamicin beads left in situ. Post discharge the patient was kept under close surveillance with serial investigations including nuclear scanning, however it became apparent that his new graft was infected and that he would require aortic graft replacement, an operation with a mortality of at least 50%. The patient underwent the operation and findings confirmed a synthetic graft infection. This tube graft was explanted and a cryopreserved aorta was used to the refashion the abdominal aorta and its bifurcation. The operation required a return to theatre day one post operatively for a bleeding side branch, which was repaired. The patient went on to make a full recovery stepping down from the intensive therapy unit day 6 post operatively and went on to be discharged 32 days after his cryopreserved aorta implantation. PMID:27351624

  17. Aortic annulus eccentricity before and after transcatheter aortic valve implantation: Comparison of balloon-expandable and self-expanding prostheses

    International Nuclear Information System (INIS)

    Highlights: • Post-implant geometry of catheter-based aortic valve prostheses is influenced by aortic valve calcification. • Balloon-expandable prostheses are more circular as compared to self-expanding prostheses. • The impact of post-implant geometry on valve function needs to be investigated. - Abstract: Introduction: The geometry of the aortic annulus and implanted transcatheter aortic valve prosthesis might influence valve function. We investigated the influence of valve type and aortic valve calcification on post-implant geometry of catheter-based aortic valve prostheses. Methods: Eighty consecutive patients with severe aortic valve stenosis (mean age 82 ± 6 years) underwent computed tomography before and after TAVI. Aortic annulus diameters were determined. Influence of prosthesis type and degree of aortic valve calcification on post-implant eccentricity were analysed. Results: Aortic annulus eccentricity was reduced in patients after TAVI (0.21 ± 0.06 vs. 0.08 ± 0.06, p < 0.0001). Post-TAVI eccentricity was significantly lower in 65 patients following implantation of a balloon-expandable prosthesis as compared to 15 patients who received a self-expanding prosthesis (0.06 ± 0.05 vs. 0.15 ± 0.07, p < 0.0001), even though the extent of aortic valve calcification was not different. After TAVI, patients with a higher calcium amount retained a significantly higher eccentricity compared to patients with lower amounts of calcium. Conclusions: Patients undergoing TAVI with a balloon-expandable prosthesis show a more circular shape of the implanted prosthesis as compared to patients with a self-expanding prosthesis. Eccentricity of the deployed prosthesis is affected by the extent of aortic valve calcification

  18. Coronary artery dissection with rupture of aortic valve commissure following type A aortic dissection: the role of 64-slice MDCT.

    Science.gov (United States)

    Das, K M; Abdou, Sayed M; El-Menyar, Ayman; Ayman, El Menyar; Khulaifi, A A; Nabti, A L

    2008-01-01

    A rare case of bilateral coronary artery dissection with rupture of aortic valve commissure following type A aortic dissection is described. 64-slice multidetector computed tomography (MDCT) was able to demonstrate both this findings along with involvement of other neck vessels. TEE demonstrated the severity and mechanisms of aortic valve damage and assisted the surgeon in valve repair. MDCT has played an invaluable role in the diagnosis of the abnormal details of such life-threatening vascular complications. PMID:18384568

  19. Aortic annulus eccentricity before and after transcatheter aortic valve implantation: Comparison of balloon-expandable and self-expanding prostheses

    Energy Technology Data Exchange (ETDEWEB)

    Schuhbaeck, Annika, E-mail: annika.schuhbaeck@uk-erlangen.de [Department of Cardiology, University of Erlangen, Erlangen (Germany); Weingartner, Christina [Department of Cardiology, University of Gießen, Giessen (Germany); Arnold, Martin; Schmid, Jasmin; Pflederer, Tobias; Marwan, Mohamed [Department of Cardiology, University of Erlangen, Erlangen (Germany); Rixe, Johannes; Nef, Holger [Department of Cardiology, University of Gießen, Giessen (Germany); Schneider, Christian [Department of Radiology, University of Gießen, Giessen (Germany); Lell, Michael; Uder, Michael [Department of Radiology, University of Erlangen, Erlangen (Germany); Ensminger, Stephan [Department of Thoracic and Cardiovascular Surgery, Heart and Diabetes Center NRW, Ruhr-University Bochum, Bad Oeynhausen (Germany); Feyrer, Richard; Weyand, Michael [Department of Cardiothoracic Surgery, University of Erlangen, Erlangen (Germany); Achenbach, Stephan [Department of Cardiology, University of Erlangen, Erlangen (Germany)

    2015-07-15

    Highlights: • Post-implant geometry of catheter-based aortic valve prostheses is influenced by aortic valve calcification. • Balloon-expandable prostheses are more circular as compared to self-expanding prostheses. • The impact of post-implant geometry on valve function needs to be investigated. - Abstract: Introduction: The geometry of the aortic annulus and implanted transcatheter aortic valve prosthesis might influence valve function. We investigated the influence of valve type and aortic valve calcification on post-implant geometry of catheter-based aortic valve prostheses. Methods: Eighty consecutive patients with severe aortic valve stenosis (mean age 82 ± 6 years) underwent computed tomography before and after TAVI. Aortic annulus diameters were determined. Influence of prosthesis type and degree of aortic valve calcification on post-implant eccentricity were analysed. Results: Aortic annulus eccentricity was reduced in patients after TAVI (0.21 ± 0.06 vs. 0.08 ± 0.06, p < 0.0001). Post-TAVI eccentricity was significantly lower in 65 patients following implantation of a balloon-expandable prosthesis as compared to 15 patients who received a self-expanding prosthesis (0.06 ± 0.05 vs. 0.15 ± 0.07, p < 0.0001), even though the extent of aortic valve calcification was not different. After TAVI, patients with a higher calcium amount retained a significantly higher eccentricity compared to patients with lower amounts of calcium. Conclusions: Patients undergoing TAVI with a balloon-expandable prosthesis show a more circular shape of the implanted prosthesis as compared to patients with a self-expanding prosthesis. Eccentricity of the deployed prosthesis is affected by the extent of aortic valve calcification.

  20. Histopathology of aortic complications in bicuspid aortic valve versus Marfan syndrome: relevance for therapy?

    Science.gov (United States)

    Grewal, Nimrat; Franken, Romy; Mulder, Barbara J M; Goumans, Marie-José; Lindeman, Johannes H N; Jongbloed, Monique R M; DeRuiter, Marco C; Klautz, Robert J M; Bogers, Ad J J C; Poelmann, Robert E; Groot, Adriana C Gittenberger-de

    2016-05-01

    Patients with bicuspid aortic valve (BAV) and patients with Marfan syndrome (MFS) are more prone to develop aortic dilation and dissection compared to persons with a tricuspid aortic valve (TAV). To elucidate potential common and distinct pathways of clinical relevance, we compared the histopathological substrates of aortopathy. Ascending aortic wall biopsies were divided in five groups: BAV (n = 36) and TAV (n = 23) without and with dilation and non-dilated MFS (n = 8). General histologic features, apoptosis, the expression of markers for vascular smooth muscle cell (VSMC) maturation, markers predictive for ascending aortic dilation in BAV, and expression of fibrillin-1 were investigated. Both MFS and BAV showed an altered distribution and decreased fibrillin-1 expression in the aorta and a significantly lower level of differentiated VSMC markers. Interestingly, markers predictive for aortic dilation in BAV were not expressed in the MFS aorta. The aorta in MFS was similar to the aorta in dilated TAV with regard to the presence of medial degeneration and apoptosis, while other markers for degeneration and aging like inflammation and progerin expression were low in MFS, comparable to BAV. Both MFS and BAV aortas have immature VSMCs, while MFS and TAV patients have a similar increased rate of medial degeneration. However, the mechanism leading to apoptosis is expected to be different, being fibrillin-1 mutation induced increased angiotensin-receptor-pathway signaling in MFS and cardiovascular aging and increased progerin in TAV. Our findings could explain why angiotensin inhibition is successful in MFS and less effective in TAV and BAV patients. PMID:26129868

  1. Cytokine amplification and macrophage effector functions in aortic inflammation and abdominal aortic aneurysm formation.

    Science.gov (United States)

    Ijaz, Talha; Tilton, Ronald G; Brasier, Allan R

    2016-08-01

    On April 29, 2015, Son and colleagues published an article entitled "Granulocyte macrophage colony-stimulating factor (GM-CSF) is required for aortic dissection/intramural haematoma" in Nature Communications. The authors observed that the heterozygous Kruppel-like transcription factor 6 (KLF6) deficiency or absence of myeloid-specific KLF6 led to upregulation of macrophage GM-CSF expression, promoted the development of aortic hematoma/dissection, and stimulated abdominal aortic aneurysm (AAA) formation when the vessel wall was subjected to an inflammatory stimulus. The additional findings of increased adventitial fibrotic deposition, marked infiltration of macrophages, and increased expression of matrix metalloprotease-9 (MMP-9) and IL-6 were blocked with neutralizing GM-CSF antibodies, or recapitulated in normal mice with excess GM-CSF administration. The authors concluded that GM-CSF is a key regulatory molecule in the development of AAA and further suggested that activation of GM-CSF is independent of the transforming growth factor β (TGFβ)-Smad pathway associated with the Marfan aortic pathology. In this perspective, we expand on this mechanism, drawing from previous studies implicating a similar essential role for IL-6 signaling in macrophage activation, Th17 expansion and aortic dissections. We propose a sequential "two-hit" model of vascular inflammation involving initial vascular injury followed by recruitment of Ly6C(hi) macrophages. Aided by fibroblast interactions inflammatory macrophages produce amplification of IL-6 and GM-CSF expression that converge on a common, pathogenic Janus kinase (JAK)-signal transducers and activations of transcription 3 (STAT3) signaling pathway. This pathway stimulates effector functions of macrophages, promotes differentiation of Th17 lymphocytes and enhances matrix metalloproteinase expression, ultimately resulting in deterioration of vascular wall structural integrity. Further research evaluating the impact of

  2. Plasma convection across the polar cap, plasma mantle and cusp: Cluster EDI observations

    Directory of Open Access Journals (Sweden)

    H. Vaith

    2004-07-01

    Full Text Available In this paper we report measurements of the convection obtained with the Electron Drift Instrument (EDI on Cluster. We use 20 passes that cross the between its dayside and nightside boundaries (or vice versa at geocentric distances ranging from about 5 to about 13RE, and at interspacecraft separations (transverse to the ambient magnetic field between a few km and almost 10000km. We first illustrate the nature of the data by presenting four passes in detail. They demonstrate that the sense of convection (anti-sunward vs. sunward essentially agrees with the expectations based on magnetic reconnection occurring on the dayside or poleward of the cusp. The most striking feature in the EDI data is the occurrence of large-amplitude fluctuations that are superimposed on the average velocities. One type of fluctuation appears to grow when approaching the dayside boundary. The examples also show that there is a variable degree of inter-spacecraft correlation, ranging from excellent to poor. We then present statistical results on all 20 passes. Plotting 10-min averages of the convection velocities vs. IMF Bz one recovers the expected dependence, albeit with large scatter. Looking at the variances computed over the same 10-min intervals, one confirms that there is indeed one type of contribution that grows towards the dayside boundary, but that variances can be high anywhere. Finally, computing the inter-spacecraft correlations as a function of their separation distance transverse to the magnetic field shows that the average correlation drops with increasing distance, but that even at distances as large as 5000km the correlation can be very good. To put those scales into context, the separation distances have also been scaled to ionospheric altitudes where they range between a few hundred meters and 600km.

  3. Deep venous thrombosis: The valve cusp hypoxia thesis and its incompatibility with modern orthodoxy.

    Science.gov (United States)

    Malone, P Colm; Agutter, Paul S

    2016-01-01

    The valve cusp hypoxia thesis (VCHT) of the aetiology of deep venous thrombosis (DVT) was adumbrated in this journal in 1977 and fully articulated in 2008, the original hypothesis having been strongly corroborated by experiments published in 1981 and 1984. It presents a unitary account of the pathogenesis of venous thrombosis and embolism that is rooted in the pathophysiological tradition of Hunter, Virchow, Lister, Welch and Aschoff, a tradition traceable back to Harvey. In this paper we summarise the thesis in its mature form, consider its compatibility with recent advances in the DVT field, and ask why it has not yet been assimilated into the mainstream literature, which during the past half century has been dominated by a haematology-orientated 'consensus model'. We identify and discuss seven ways in which the VCHT is incompatible with these mainstream beliefs about the aetiology of venous thrombosis, drawing attention to: (1) the spurious nature of 'Virchow's triad'; (2) the crucial differences between 'venous thrombus' and 'clot'; the facts that (3) venous thrombi form in the valve pockets (VVPs), (4) DVT is not a primarily haematological condition, (5) the so-called 'thrombophilias' are not thrombogenic per se; (6) the conflict between the single unitary aetiology of DVT and the tacit assumption that the condition is 'multicausal'; (7) the inability of anticoagulants to prevent the initiation of venous thrombogenesis, though they do prevent the growth of thrombi to clinically significant size. In discussing point (7), we show that the VCHT indicates new approaches to mechanical prophylaxis against DVT. These approaches are then formulated as experimentally testable hypotheses, and we suggest methods for testing them preclinically using animal trials.

  4. Forged in FIRE: cusps, cores and baryons in low-mass dwarf galaxies

    Science.gov (United States)

    Oñorbe, Jose; Boylan-Kolchin, Michael; Bullock, James S.; Hopkins, Philip F.; Kereš, Dušan; Faucher-Giguère, Claude-André; Quataert, Eliot; Murray, Norman

    2015-12-01

    We present multiple ultrahigh resolution cosmological hydrodynamic simulations of M⋆ ≃ 104-6.3 M⊙ dwarf galaxies that form within two Mvir = 109.5-10 M⊙ dark matter halo initial conditions. Our simulations rely on the Feedback in Realistic Environments (FIRE) implementation of star formation feedback and were run with high enough force and mass resolution to directly resolve structure on the ˜200 pc scales. The resultant galaxies sit on the M⋆ versus Mvir relation required to match the Local Group stellar mass function via abundance matching. They have bursty star formation histories and also form with half-light radii and metallicities that broadly match those observed for local dwarfs at the same stellar mass. We demonstrate that it is possible to create a large (˜1 kpc) constant-density dark matter core in a cosmological simulation of an M⋆ ≃ 106.3 M⊙ dwarf galaxy within a typical Mvir = 1010 M⊙ halo - precisely the scale of interest for resolving the `too big to fail' problem. However, these large cores are not ubiquitous and appear to correlate closely with the star formation histories of the dwarfs: dark matter cores are largest in systems that form their stars late (z ≲ 2), after the early epoch of cusp building mergers has ended. Our M⋆ ≃ 104 M⊙ dwarf retains a cuspy dark matter halo density profile that matches that of a dark-matter-only run of the same system. Though ancient, most of the stars in our ultrafaint form after reionization; the ultraviolet field acts mainly to suppress fresh gas accretion, not to boil away gas that is already present in the protodwarf.

  5. Deep venous thrombosis: The valve cusp hypoxia thesis and its incompatibility with modern orthodoxy.

    Science.gov (United States)

    Malone, P Colm; Agutter, Paul S

    2016-01-01

    The valve cusp hypoxia thesis (VCHT) of the aetiology of deep venous thrombosis (DVT) was adumbrated in this journal in 1977 and fully articulated in 2008, the original hypothesis having been strongly corroborated by experiments published in 1981 and 1984. It presents a unitary account of the pathogenesis of venous thrombosis and embolism that is rooted in the pathophysiological tradition of Hunter, Virchow, Lister, Welch and Aschoff, a tradition traceable back to Harvey. In this paper we summarise the thesis in its mature form, consider its compatibility with recent advances in the DVT field, and ask why it has not yet been assimilated into the mainstream literature, which during the past half century has been dominated by a haematology-orientated 'consensus model'. We identify and discuss seven ways in which the VCHT is incompatible with these mainstream beliefs about the aetiology of venous thrombosis, drawing attention to: (1) the spurious nature of 'Virchow's triad'; (2) the crucial differences between 'venous thrombus' and 'clot'; the facts that (3) venous thrombi form in the valve pockets (VVPs), (4) DVT is not a primarily haematological condition, (5) the so-called 'thrombophilias' are not thrombogenic per se; (6) the conflict between the single unitary aetiology of DVT and the tacit assumption that the condition is 'multicausal'; (7) the inability of anticoagulants to prevent the initiation of venous thrombogenesis, though they do prevent the growth of thrombi to clinically significant size. In discussing point (7), we show that the VCHT indicates new approaches to mechanical prophylaxis against DVT. These approaches are then formulated as experimentally testable hypotheses, and we suggest methods for testing them preclinically using animal trials. PMID:26804599

  6. Explicitly correlated coupled-cluster theory using cusp conditions. II. Treatment of connected triple excitations

    Science.gov (United States)

    Köhn, Andreas

    2010-11-01

    The coupled-cluster singles and doubles method augmented with single Slater-type correlation factors (CCSD-F12) determined by the cusp conditions (also denoted as SP ansatz) yields results close to the basis set limit with only small overhead compared to conventional CCSD. Quantitative calculations on many-electron systems, however, require to include the effect of connected triple excitations at least. In this contribution, the recently proposed [A. Köhn, J. Chem. Phys. 130, 131101 (2009)] extended SP ansatz and its application to the noniterative triples correction CCSD(T) is reviewed. The approach allows to include explicit correlation into connected triple excitations without introducing additional unknown parameters. The explicit expressions are presented and analyzed, and possible simplifications to arrive at a computationally efficient scheme are suggested. Numerical tests based on an implementation obtained by an automated approach are presented. Using a partial wave expansion for the neon atom, we can show that the proposed ansatz indeed leads to the expected (Lmax+1)-7 convergence of the noniterative triples correction, where Lmax is the maximum angular momentum in the orbital expansion. Further results are reported for a test set of 29 molecules, employing Peterson's F12-optimized basis sets. We find that the customary approach of using the conventional noniterative triples correction on top of a CCSD-F12 calculation leads to significant basis set errors. This, however, is not always directly visible for total CCSD(T) energies due to fortuitous error compensation. The new approach offers a thoroughly explicitly correlated CCSD(T)-F12 method with improved basis set convergence of the triples contributions to both total and relative energies.

  7. Long-term Computed Tomography Follow-up After Open Surgical Repair of Abdominal Aortic Aneurysms

    Energy Technology Data Exchange (ETDEWEB)

    Mantoni, M.; Neergaard, K.; Christoffersen, J. K.; Lambine, T.L.; Baekgaard, N. [Gentofte Univ. Hospital (Denmark). Depts. of Radiology and Vascular Surgery

    2006-07-15

    Purpose: To describe the findings on computed tomography (CT) of the aortic sac (AS) in patients operated on for abdominal aortic aneurysm (AAA) with insertion of a coated Dacron prosthesis. Material and Methods: A prospective study of 36 consecutive patients operated on for AAA over 2 years and followed longitudinally with CT for up to 10 years. Results: All patients had a fluid-filled AS on CT 7-10 days postoperatively. At 6 months, the AS had decreased in most patients, mainly in the antero-posterior diameter, and in two had disappeared completely. In five patients with complications, the AS increased in size. The AS disappeared completely at 10 years' follow-up in 13 patients. When present, a retroperitoneal hematoma always disappeared after 6 months. Conclusion: These data indicate that the AS after graft implantation will diminish gradually but will persist for at least 6 months. Usually the transverse diameter is bigger than the antero-posterior diameter. If the AS enlarges and becomes rounded and distended with an inhomogeneous interior, it might be a sign of graft infection. In these cases an ultrasound-guided or CT-guided puncture is recommended.

  8. Unreliability of aortic size index to predict risk of aortic dissection in a patient with Turner syndrome

    Science.gov (United States)

    Nijs, Jan; Gelsomino, Sandro; Lucà, Fabiana; Parise, Orlando; Maessen, Jos G; Meir, Mark La

    2014-01-01

    Aortic size index (ASI) has been proposed as a reliable criterion to predict risk for aortic dissection in Turner syndrome with significant thresholds of 20-25 mm/m2. We report a case of aortic arch dissection in a patient with Turner syndrome who, from the ASI thresholds proposed, was deemed to be at low risk of aortic dissection or rupture and was not eligible for prophylactic surgery. This case report strongly supports careful monitoring and surgical evaluation even when the ASI is < 20 mm/m2 if other significant risk factors are present. PMID:24944765

  9. The pathology and pathobiology of bicuspid aortic valve: State of the art and novel research perspectives.

    Science.gov (United States)

    Mathieu, Patrick; Bossé, Yohan; Huggins, Gordon S; Corte, Alessandro Della; Pibarot, Philippe; Michelena, Hector I; Limongelli, Giuseppe; Boulanger, Marie-Chloé; Evangelista, Arturo; Bédard, Elisabeth; Citro, Rodolfo; Body, Simon C; Nemer, Mona; Schoen, Frederick J

    2015-10-01

    Bicuspid aortic valve is the most prevalent cardiac valvular malformation. It is associated with a high rate of long-term morbidity including development of calcific aortic valve disease, aortic regurgitation and concomitant thoracic aortic aneurysm and dissection. Recently, basic and translational studies have identified some key processes involved in the development of bicuspid aortic valve and its morbidity. The development of aortic valve disease and thoracic aortic aneurysm and dissection is the result of complex interactions between genotypes, environmental risk factors and specific haemodynamic conditions created by bicuspid aortic valve anatomy. Herein, we review the pathobiology of bicuspid aortic valve with a special emphasis on translational aspects of these basic findings. Important but unresolved problems in the pathology of bicuspid aortic valve and thoracic aortic aneurysm and dissection are discussed, along with the molecular processes involved. PMID:27499904

  10. The Four-Loop Planar Amplitude and Cusp Anomalous Dimension in Maximally Supersymmetric Yang-Mills Theory

    Energy Technology Data Exchange (ETDEWEB)

    Bern, Zvi; Czakon, Michael; Dixon, Lance J.; Kosower, David A.; Smirnov, Vladimir A.

    2006-11-15

    We present an expression for the leading-color (planar) four-loop four-point amplitude of N = 4 supersymmetric Yang-Mills theory in 4-2{epsilon} dimensions, in terms of eight separate integrals. The expression is based on consistency of unitarity cuts and infrared divergences. We expand the integrals around {epsilon} = 0, and obtain analytic expressions for the poles from 1/{epsilon}{sup 8} through 1/{epsilon}{sup 4}. We give numerical results for the coefficients of the 1/{epsilon}{sup 3} and 1/e{sup 2} poles. These results all match the known exponentiated structure of the infrared divergences, at four separate kinematic points. The value of the 1/{epsilon}{sup 2} coefficient allows us to test a conjecture of Eden and Staudacher for the four-loop cusp (soft) anomalous dimension. We find that the conjecture is incorrect, although our numerical results suggest that a simple modification of the expression, flipping the sign of the term containing {zeta}{sub 3}{sup 2}, may yield the correct answer. Our numerical value can be used, in a scheme proposed by Kotikov, Lipatov and Velizhanin, to estimate the two constants in the strong-coupling expansion of the cusp anomalous dimension that are known from string theory. The estimate works to 2.6% and 5% accuracy, providing non-trivial evidence in support of the AdS/CFT correspondence. We also use the known constants in the strong-coupling expansion as additional input to provide approximations to the cusp anomalous dimension which should be accurate to under one percent for all values of the coupling. When the evaluations of the integrals are completed through the finite terms, it will be possible to test the iterative, exponentiated structure of the finite terms in the four-loop four-point amplitude, which was uncovered earlier at two and three loops.

  11. Three-Dimensional MHD Simulation of the Magnetosheath Plasma and Magnetic Field in the Presence of Cusp

    Science.gov (United States)

    Ku, H. C.; Sibeck, D. G.; Wing, S.

    2001-12-01

    An accurate knowledge of the magnetosheath is essential for studies of the bow shock, magnetopause, and solar input into the magnetosphere. Gasdynamic models may not give sufficient accuracy whereas the cost/time constraints preclude running the 3-D MHD global simulations for numerous solar wind conditions. A 3-D magnetosheath MHD model is needed and presented as a viable alternative. The inner boundary of the model is the magnetopause, which has been previously determined from the pressure balance and exhibits a small indentation near the cusp regions. The initial position of the bow shock is taken from a gasdynamic model and subsequently adjusted when the magnetic field is included. The results of the gasdynamic and MHD models are compared with the following input parameters: the heat capacity ration γ = 2, the solar wind sonic Mach number, M∞ = 7, 9.81 (solar wind velocity v = 400 ; km ; s-1), temperature T = 105, 1.96 x 105 K, n = 10 ; cm-3, Bx = 10 \\cos θ \\cos φ ; nT, By = 10 \\cos θ sin φ ; nT, and Bz = 10 sin θ ; nT. There is a pronounced dawn-dusk asymmetry for both Mack numbers, and the presence of a strongly southward interplanetary magnetic field results in an equatorial belt of depressed depletion layer densities and plasma pressures between the cusp. The missing pressure is supplied by an equatorial band of enhanced magnetic field strengths. Near the subsolar point MHD densities fall to values 60% and 45 % of those in the gasdynamic models for M∞ = 9.81 and 7, resepctively. However, the standoff distance of bow shock increases significantly with stronger southward field component for low Mack numbers. By contrast, a standing shock wave attached to the the cusp becomes particularly noticeable for a strong dawn-dusk IMF orientation and high Mach numbers (M∞ = 9.81).

  12. Guided labworks

    DEFF Research Database (Denmark)

    Jacobsen, Lærke Bang

    For the last 40 years physics education research has shown poor learning outcomes of guided labs. Still this is found to be a very used teaching method in the upper secodary schools. This study explains the teacher's choice of guided labs throught the concept of redesign as obstacle dislodgement...

  13. Familial abdominal aortic aneurysm: prevalence and implications for screening.

    Science.gov (United States)

    Adams, D C; Tulloh, B R; Galloway, S W; Shaw, E; Tulloh, A J; Poskitt, K R

    1993-11-01

    The high prevalence of abdominal aortic aneurysm (AAA) in men over the age of 65 has led to the establishment of ultrasound screening programmes for this group. The apparent familial tendency towards AAA formation suggests that relatives of aneurysm patients may form another subpopulation in whom screening is appropriate. The first degree relatives of 100 consecutive aneurysm patients were identified. Of 110 relatives over 50 years of age, two were known to have had AAA and ultrasound scans were performed on 74, providing information on aortic size for 76 relatives (69%). No further aortic aneurysms (antero-posterior diameter > or = 4.0 cm) were found on scanning. However, nine relatives were demonstrated to have aortic dilatation (2.5-3.9 cm). Aortic dilatation was observed in 21% of male first degree relatives over 50 years of age, affecting 27% of sons and 17% of brothers. Only 4% of the sisters and none of the daughters were found to have aortic dilatation. The prevalence of aortic enlargement seems to be sufficiently high amongst male first degree relatives of AAA patients over 50 years of age to justify aortic screening.

  14. Application of occluders in endovascular repair of aortic aneurysms

    Institute of Scientific and Technical Information of China (English)

    SHI Zhen-yu; FU Wei-guo; WANG Yu-qi; GUO Da-qiao; CHEN Bin; JIANG Jun-hao; XU Xin; YANG Jue; ZHU Ting

    2007-01-01

    @@ Since Parodi et al1 reported the first successful case of endovascular treatment for abdominal aortic aneurysm (AAA) in 1991, the endovascular repair has become an important option for the surgical treatment of aortic aneurysms.2-4 The occluder is a newly-developed device introduced intraluminally to block the blood flow in certain arteries.

  15. Intensive lipid lowering with simvastatin and ezetimibe in aortic stenosis

    DEFF Research Database (Denmark)

    Rossebo, A.B.; Pedersen, T.R.; Boman, K.;

    2008-01-01

    BACKGROUND: Hyperlipidemia has been suggested as a risk factor for stenosis of the aortic valve, but lipid-lowering studies have had conflicting results. METHODS: We conducted a randomized, double-blind trial involving 1873 patients with mild-to-moderate, asymptomatic aortic stenosis. The patients...

  16. Decreased mortality of abdominal aortic aneurysms in a peripheral county

    DEFF Research Database (Denmark)

    Lindholt, Jes Sanddal; Henneberg, E W; Fasting, H

    1995-01-01

    To analyse the effect on the mortality associated with abdominal aortic aneurysms, due to the establishment of a decentralised vascular surgical unit in the county of Viborg.......To analyse the effect on the mortality associated with abdominal aortic aneurysms, due to the establishment of a decentralised vascular surgical unit in the county of Viborg....

  17. Statin use and rupture of abdominal aortic aneurysm

    DEFF Research Database (Denmark)

    Wemmelund, H; Høgh, A; Hundborg, H H;

    2014-01-01

    BACKGROUND: Ruptured abdominal aortic aneurysm (rAAA) is associated with high mortality. Research suggests that statins may reduce abdominal aortic aneurysm (AAA) growth and improve rAAA outcomes. However, the clinical impact of statins remains uncertain in relation to both the risk and prognosis...

  18. A comparative study of iliac and abdominal aortic aneurysms

    DEFF Research Database (Denmark)

    Vammen, Sten; Lindholt, Jes Sanddal; Henneberg, E W;

    2000-01-01

    The aim of the paper is to compare the epidemiology, risk factors and manifestations of iliac and abdominal aortic aneurysms.......The aim of the paper is to compare the epidemiology, risk factors and manifestations of iliac and abdominal aortic aneurysms....

  19. Adult presentation with vascular ring due to double aortic arch.

    Science.gov (United States)

    Kafka, Henryk; Uebing, Anselm; Mohiaddin, Raad

    2006-11-01

    This is a case report on the use of cardiovascular magnetic resonance imaging to diagnose vascular ring due to double aortic arch in an adult presenting with an abnormal chest X-ray. The experience in this case and the literature review identify the benefits of using cardiovascular magnetic resonance imaging to clarify complex aortic arch anatomy.

  20. Double aortic arch and nasogastric tubes: A fatal combination

    Institute of Scientific and Technical Information of China (English)

    Julia Massaad; Kelly Crawford

    2008-01-01

    Double aortic arch is a common form of complete vascular ring that encircles both the trachea and the esophagus, and presents with various respiratory and esophageal symptoms, usually in the pediatric population.We present a case of double aortic arch in an adult patient that manifested as massive upper gastrointestinal bleeding after prolonged nasogastric intubation.