WorldWideScience

Sample records for single ostracod valves

  1. Ostracods of Andaman Sea

    Digital Repository Service at National Institute of Oceanography (India)

    Stephen, R.; Meenakshikunjamma, P.P.

    Distribution of 12 species of ostracods was studied from the waters around Andaman-Nicobar area. Euconchoecia aculeata was the most abundant species occurring mostly as swarms with a maximum density of 9732 specimens/1000 m sup(3) . Cypridina...

  2. Lower and Middle Devonian Malvinokaffric ostracods from the Precordillera Basin of San Juan, Argentina

    Science.gov (United States)

    Salas, María J.; Rustán, Juan J.; Sterren, Andrea F.

    2013-08-01

    Ostracod from the upper Lower to Middle Devonian rocks of the Argentine Precordillera Basin (Talacasto and Punta Negra formations) are studied. One new genus Pircawayra nov. gen., and five species (including three new: Pircawayra gigantea nov. gen. and sp., Lapazites trinodis nov. sp. and Keslingiella? teresae nov. sp.) are defined. The recorded ostracod fauna closely resembles that coeval from Bolivia and South Africa, exhibiting a remarkable endemism, not only at the genus level, but also at the species level. In addition to its low-diversity, the Malvinokaffric ostracod association is also characterized by having large, thick, coarsely ornamented and swollen valves. The similar ostracod composition from the Andean and South African basins suggests faunal exchange between these two areas. Based on the ostracod faunas, the Malvinokaffric Realm is clearly recognizable at least up to the Middle Devonian.

  3. Concomitant mitral valve surgery with aortic valve replacement: a 21-year experience with a single mechanical prosthesis

    Directory of Open Access Journals (Sweden)

    Sidhu Pushpinder

    2007-05-01

    Full Text Available Abstract Background Long-term survival for combined aortic and mitral valve replacement appears to be determined by the mitral valve prosthesis from our previous studies. This 21-year retrospective study assess long-term outcome and durability of aortic valve replacement (AVR with either concomitant mitral valve replacement (MVR or mitral valve repair (MVrep. We consider only a single mechanical prosthesis. Methods Three hundred and sixteen patients underwent double valve replacement (DVR (n = 273 or AVR+MVrep (n = 43, in the period 1977 to 1997. Follow up of 100% was achieved via telephone questionnaire and review of patients' medical records. Actuarial analysis of long-term survival was determined by Kaplan-Meier method. The Cox regression model was used to evaluate potential predictors of mortality. Results There were seventeen cases (5.4% of early mortality and ninety-six cases of late mortality. Fifteen-year survival was similar in both groups at 44% and 57% for DVR and AVR+MVrep respectively. There were no significant differences in valve related deaths, anticoagulation related complications, or prosthetic valve endocarditis between the groups. There were 6 cases of periprosthetic leak in the DVR group. Sex, pre-operative mitral and aortic valve pathology or previous cardiac surgery did not significantly affect outcome. Conclusion The mitral valve appears to be the determinant of survival following double valve surgery and survival is not significantly influenced by mitral valve repair.

  4. Spin valve effect in single-atom contacts

    International Nuclear Information System (INIS)

    Ziegler, M; Neel, N; Berndt, R; Lazo, C; Ferriani, P; Heinze, S; Kroeger, J

    2011-01-01

    Magnetic single-atom contacts have been controllably fabricated with a scanning tunnelling microscope. A voltage-dependent spin valve effect with conductance variations of ∼40% is reproducibly observed from contacts comprising a Cr-covered tip and Co and Cr atoms on ferromagnetic nanoscale islands on W(110) with opposite magnetization. The spin-dependent conductances are interpreted from first-principles calculations in terms of the orbital character of the relevant electronic states of the junction.

  5. Near field flow characteristics of the Bjork-Shiley Monostrut valve in a modified single shot valve chamber.

    Science.gov (United States)

    Manning, Keefe B; Przybysz, T Michael; Fontaine, Arnold A; Tarbell, John M; Deutsch, Steven

    2005-01-01

    In certain mechanical heart valves, cavitation has been shown to develop during closure and rebound, leading to valve damage, blood damage, and strokes. Whereas it is uncertain what causes mechanical heart valve related strokes, some evidence suggests that stable bubbles may be the culprits. Previous work has indicated that vortex cavitation may contribute to stable bubble growth. Therefore, in an effort to understand the vortex cavitation, laser Doppler velocimetry data are collected in a plane parallel to and 3 mm away from the major orifice during closure and rebound of a Bjork-Shiley Monostrut mechanical heart valve. A modified single shot chamber is used that incorporates a more realistic near valve geometry than those used in previous studies. The results show the formation of a vortex during closure, which intensifies during rebound and dissipates during the final closing cycle. A regurgitant jet with mean velocities up to 3 m/s through the clearance gap of the valve provides energy to the vortex. During the final closing cycle, the vortex breaks up into asymmetrical, small scale flow patterns. This study provides further evidence that stable bubble formation may stem from the intense vortex cavitation occurring during valve closure and rebound.

  6. Slide Valves for Single-Screw Expanders Working Under Varied Operating Conditions

    Directory of Open Access Journals (Sweden)

    Yuting Wu

    2016-06-01

    Full Text Available This paper fully describes the working principle of slide valves in single-screw expanders (SSEs. A geometric analysis of suction and volume ratio slide valves is presented to determine the relations between volume ratio, suction closure volume, discharge opening volume and slide valves displacement. An organic Rankine cycle (ORC thermodynamic model with SSE integrated with slide valves is developed to analyze the power output of SSE and the net power output of ORC system and variation law of slide valves displacement. Analysis of a typical ORC system under changing operating conditions shows that the power output of the expander and the net output power of the ORC system with slide valves are much better than those without slide valves. When the condensing temperature is 40 °C and the waste availability is 80 kW, the increase in output power and net output power are approximately 3.4 kW and 5 kW, respectively. The presented geometric analysis of slide valves and the thermodynamic model integrated with slide valves can be used to provide a theoretical and technical basis for designing the slide valves of SSEs and the control strategies of slide valves under varied operating conditions.

  7. Discharge characteristics of a double injection-valve single-pump injection system

    Science.gov (United States)

    Lee, Dana W; Marsh, E T

    1937-01-01

    The discharge characteristics of two similar injection valves operated by a single-cylinder fuel-injection pump were determined with an apparatus that measured the quantity of fuel discharged from each valve during every 0.5 degrees of pump rotation. It was found that similar discharges took place from the two valves at all pump speeds when the valve-opening pressures, the nozzle-orifice diameters, and the injection-tube lengths were the same for both valves. Under these conditions, the effects of changing the pump speed, the pump throttle setting, or the nozzle orifice diameter were very similar to those occurring with a single-injection valve. By a proper selection of discharge-orifice areas and valve-opening pressures it was possible to obtain a great many combinations of discharge quantities, discharge rates, and injection timings for the two valves. A series of tests using injection tubes of unequal lengths for the two valves showed that under these conditions the injection timing and the fuel quantity discharged from each valve varies widely and erratically with changes in the pump speed.

  8. Single-Dose Lignocaine-Based Blood Cardioplegia in Single Valve Replacement Patients

    Directory of Open Access Journals (Sweden)

    Jaydip Ramani

    Full Text Available Abstract OBJECTIVE: Myocardial protection is the most important in cardiac surgery. We compared our modified single-dose long-acting lignocaine-based blood cardioplegia with short-acting St Thomas 1 blood cardioplegia in patients undergoing single valve replacement. METHODS: A total of 110 patients who underwent single (aortic or mitral valve replacement surgery were enrolled. Patients were divided in two groups based on the cardioplegia solution used. In group 1 (56 patients, long-acting lignocaine based-blood cardioplegia solution was administered as a single dose while in group 2 (54 patients, standard St Thomas IB (short-acting blood-based cardioplegia solution was administered and repeated every 20 minutes. All the patients were compared for preoperative baseline parameters, intraoperative and all the postoperative parameters. RESULTS: We did not find any statistically significant difference in preoperative baseline parameters. Cardiopulmonary bypass time were 73.8±16.5 and 76.4±16.9 minutes (P=0.43 and cross clamp time were 58.9±10.3 and 66.3±11.2 minutes (P=0.23 in group 1 and group 2, respectively. Mean of maximum inotrope score was 6.3±2.52 and 6.1±2.13 (P=0.65 in group 1 and group 2, respectively. We also did not find any statistically significant difference in creatine-phosphokinase-MB (CPK-MB, Troponin-I levels, lactate level and cardiac functions postoperatively. CONCLUSION: This study proves the safety and efficacy of long-acting lignocaine-based single-dose blood cardioplegia compared to the standard short-acting multi-dose blood cardioplegia in patients requiring the single valve replacement. Further studies need to be undertaken to establish this non-inferiority in situations of complex cardiac procedures especially in compromised patients.

  9. Ostracods and facies of the Early and Middle Frasnian at Devils Gate in Nevada: Relationship to the Alamo Event

    Science.gov (United States)

    Casier, J.-G.; Berra, I.; Olempska, Ewa; Sandberg, C.; Preat, A.

    2006-01-01

    In order to document the Alamo Event and to investigate its influence on shallow-marine environments, we undertook a study of ostracods, conodonts, and analysis of the sedimentology of the lower member of the type Devils Gate Limestone, Six major carbonate microfacies (MF1-MF6) ranging from open-marine environments below storm wave base to pre-evaporitic supratidal lagoons were recognized. The sedimentological study detected no important sedimentological changes during the Alamo Event; only an influx of detrital material and lithoclasts indicate that an unusual event had occurred. Ostracods are generally rare or absent in the lower member of the Devils Gate Limestone, and only 2,000 carapaces, valves and fragments were extracted; from these some 26 taxa were identified. Two new species, Voronina? eureka and Serenida dorsoplicata are proposed. The ostracods belong to the Eifelian Mega-Assemblage and their distribution was influenced by strong salinity variations. Because of the rarity and low diversity of ostracods and conodonts in samples collected from the lower part of the lower member of the Devils Gate Limestone it is not adequate to demonstrate conclusively an extinction event close to the Alamo Event Bed. Nevertheless the greater abundance and diversity of ostracods above this bed seems to indicate that the Alamo Event did not result in significant extinction of ostracod taxa in this shallow water setting. The ostracod fauna present in the lower member of the Devils Gate Limestone suggests faunal exchanges between Nevada and the Russian Platform via the Western Canadian platform.

  10. Biotic Response of Deep-Ocean Ostracodes to the Paleocene-Eocene Thermal Maximum: An Assessment of Past, Present, and Future studies

    Science.gov (United States)

    Schellenberg, S. A.; Landau, E. A.

    2007-12-01

    in ostracode accumulation rates near the CIE minimum does not support prolonged deleterious conditions for metazoans, though the faunal composition shows a significantly greater proportion of presumably dysoxia- tolerant suspension-feeding platycopid taxa. However, this platycopid signal may well reflect increased food availability as well as decreased oxygenation as has been suggested from benthic foraminiferal studies. The restriction of specific taxa, such as Munseyella and Palmoconcha, to specific CIE intervals within the highly stratigraphically resolved Site 690 suggests that faunal patterns reflect a true ecological signal versus pervasive artifacts from differential sedimentation rates and reworking. Ongoing single-valve stable-isotope analyses of various ostracode taxa should provide additional constraints on reworking as well as the arrival of CIE to these bathyal sites via thermohaline circulation. Ongoing logistical challenges to consolidating and expanding the PETM marine ostracode record include (1) obtaining sufficient specimen abundances at sufficient stratigraphic resolution given often low ostracode accumulation rates and limited sediment volumes; (2) adopting explicit and consistent inter-worker methods (e.g., size fraction picked, tallying adults vs. juveniles); (3) ensuring permanent archiving of complete faunal matrices; (4) establishing a consistent species taxonomy; and (5) stratigraphic expansion of such studies about the PETM to assess longer term faunal patterns and sensitivity to orbital forcing and other Paleogene hyperthermals.

  11. Performance evaluation of a piezoactuator-based single-stage valve system subjected to high temperature

    International Nuclear Information System (INIS)

    Jeon, Juncheol; Han, Chulhee; Ung Chung, Jye; Choi, Seung-Bok

    2015-01-01

    In this paper, a novel single-stage valve system activated by a piezostack actuator is proposed and experimentally evaluated at both room temperature (20 °C) and high temperature (100 °C) conditions. A hinge-lever displacement amplifier is adopted in the valve system to magnify the displacement generated from the piezostack actuator. After explaining the operating principle of the proposed piezostack-driven single-stage valve system, the geometric dimensions and mechanical properties of the valve components are discussed in details. An experimental apparatus is then manufactured to evaluate the performances of the valve system such as flow rate. The experimental apparatus consists of a heat chamber, which can regulate the temperature of the valve system and oil, pneumatic-hydraulic cylinders, a hydraulic circuit, a pneumatic circuit, electronic devices, an interface card, and a high voltage amplifier. The pneumatic-hydraulic cylinder transforms the pneumatic pressure into hydraulic pressure. The performances of the valve system regarding spool response, pressure drop, and flow rate are evaluated and presented. In addition, the performance of the valve system under high temperature condition is compared with that under room temperature condition. The experimental results are plotted in both frequency and time domains. (paper)

  12. Single-chip mass flow controller with integrated Coriolis flow sensor and proportional control valve

    NARCIS (Netherlands)

    Groenesteijn, Jarno; Alveringh, Dennis; Groen, Maarten; Wiegerink, Remco J.; Lötters, Joost Conrad

    2016-01-01

    We have designed, fabricated and tested the, to our knowledge, first ever single-chip mass flow controller with an integrated Coriolis mass flow sensor and a proportional control valve. A minimum internal volume is obtained, because the complete fluid path is integrated in a single chip. We

  13. Chester (Mississippian) ostracodes from Bangor Formation of Black Warrior basin, northern Alabama

    Energy Technology Data Exchange (ETDEWEB)

    Devery, H.; Dewey, C.

    1986-05-01

    A previously unreported ostracode fauna is described from the Bangor Limestone in Franklin, Lawrence, and Colbert Counties, Alabama. The Bangor formation is a Chesterian (Mississippian) platformal carbonate sequence. The predominant carbonates are bioclastic and oolitic grainstones to wackestones with less abundant micritic claystones. Intercalated fine clastics are common in the upper and lower parts of the sequence. This study focuses on the bioclastic limestones with interbedded shales of the lower Bangor. The megafaunal associations include crinoid and blastoid pelmatozoans, orthotetid, and spiriferid brachiopids, and both fenestrate and nonfenestrate bryozoans. Solitary rugose corals and trilobites may be locally abundant. Gastropods and bivalves form a consistent but accessory part of the fauna, which indicates a shallow, nearshore shelf environment. A diverse ostracode fauna of variable abundance has been collected from the shaly units and friable limestones. The ostracode fauna indicates shallow, open-marine conditions and is dominated by bairdiaceans, including Bairdia spp. Rectobairdia and Bairdiacypris. Several species of Cavellina, healdia, and Seminolites are also abundant. Palaeocopids present include Coryellina, Kirkbya, and Polytylites. Kloedenellaceans include Beyrichiopsis, Glyptopleura, Glypotpleurina, and .Hypotetragona. Paraparchitaceans are notably more scarce, but specimens of Shishaella have been found. Some sample have a high valve to carapace ratio, suggesting postmortem transport. Although diversity is high, numerical abundances can be low. Initial studies suggest the ostracodes have a Mid-Continent affinity, which may indicate that the Appalachians were acting as a barrier to migration of European forms.

  14. Planktonic ostracods of the northern Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    George, J.; Nair, V.R.

    Thirty-two species of ostracods were identified from 712 samples collected from northern Indian Ocean. Two of them belong to Cypridinidae and the rest to Halocyprididae. Most of the species are common to those of the Atlantic and Pacific Oceans...

  15. Transcatheter aortic-valve implantation with one single minimal contrast media injection.

    Science.gov (United States)

    Arrigo, Mattia; Maisano, Francesco; Haueis, Sabine; Binder, Ronald K; Taramasso, Maurizio; Nietlispach, Fabian

    2015-06-01

    Performing transcatheter aortic valve implantation (TAVI) with the use of minimal contrast in patients at high-risk for acute kidney injury (AKI). Contrast-induced nephropathy (CIN) is a major cause of AKI following TAVI and is associated with increased morbidity and mortality. The amount of contrast media used increases the risk for CIN. Computed tomography was omitted during the screening process. For the procedure transfemoral access was default. The self-expanding CoreValve prosthesis was chosen in all patients to minimize the risk of annular rupture in case of oversizing. Valve sizing was based on echocardiography, aortography, calcification on fluoroscopy, as well as weight and height of the patient. A single contrast injection was performed to confirm correct position of the pigtail catheter at the level of the annulus. The pigtail then served as the marker for the device landing zone. Intraprocedural assessment of the implantation result relied on echocardiography and hemodynamics. Five patients with severe aortic stenosis and at high risk for developing CIN were included. Device success was achieved in all patients and no major complications occurred. The median dose of injected contrast media was 8 ml (4-9). All but one patient had improved renal function after the intervention compared to baseline. Our study shows feasibility of performing TAVI with a single minimal contrast media injection, using a self-expandable valve. This technique has the potential to reduce the incidence of CIN. © 2015 Wiley Periodicals, Inc.

  16. Ostracod calcite records the 18O/16O ratio of the bicarbonate and carbonate ions in water

    Science.gov (United States)

    Devriendt, Laurent S.; McGregor, Helen V.; Chivas, Allan R.

    2017-10-01

    The δ18O of ostracod valves is widely used to infer water δ18O and temperature. However, ostracod δ18O appears sensitive to other environmental variables. In addition, there is species-dependent ostracod calcite 18O enrichment, relative to slowly precipitated inorganic calcite under the same conditions. Together these uncertainties complicate ostracod paleoclimate reconstructions. This study presents a new understanding of the causes of ostracod δ18O variations based on a global database of published ostracod δ18O values in lake, marine and coastal environments, and from culture experiments. The database includes associated field/experiment host water parameters including temperature (-1 to 32 °C), water δ18O (-13.2‰ to 4.3‰ VSMOW), pH (6.9-10.4), salinity (0-72 g/kg), calcite saturation states (0.6-26), and dissolved inorganic carbon concentration [DIC] (0.9-54.3 mmol/kg). The data show that: (1) the δ18O of marine and non-marine ostracods reflects the 18O/16O of the sum of host water CO32- and HCO3- ions. For example, at a given temperature, the δ18O of non-marine ostracods decreases by 4‰ to 6‰ as [CO32-]/[DIC] reaches 70%, depending on the ostracod species. In low [CO32-]/[DIC] settings (i.e. high HCO3-/CO32-), ostracod 18O/16O is close to the 18O/16O of HCO3- ions, which explains why on average ostracod δ18O is higher than the δ18O of inorganic calcite precipitated slowly under the same conditions. (2) Taxonomic offsets in ostracod δ18O vary with the host water [CO32-]/[DIC]. In environments where HCO3- ≫ CO32- (i.e. most freshwater lakes), the 18O/16O of Candonids is indistinguishable from the 18O/16O of HCO3- ions (difference of 0.10 ± 0.16‰) while the 18O/16O of Cyprids is lower than the 18O/16O of HCO3- ions by -0.77‰ to -0.32‰, Cytherids by -0.88 ± 0.29‰, and Limnocytherids by -1.12 ± 0.05‰. (3) The sensitivity of ostracod δ18O to [CO32-]/[DIC] also varies with taxonomy. For each percent increase in [CO32-]/[DIC

  17. Numerical simulation on flow field of nuclear safety grade 2 single-seat pneumatic diaphragm control valve

    International Nuclear Information System (INIS)

    Zhong Yun; Zhang Jige; Wang Dezhong; Shi Jianzhong

    2010-01-01

    The Computational Fluid Dynamics (CFD) method is employed to simulate numerically the steady flow and transient flow under variable openings of the nuclear safety grade 2 single-seat pneumatic diaphragm control valve, which is a sleeve valve. The steady simulations under rated condition tells that there is a large amount of vortex in the valve seat necking and around the valve cone, which leads to a much greater flow impact on the head of the valve cone and uneven pressure distribution on spool face. More consideration should be taken on the characteristics of the valve cone accordingly, when designing a valve of this kind. Then the transient flow under 100% and 40% openings is simulated numerically on the basis of steady simulations. The pulsation of the pressure magnitude at the points with large vorticity, in the valve seat necking and around the valve cone, is monitored. The main pulsation frequencies differ from the low natural frequencies of the model, which means that it is safe from leading to structural resonance. (authors)

  18. ORGANIC TRICUSPID VALVE REPAIR WITH AUTOLOGOUS GLUTARALDEHYDE FIXED PERICARDIAL PATCH : A SINGLE CENTER RESULTS

    OpenAIRE

    Murtaza A; Ajay; Gaurav; Premraj; Varun; Aashish; Deepesh; Ramanand D.

    2015-01-01

    AIM AND OBJECTIVE: The aim of this study was to determine the effectiveness and results of repair of Organic Tricuspid Valve disease. INTRODUCTION : since tricuspid valve disease most often found in association with other valve disease. Isolated tricuspid valve disease is ra re. Pattern of involvement of tricuspid valve disease shows functional (75%) and primary (organic) in (25%). Surgical repair of organic tricuspid valve disease oft...

  19. Mg/Ca of Continental Ostracode Shells

    Science.gov (United States)

    Ito, E.; Forester, R. M.; Marco-Barba, J.; Mezquita, F.

    2007-12-01

    Marine ionic chemistry is thought to remain constant. This, together with the belief that marine calcifiers partition Mg/Ca in a systematic manner as functions of temperature (and Mg/Ca) of water forms the basis of the Mg/Ca thermometer. In continental settings both of these assumptions are usually not true. Continental waters contain a wide variety of solutes in absolute and relative ion concentrations. Hence, waters with identical Mg/Ca may have very different concentrations of Mg and Ca and very different anions. Here we use two examples to focus on the effects of ion chemistry on Mg/Ca partitioning in continental ostracode shells and we ignore the complexities of solute evolution, which can change Mg/Ca over timescales of minutes to millennia. Palacios-Fest and Dettman (2001) conducted a monthly study of ,Cypridopsis vidua at El Yeso Lake in Sonora, Mexico. They established a relation between temperature and average shell Mg/Ca using regression analyses on averaged data. When their Mg/Ca-temperature relation is applied to monthly ,C. vidua data from Page Pond near Cleveland, Ohio, water temperatures of -8 to -1°C are obtained. The observed Mg/Ca ranges for El Yeso Lake (0.31 to 0.46) and Page Pond (0.33 to 0.46) are similar, as are their specific conductivities (700 to 850μS for El Yeso Lake; 400 to 600μS for Page Pond). However, [Ca] is 140-260 mg/L for El Yeso, but only 70-90 mg/L for Page Pond. Page Pond data, in fact, shows a good temperature shell Mg/Ca relation for .C. vidua, but the relation is different from that at El Yeso. Hence, shell Mg/Ca is a multi-valued, family of curves function of temperature and Mg/Ca of water that depends on the [Mg] and [Ca] values in water and perhaps other factors. Our second example comes from sites near Valencia, Spain and involves shell data for ,Cyprideis torosa, an estuarine ostracode that is tolerant of a wide range of salinity and can live in continental waters as long as the carbonate alkalinity to Ca ratio is

  20. Transfemoral Aortic Valve Implantation with the New Edwards Sapien 3 Valve for Treatment of Severe Aortic Stenosis-Impact of Valve Size in a Single Center Experience.

    Directory of Open Access Journals (Sweden)

    Jochen Wöhrle

    Full Text Available The third generation Edwards Sapien 3 (Edwards Lifesciences Inc., Irvine, California system was optimized to reduce residual aortic regurgitation and vascular complications.235 patients with severe symptomatic aortic stenosis were prospectively enrolled. Transcatheter aortic valve implantations (TAVI were performed without general anesthesia by transfemoral approach. Patients were followed for 30 days. Patients received 23mm (N = 77, 26mm (N = 91 or 29mm (N = 67 valve based on pre-procedural 256 multislice computer tomography. Mean oversizing did not differ between the 3 valves. There was no residual moderate or severe aortic regurgitation. Rate of mild aortic regurgitation and regurgitation index did not differ between groups. There was no switch to general anesthesia or conversion to surgery. Rate of major vascular complication was 3.0% with no difference between valve and delivery sheath sizes. Within 30 days rates of all cause mortality (2.6% and stroke (2.1% were low.In patients with severe aortic stenosis transfemoral TAVI with the Edwards Sapien 3 valve without general anesthesia was associated with a high rate of device success, no moderate or severe residual aortic regurgitation, low rates of major vascular complication, mortality and stroke within 30 days with no difference between the 3 valve sizes.ClinicalTrials.gov NCT02162069.

  1. Single-stage electrohydraulic servosystem for actuating on airflow valve with frequencies to 500 hertz

    Science.gov (United States)

    Webb, J. A., Jr.; Mehmed, O.; Lorenzo, C. F.

    1980-01-01

    An airflow valve and its electrohydraulic actuation servosystem are described. The servosystem uses a high-power, single-stage servovalve to obtain a dynamic response beyond that of systems designed with conventional two-stage servovalves. The electrohydraulic servosystem is analyzed and the limitations imposed on system performance by such nonlinearities as signal saturations and power limitations are discussed. Descriptions of the mechanical design concepts and developmental considerations are included. Dynamic data, in the form of sweep-frequency test results, are presented and comparison with analytical results obtained with an analog computer model is made.

  2. Single camera volumetric velocimetry in aortic sinus with a percutaneous valve

    Science.gov (United States)

    Clifford, Chris; Thurow, Brian; Midha, Prem; Okafor, Ikechukwu; Raghav, Vrishank; Yoganathan, Ajit

    2016-11-01

    Cardiac flows have long been understood to be highly three dimensional, yet traditional in vitro techniques used to capture these complexities are costly and cumbersome. Thus, two dimensional techniques are primarily used for heart valve flow diagnostics. The recent introduction of plenoptic camera technology allows for traditional cameras to capture both spatial and angular information from a light field through the addition of a microlens array in front of the image sensor. When combined with traditional particle image velocimetry (PIV) techniques, volumetric velocity data may be acquired with a single camera using off-the-shelf optics. Particle volume pairs are reconstructed from raw plenoptic images using a filtered refocusing scheme, followed by three-dimensional cross-correlation. This technique was applied to the sinus region (known for having highly three-dimensional flow structures) of an in vitro aortic model with a percutaneous valve. Phase-locked plenoptic PIV data was acquired at two cardiac outputs (2 and 5 L/min) and 7 phases of the cardiac cycle. The volumetric PIV data was compared to standard 2D-2C PIV. Flow features such as recirculation and stagnation were observed in the sinus region in both cases.

  3. Supercharged two-cycle engines employing novel single element reciprocating shuttle inlet valve mechanisms and with a variable compression ratio

    Science.gov (United States)

    Wiesen, Bernard (Inventor)

    2008-01-01

    This invention relates to novel reciprocating shuttle inlet valves, effective with every type of two-cycle engine, from small high-speed single cylinder model engines, to large low-speed multiple cylinder engines, employing spark or compression ignition. Also permitting the elimination of out-of-phase piston arrangements to control scavenging and supercharging of opposed-piston engines. The reciprocating shuttle inlet valve (32) and its operating mechanism (34) is constructed as a single and simple uncomplicated member, in combination with the lost-motion abutments, (46) and (48), formed in a piston skirt, obviating the need for any complex mechanisms or auxiliary drives, unaffected by heat, friction, wear or inertial forces. The reciprocating shuttle inlet valve retains the simplicity and advantages of two-cycle engines, while permitting an increase in volumetric efficiency and performance, thereby increasing the range of usefulness of two-cycle engines into many areas that are now dominated by the four-cycle engine.

  4. ORGANIC TRICUSPID VALVE REPAIR WITH AUTOLOGOUS GLUTARALDEHYDE FIXED PERICARDIAL PATCH : A SINGLE CENTER RESULTS

    Directory of Open Access Journals (Sweden)

    Murtaza A

    2015-10-01

    Full Text Available AIM AND OBJECTIVE: The aim of this study was to determine the effectiveness and results of repair of Organic Tricuspid Valve disease. INTRODUCTION : since tricuspid valve disease most often found in association with other valve disease. Isolated tricuspid valve disease is ra re. Pattern of involvement of tricuspid valve disease shows functional (75% and primary (organic in (25%. Surgical repair of organic tricuspid valve disease often fails because of abnormal valve. This usually leads to limited options. This study examine s our experience of tricuspid valve repair with autologous pericardium for organic tricuspid valve disease. MATERIAL AND METHODS : From Jan 2014 to May 2015, 22 patients underwent repairs for organic tricuspid valve disease. The patient aged 15 to 65 years and all were in New York Heart Association (NYHA class of III or IV. All patients presented with severe tricuspid disease coexisting with other cardiac pathology, usually left - sided heart valve disease. Repair techniques included Commisurotomy, division o f secondary chordae, Glutaraldehyde treated autologous pericardial patch augmentation of tricuspid valve leaflets, anterior papillary muscle advancement etc with or without ring/suture annuloplasty. Follow - up duration was 3 to 18 months. RESULTS : No deaths or late reoperations occurred. All patients demonstrated clinical improvements on follow up. Echocardiographic studies before hospital discharge showed less than mild tricuspid regurgitation in all patients except one. CONCLUSIONS : Large majorit y of organic tricuspid valve regurgitation is repairable with acceptable early results. Tricuspid stenosis and mixed tricuspid valve disease are more challenging. In the latter group, it is a judgment call whether to accept a suboptimal result or replace t he valve

  5. Barcoding of ancient lake ostracods (crustacea reveals cryptic speciation with extremely low distances.

    Directory of Open Access Journals (Sweden)

    Ivana Karanovic

    Full Text Available Ostracods are drastically reduced crustaceans, with never more than eight appendages enclosed between two valves, leaving only a limited number of morphological characters for species delineation. Conservative morphology of characters used to define genera, along with high variability of characters used to define species are creating problems in applying a morphospecies concept. A high intraspecific variability in a Lake Biwa (Japan endemic, Physocypria biwaensis (Okubo, 1990, has been observed previously but was never studied in detail. Two sympatric forms, differing in pigmentation and size, suggest a presence of reproductive isolation. The aim of this study is to employ molecular and morphometric tools to aid in species delineation within P. biwaensis complex and reconstruct their phylogenetic relationships. A fragment of the mtCOI gene was amplified from 30 specimens, and an additional 37 specimens were studied for morphological characters. Resulting phylogenies showed that each morphologically distinct form is associated with a distinct phylogenetic group based on mtDNA. The average pairwise distance is very low (5%, indicating a recent divergence time. I speculate that there is a possibility that one of them originated in the lake, while the other probably colonized it afterwards. This seems to be supported with an apparent niche partitioning at different depths. In spite of the fact that traditionally used sexual characters are highly variable in these two species, the morphometric analysis of shell and soft part related characters clearly delineates them and suggests that such characters may be useful for future detection of seemingly cryptic ostracod species.

  6. Single-site ventricular pacing via the coronary sinus in patients with tricuspid valve disease.

    Science.gov (United States)

    Noheria, Amit; van Zyl, Martin; Scott, Luis R; Srivathsan, Komandoor; Madhavan, Malini; Asirvatham, Samuel J; McLeod, Christopher J

    2017-03-01

    To evaluate coronary sinus single-site (CSSS) left ventricular pacing in adult patients with normal left ventricular ejection fraction (LVEF) when traditional right ventricular lead implantation is not feasible or is contraindicated. We performed a retrospective analysis of 23 patients with tricuspid valve surgery/disease who received a CSSS ventricular pacing lead to avoid crossing the tricuspid valve. Two matched control populations were obtained from patients receiving (i) conventional right ventricular single-site (RVSS) leads and (ii) coronary sinus leads for cardiac resynchronization therapy (CSCRT). Main outcomes of interest were lead stability, electrical lead parameters and change in LVEF during long-term follow-up. Successful CSSS pacing was accomplished in all 23 patients without any procedural complications. During the 5.3 ± 2.8-year follow-up 22/23 (95.7%) leads were functional with stable pacing and sensing parameters, and 1/23 (4.3%) was extracted for unrelated reasons. Compared to CSSS leads, the lead revision/abandonment was similar with RVSS leads (Hazard ratio (HR) 0.87, 95% confidence interval (CI) 0.03, 22.0), but was higher with CSCRT leads (HR 7.41, 95% CI 1.30, 139.0). There was no difference in change in LVEF between CSSS and RVSS groups (-2.4 ± 11.0 vs. 1.5 ± 12.8, P = 0.76), but LVEF improved in CSCRT group (11.2 ± 16.5%, P = 0.002). Fluoroscopy times were longer during implantation of CSSS compared to RVSS leads (25.6 ± 24.6 min vs. 12.3 ± 18.6 min, P = 0.049). In patients with normal LVEF, single-site ventricular pacing via the coronary sinus is a feasible, safe and reliable alternative to right ventricular pacing. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2017. For permissions, please email: journals.permissions@oup.com.

  7. Twenty years' single-center experience with mechanical heart valves: a critical review of anticoagulation policy.

    Science.gov (United States)

    Van Nooten, Guido J; Caes, Frank; François, Katrien; Van Bellleghem, Yves; Bové, Thierry; Vandenplas, Guy; Taeymans, Yves

    2012-01-01

    Since January 1990, a variety of mechanical valves (St. Jude Medical, CarboMedics, ATS Medical) have been implanted routinely at the authors' institution. The study aim was to analyze, retrospectively, the 20-year clinical results of those mechanical valves, and to challenge the anticoagulation policy employed over the years. Between January 1990 and December 2008, a total of 2,108 mechanical valves was inserted into 1,887 consecutive patients (1,346 aortic, 725 mitral, 27 tricuspid, 10 pulmonary). The mean age of the patients was 63 +/- 13.2 years, and the majority (61%) were males. Preoperatively, 71% the patients were in NYHA class > or = III (average 3.01). The most frequent comorbidities included: atrial fibrillation (n = 594), coronary disease (n = 567) and diabetes (n = 398). The follow up (99% complete) totaled 13,721 patient-years (pt-yr), and ranged from 12 to 241 months (average 84 months). In-hospital mortality was 5.2% (n = 98, 14 valve-related). Of the 629 late deaths, the majority were cardiac (n = 276). Survival (Kaplan-Meier estimation) was significantly better for aortic valve patients compared to mitral or multiple valve replacement (Mantel-Cox, p valve thrombosis 0.31, thromboembolism 1.08, and bleeding 0.91. However, as repeated events occurred in several patients, the hazard function was not constant. Multivariate analysis (Cox regression model) showed age > 70 years (p or = III (p II as significant risk factors for thromboembolism, while long-acting coumadin and NYHA class > II were significant risk factors for bleeding. This 20-year experience demonstrated excellent clinical outcomes for patients with mechanical prostheses, with no valve structural failure and an acceptable incidence of adverse events. INR values between 2-2.5 for aortic valve patients, and 3-3.5 for mitral valve patients, yielded the fewest major adverse events.

  8. Ventricular outflow tract reconstructions with cryopreserved cardiac valve homografts. A single surgeon's 10-year experience.

    Science.gov (United States)

    Hopkins, R A; Reyes, A; Imperato, D A; Carpenter, G A; Myers, J L; Murphy, K A

    1996-01-01

    OBJECTIVE: From January 1, 1985 through December 31, 1994, one surgeon implanted cryopreserved valved homografts into 149 patients--65 since December 1988. This latter series (II) was accomplished in a single hospital, facilitating patient follow-up with biannual echocardiograms. Analysis of these 65 patients is the primary focus of this report; the indications and early surgical results for the two parts of the series (I and II) are compared to assess the evolution of a single surgeon's use of homografts in a mixed pediatric and adult practice. METHODS: Fifty-one variables for each patient (series II) were entered into a computerized database and analyzed (multivariate and univariate) using SPSS 6.1 software (Statistical Products and Service Solutions, Chicago, IL). Cox proportional hazard model was used to identify the independent contribution of each variable for patient mortality and homograft failure. Cumulative survival estimates were made using Kaplan-Meier analysis. Homograft failure was defined as requirement for replacement or death. In series I, there were 41 left ventricular outflow tract (LVOT) reconstructions (31 adult) and 43 right ventricular outflow tract (RVOT) reconstructions (42 pediatric). In series II, there were 55 RVOT reconstructions (52 pediatric) and 10 LVOT reconstructions (7 adult). RESULTS: There were no technical surgical failures. Total surgical mortality rate was 6% (5/84) in series I (3 LVOT, 2 RVOT) and 15% (10/65) in series II (2 LVOT, 8 RVOT) (I vs. II NS; p = 0.11, two-tailed Fisher exact test). By the Cox analysis, only age 120 minutes (p < 0.05) were significant predictors for death. Age-based survival curves were compared in a sequential bivariate analyses (log rank test) and age < 2 years again was a significant predictor of decreased patient survival (p < 0.006). Actuarial freedom from patient death or reoperation for homograft failure was 82% +/- 7% at 1000 days and 77% +/- 10% at 2000 days. Three patients required re

  9. Live/Dead Comparisons of Ostracodes in Temperate Lakes Reveal Evidence of Human Impact and Provides a Tool to Measure the Progress of Remediation Efforts

    Science.gov (United States)

    Spergel, J.; Kimball, K. C.; Fitzpatrick, S. A.; Michelson, A. V.; Leonard-Pingel, J.

    2015-12-01

    Lake ecosystems face a multitude of environmental threats including: eutrophication, overfishing, and heavy metal pollution. Tools to identify lakes impacted by human activity and quantify that impact are needed to combat their environmental degradation. One such promising tool has been the comparison between living communities and associated time-averaged death assemblages of mollusks in marine environments. Here we extend the reach of such live/dead comparisons using ostracodes in temperate lakes. We sampled six lakes in Wisconsin for living communities and associated death assemblages of ostracodes: two lakes impacted by human activity, two relatively "pristine" lakes, and two remediated lakes. We took sixteen grab samples of the upper centimeter of sediment in each lake, capturing simultaneously living benthic ostracodes and discarded valves of dead ostracodes. We found that impacted lakes had lower live/dead fidelity in taxonomic composition and rank-order abundance distributions and greater within-lake variation in death assemblages than "pristine" lakes. Additionally, the living communities in the impacted lakes tended to be lower in species richness and have lower evenness than "pristine" lakes. Remediated lakes displayed similar live/dead fidelity in taxonomic composition and rank-abundance distributions to "pristine" lakes and had lower within-lake variation in death assemblages than impacted lakes. Remediated lakes also contained living communities that tended to be richer and more even than impacted lakes. The lower live/dead fidelity of ostracodes in impacted lakes indicate live/dead ostracode comparisons can provide a tool to identify lake ecosystems impacted by humans. The similar results of remediated and "pristine" lakes indicate remediation efforts in these lakes have been successful in alleviating environmental impact detrimental to ostracode communities. This result indicates live/dead comparisons of ostracodes can be a useful tool to monitor

  10. Ostracods biostratigraphy of the Oligocene-Miocene carbonate platform in the Northeastern Amazonia coast and its correlation with the Caribbean region

    Science.gov (United States)

    Nogueira, Anna Andressa Evangelista; Nogueira, Afonso César Rodrigues

    2017-12-01

    Oligocene-Miocene ostracods biozones are proposed for the ∼65 m-thick platform carbonate succession exposed in the Northeastern Amazonia coast, Brazil. Previous biostratigraphic studies based on planktonic foraminifera, nannofossils and palynomorphs are poorly age constrained and have hindered the correlation with other units of the Atlantic Equatorial margin. Tectonic stability of the Northeastern Amazonia coast during Neogene, associated with reduced riverine inflow and continuous sea level rise, allowed the establishment of lagoon/mangroves, tidal channel and shallow platform settings favoring massive proliferation of benthic ostracods. The recurrence of these depositional systems along of entire Oligocene-Miocene succession contributed mainly for the preservation of typical assemblages of lagoonal ostracods. Among thirty-two ostracods genera identified, the most of them are generally polyhalines associated with a mesohaline genus as Perissocytheridea. Rare ostracods genera typical of offshore zone indicate limited oceanic connection with lagoon. Additionally, the rare presence of Cyprideis indicates a relatively stable salinity degree suggesting change in the lagoon dynamic until estuarine conditions. The ostracods comprise more than 100 species, ranging from Upper Oligocene to Lower Miocene with five index species correspondent to a single zone called the Cytherella stainforthi Zone that was subdivided in four sub-biozones: 1) Jugosocythereis pannosa, 2) Quadracythere brachypygaia, 3) Triebelina crumena and 4) Neocaudites macertus. This new zonation was calibrated with the Blow's and Wade's planktonic foraminifers zones (N.3 to N.7 zones corresponding to O6 to M4b of Wade) and with van den Bold's zonation in the Neogene Caribbean region. Ostracod assemblages described here provide an excellent biostragraphic framework for local, intrabasinal and regional correlation for the Oligocene-Miocene deposits of the Northeastern Amazonia coast and Caribbean regions

  11. Optically addressable single-use microfluidic valves by laser printer lithography.

    Science.gov (United States)

    Garcia-Cordero, Jose L; Kurzbuch, Dirk; Benito-Lopez, Fernando; Diamond, Dermot; Lee, Luke P; Ricco, Antonio J

    2010-10-21

    We report the design, fabrication, and characterization of practical microfluidic valves fabricated using laser printer lithography. These optofluidic valves are opened by directing optical energy from a solid-state laser, with similar power characteristics to those used in CD/DVD drives, to a spot of printed toner where localized heating melts an orifice in the polymer layer in as little as 500 ms, connecting previously isolated fluidic components or compartments. Valve functionality, response time, and laser input energy dependence of orifice size are reported for cyclo-olefin polymer (COP) and polyethylene terephthalate (PET) films. Implementation of these optofluidic valves is demonstrated on pressure-driven and centrifugal microfluidic platforms. In addition, these "one-shot" valves comprise a continuous polymer film that hermetically isolates on-chip fluid volumes within fluidic devices using low-vapor-permeability materials; we confirmed this for a period of one month. The fabrication and integration of optofluidic valves are compatible with a range of polymer microfabrication technologies and should facilitate the development of fully integrated, reconfigurable, and automated lab-on-a-chip systems, particularly when reagents must be stored on chip for extended periods, e.g. for medical diagnostic devices, lab-on-a-chip synthetic systems, or hazardous biochemical analysis platforms.

  12. Ostracods from the yola arm, Upper Benue Trough, Nigeria ...

    African Journals Online (AJOL)

    A total of nine genera of ostracods from the Yola Arm in the north-east of Nigeria are described. The various species, though from outcrop sections, supplement the list from the Upper Benue Trough already reported from Ashaka quarry and borehole (BH 2340) of the Gongila and Pindiga Formations respectively.

  13. A new ostracod (Entocytheridae, Notocytherinae) on New Guinea crayfish1)

    NARCIS (Netherlands)

    Hart, D.G.; Hart, C.W.

    1970-01-01

    In 1967 we examined the crayfish collections in the Rijksmuseum van Natuurlijke Historie, Leiden, to determine if the crayfishes collected in New Guinea in 1954 by Dr. L. B. Holthuis, Dr. L. D. Brongersma, and Dr. M. Boeseman (Boeseman, 1963) were hosts to commensal ostracods. Of the collections

  14. Outcome of double vs. single valve replacement for rheumatic heart disease

    International Nuclear Information System (INIS)

    Akhtar, R.P.; Abid, A.R.

    2010-01-01

    To compare the follow-up results of double valve replacement (DVR) i.e. mitral valve replacement (MVR) and aortic valve replacement (AVR) vs. isolated MVR or AVR for rheumatic heart disease. Study Design: An interventional qausi-experimental study. Prospective follow-up of 493 patients with mechanical heart valves was carried out using clinical assessment, international normalized ratio and echocardiography. Patients were divided into three groups: group I having MVR, group II having AVR and group III having DVR. Survival, time and causes of mortality, and frequency of valve thrombosis, haemorrhage and cerebrovascular haemorrhage was noted in the three groups and described as proportions. Actuarial survival was analyzed by Kaplan-Meier method. There were 493 with 287 (58.3%) in group I, 87 (17.6%) in group II and 119 (24.1%) in group III. Total follow-up was 2429.2 patient (pt)-years. Of 77 (15.6%) deaths, 19 (3.8%) were in-hospital and 58 (11.8%) were late. In-hospital mortality was highest 4 (4.6%) in group II followed by 5 (4.2%) group III and 10 (3.5%) group I. Late deaths were 39 (13.4%) in group I, 9 (10.2%) in group II and 10 (8.3%) in group III. The total actuarial survival was 84.4% with survival of 83%, 85.1%, 87.4% in groups I, II and III respectively. On follow-up valve thrombosis occurred in 12 (0.49%/pt-years) patients; 9 (0.67%/pt-years) group I, 1 (0.22%/pt-years) in group II and 2 (0.31%/pt-years) in group III. Severe haemorrhage occurred in 19 (0.78%/pt-years); 14 in (1.04%/pt-years) in group I, 3 (0.66%/pt-years) group II and 2 (0.31%/pt-years) in group III. Cerebrovascular accidents occurred in 34 (1.3%/pt-years); 26 (1.95%/pt-years) in group I and 4 in groups II (0.89%/pt-years) and III (0.62%/pt-years) each. In patients with rheumatic heart disease having combined mitral and aortic valve disease DVR should be performed whenever indicated as it has similar in-hospital mortality and better late survival as compared to isolated aortic or mitral

  15. Candona alchichica (Podocopida: Candonidae, a new ostracod species from saline, tropical Lake Alchichica, Mexico

    Directory of Open Access Journals (Sweden)

    Sergio Cohuo

    2016-09-01

    Full Text Available In North America, most species of the Candonidae family belong to the genus Candona. These species are frequently found in freshwater ecosystems and in sediment sequences, which makes them valuable tools for paleoenvironmental reconstructions. Knowledge of Mexican Candona species is limited, however, and scant information exists regarding their taxonomy and ecology. Here we describe Candona alchichica, a new ostracod species we suggest being endemic to Lake Alchichica, central Mexico. The species belongs to the acuminata group of species, based on the presence of 5+1 setae on the second segment of the mandibular palp. It is closely related to C. patzcuaro, C. tahoensis and C. ohioensis, but differs from those species in that the females have an elongated genital field, wide at the base and narrow at the end. Males have elongated hook-like prehensile palps and a particular arrangement of lobes in the hemipenis, i.e., the a-lobe is inclined with a digitiform basal projection, the b-lobe is distally rounded and the h-lobe is square-shaped and exceeding the length of the b-lobe. Candona alchichica n. sp. and C. patzcuaro display very similar shells in length and morphology, which can cause confusion if identification is carried out in the absence of soft parts, a common situation when dealing with carapace and valve remains in sediment cores. Detailed morphometric analyses, however, revealed a clear difference between the valves of the two taxa. Candona alchichica n. sp. has taller valves (p˂0.05, with concave dorsal margin, and with the anterior margin considerably narrower than posterior margin, all characteristics different from C. patzcuaro. Most important, in spite of their similar shape, the two species exhibit contrasting ecological preferences. Candona alchichica n. sp. inhabits clear, cold, saline, oligotrophic waters, whereas C. patzcuaro dwells in turbid, warm, fresh, eutrophic waters. In addition, we include a revision of the

  16. Experimental and Potential Analysis of a Single-Valve Expander for Waste Heat Recovery of a Gasoline Engine

    Directory of Open Access Journals (Sweden)

    Wenzhi Gao

    2016-11-01

    Full Text Available In this paper, a Rankine cycle test system is established to recover exhaust energy from a 2.0 L gasoline engine. Experiments on the system’s performance are carried out under various working conditions. The experimental results indicate that the recovery power of the expander is strongly related to the load and speed of the gasoline engine. It is found that when the output power of the gasoline engine is 39.8–76.6 kW, the net power of the expander is 1.8–2.97 kW, which is equivalent to 3.9%–4.9% of the engine power. The performance simulation shows that the mass flow rate, power output, and isentropic efficiency of the piston expander are directly determined by the intake valve timing. Selecting a suitable intake valve timing can optimize the performance of the expander. The simulation results show that a 1 kW increment in power can be obtained only by selecting an optimum intake open timing. The experimental results further verify that the single-valve piston expander, because of its small dimensions, simple structure, and high speed, is appropriate, and has great potential for energy recovery of gasoline engine exhaust and has good prospects for engineering applications.

  17. Role of different vascular approaches on transcatheter aortic valve implantation outcome: a single-center study.

    Science.gov (United States)

    Adamo, Marianna; Fiorina, Claudia; Curello, Salvatore; Maffeo, Diego; Chizzola, Giuliano; Di Matteo, Gerardo; Mastropierro, Rosa; Nardi, Matilde; Cervi, Edoardo; De Cicco, Giuseppe; Chiari, Ermanna; Curnis, Antonio; Bonardelli, Stefano; Coletti, Giuseppe; Manzato, Aldo; Metra, Marco; Ettori, Federica

    2015-04-01

    To compare different vascular approaches on clinical outcome of patients undergoing transcatheter aortic valve implantation (TAVI) with self-expandable bioprosthesis. We included all the patients undergoing CoreValve implantation at our institute between September 2007 and March 2014. They were divided into four groups based on the vascular approach: percutaneous transfemoral (pTF), cut-down transfemoral (cTF), transaxillary (TAx) and transaortic (TAo). Clinical outcomes were evaluated according to Valve Academic Research Consortium-2 recommendations. Out of 322 consecutive patients, 170 (53%) underwent pTF, 76 (23%) cTF, 32 (10%) TAx and 44 (14%) TAo approach. Although the TAx and TAo patients had a higher risk profile, they had a similar outcome compared with the pTF and cTF groups; in particular, there were no differences regarding cardiovascular and all-cause mortality at 30 days, 1 and 2 years, as well as stroke, myocardial infarction, bleeding, major vascular complications, permanent pacemaker implantation and acute kidney injury rates. The observed device success rate was higher in the TAo than in the other approaches (88.6 versus 65.9, 68.7 and 76.3% in the pTF, cTF and TAx groups, respectively; P = 0.019). No differences occurred regarding 30-day early safety and 1-year clinical efficacy across the four groups. Fluoroscopy time, amount of contrast medium used and minor vascular complications were significantly higher in pTF patients, as well as in-hospital stay in the TAo group. Atrial fibrillation and prosthetic valve regurgitation, but not the vascular approach, were independent predictors of all-cause mortality. A more invasive vascular approach, for CoreValve implantation, even in higher risk patients, does not affect early-term, mid-term and long-term outcomes.

  18. Exceptionally well-preserved giant spermatozoa in male and female specimens of an ostracod Cypria ophtalmica (Crustacea: Ostracoda) from Late Glacial lacustrine sediments of Southern Carpathians, Romania

    Science.gov (United States)

    Iepure, Sanda; Namiotko, Tadeusz; Valdecasas, Antonio G.; Magyari, Enikö K.

    2012-07-01

    Exceptionally well-preserved giant spermatozoa observed between abundant decalcified carapace valves of ostracods (Crustacea: Ostracoda) were found in Late Glacial to Holocene (14,400 to 10,000 cal years bp) lacustrine sediments in the southern Romanian Carpathians. Analysis by scanning electron microscopy and laser scanning confocal microscopy revealed good preservation of the appendages enabling specific identification as Cypria ophtalmica (Candonidae) and indication of the presence of both female and male specimens based on the sexual dimorphism of the second antenna. This record represents the oldest and richest direct evidence of virtually morphologically unaltered animal spermatozoa preserved in females after mating.

  19. The External Nasal Valve.

    Science.gov (United States)

    Hamilton, Grant S

    2017-05-01

    The external nasal valve is a complex entity comprised of multiple structures and tissue types. As such, there is no single operation that can address all problems of the external valve. This article reviews the relevant anatomy, pathologic conditions, and treatments for external nasal valve dysfunction, including a detailed review of the nasal muscles and their contribution to external nasal valve patency. Surgical and nonsurgical options for treatment and the evidence supporting the importance of proper external nasal valve function on quality-of-life measures are discussed. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. A minute ostracod (Crustacea: Cytheromatidae) from the Miocene Solimões Formation (western Amazonia, Brazil): evidence for marine incursions?

    Science.gov (United States)

    Gross, Martin; Ramos, Maria Ines F; Piller, Werner E

    2016-07-02

    A huge wetland (the 'Pebas system') covered western Amazonia during the Miocene, hosting a highly diverse and endemic aquatic fauna. One of the most contentious issues concerns the existence, potential pathways and effects of marine incursions on this ecosystem. Palaeontological evidences (body fossils) are rare. The finding of a new, presumably marine ostracod species ( Pellucistoma curupira sp. nov.) in the upper middle Miocene Solimões Formation initiated a taxonomic, ecological and biogeographical review of the genus Pellucistoma . We demonstrate that this marine (sublittoral, euhaline), subtropical-tropical taxon is biogeographically confined to the Americas. The biogeographical distribution of Pellucistoma largely depends on geographical, thermal and osmotic barriers (e.g. land bridges, deep and/or cold waters, sea currents, salinity). We assume an Oligocene/early Miocene, Caribbean origin for Pellucistoma and outline the dispersal of hitherto known species up to the Holocene. Pellucistoma curupira sp. nov. is dwarfed in comparison to all other species of this genus and extremely thin-shelled. This is probably related to poorly oxygenated waters and, in particular, to strongly reduced salinity. The associated ostracod fauna (dominated by the eurypotent Cyprideis and a few, also stunted ostracods of possibly marine ancestry) supports this claim. Geochemical analyses (δ 18 O, δ 13 C) on co-occurring ostracod valves ( Cyprideis spp.) yielded very light values, indicative of a freshwater setting. These observations point to a successful adaptation of P. curupira sp. nov. to freshwater conditions and therefore do not signify the presence of marine water. Pellucistoma curupira sp. nov. shows closest affinities to Caribbean species. We hypothesize that Pellucistoma reached northern South America (Llanos Basin) during marine incursions in the early Miocene. While larger animals of marine origin (e.g. fishes, dolphins, manatees) migrated actively into the Pebas

  1. A novel approach to percutaneous removal of large tricuspid valve vegetations using suction filtration and veno-venous bypass: A single center experience.

    Science.gov (United States)

    George, Bennet; Voelkel, Anthony; Kotter, John; Leventhal, Andrew; Gurley, John

    2017-11-15

    Tricuspid valve surgery has been the de facto standard treatment for tricuspid valve endocarditis (TVE) refractory to medical therapy. It is now possible to remove right-sided vegetations percutaneously using a venous drainage cannula with an extracorporeal bypass circuit. The purpose of our study is to describe our single-center experience of percutaneous tricuspid valve vegetation removal. We reviewed the perioperative course of 33 consecutive patients with large tricuspid valve vegetations who carried high surgical risk. The cohort included 12 males and 21 females over a 40-month period with an average age of 37 years. A preponderance of patients carried an admitted or confirmed diagnosis of injection drug use (72.7%). Average vegetation size was 2.1 +/- 0.7 cm prior to the procedure with a 61% reduction in size after the procedure. All patients survived the procedure and 90.9% survived the index hospitalization. Three patients proceeded to elective tricuspid valve replacement due to worsening severity of tricuspid regurgitation. Percutaneous removal of large tricuspid valve vegetations is a safe and effective alternative for patients with TVE who carry high-surgical risk. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  2. Ostracod provincialism and migration as a response to movements of Earth's plates: Cretaceous-Paleogene ostracods of West Africa, North Africa and the Middle East

    Science.gov (United States)

    Elewa, Ashraf M. T.

    2017-10-01

    This paper documents the Cretaceous -Paleogene ostracods response as the continental plates tend to show divergence. For example, in the intervals from the Early to Late Cretaceous when the South American plate tended to exhibit divergent movement westward from the African plate, the migration of ostracods show westward trend from Northeast Africa to West Africa; whereas, the divergence of the Indian and the Australian plates as well as the Antarctic plate from the African and the Eurasian plates, and Arabia is accompanied with ostracod migration southward. Another example from the Maastrichtian-Eocene ostracods of West Africa, where ostracods exhibit east-west migration (despite the migration of epineritic ostracods in both directions; east-west and vice-versa) towards the North American and South American plates. These trends of migration towards the deep oceans (Atlantic and Indian oceans of present time) indicate the tendency of ostracods of these geologic times towards endemism in the deep oceans resulted from seafloor spreading during the divergence of the continental plates. On the other hand, the paleoenvironmental changes should also have significant effect on these trends of migration.

  3. Size Evolution and Stochastic Models: Explaining Ostracod Size through Probabilistic Distributions

    Science.gov (United States)

    Krawczyk, M.; Decker, S.; Heim, N. A.; Payne, J.

    2014-12-01

    The biovolume of animals has functioned as an important benchmark for measuring evolution throughout geologic time. In our project, we examined the observed average body size of ostracods over time in order to understand the mechanism of size evolution in these marine organisms. The body size of ostracods has varied since the beginning of the Ordovician, where the first true ostracods appeared. We created a stochastic branching model to create possible evolutionary trees of ostracod size. Using stratigraphic ranges for ostracods compiled from over 750 genera in the Treatise on Invertebrate Paleontology, we calculated overall speciation and extinction rates for our model. At each timestep in our model, new lineages can evolve or existing lineages can become extinct. Newly evolved lineages are assigned sizes based on their parent genera. We parameterized our model to generate neutral and directional changes in ostracod size to compare with the observed data. New sizes were chosen via a normal distribution, and the neutral model selected new sizes differentials centered on zero, allowing for an equal chance of larger or smaller ostracods at each speciation. Conversely, the directional model centered the distribution on a negative value, giving a larger chance of smaller ostracods. Our data strongly suggests that the overall direction of ostracod evolution has been following a model that directionally pushes mean ostracod size down, shying away from a neutral model. Our model was able to match the magnitude of size decrease. Our models had a constant linear decrease while the actual data had a much more rapid initial rate followed by a constant size. The nuance of the observed trends ultimately suggests a more complex method of size evolution. In conclusion, probabilistic methods can provide valuable insight into possible evolutionary mechanisms determining size evolution in ostracods.

  4. Etude du developpement de l’Ostracode marin Sphaeromicola dudichi Klie, 1938

    NARCIS (Netherlands)

    Roelofs, H.M.A.

    1968-01-01

    Sphaeromicola dudichi Klie, 1938, acommensal ostracod of the amphipod Chelura terebrans Philippi, 1839, is frequently found in the Mediterranean near Marseille. This ostracod proves to lay its eggs on the brood lamellae of the female, or on the gills of the male of Chelura, more frequently on the

  5. Diversity and Spatial Distribution of Extant Freshwater Ostracodes (Crustacea in Ancient Lake Ohrid (Macedonia/Albania

    Directory of Open Access Journals (Sweden)

    Julia Lorenschat

    2014-07-01

    Full Text Available We carried out an intensive sampling survey in ancient Lake Ohrid (Macedonia/Albania, covering all seasons, to determine total species number, relative species abundances and spatial distribution of Ostracoda. We identified 32 living species that belong to seven families (Candonidae, Ilyocyprididae, Cyprididae, Leptocytheridae, Limnocytheridae, Cytherideidae, and Darwinulidae and 15 genera (Candona, Fabaeformiscandona, Candonopsis, Cypria, Cyclocypris, Ilyocypris, Eucypris, Prionocypris, Bradleystrandesia, Herpetocypris, Dolerocypris, Amnicythere, Paralimnocythere, Cytherissa, and Darwinula. Six additional species were identified from empty carapaces and valves. Dominant families in Lake Ohrid were Candonidae and Limnocytheridae, representing 53% and 16% of all species, respectively. Prevalence of species flocks in these two families confirms the “young” ancient status of the lake. Amnicythere displays a preference for oligo-haline to meso-haline waters, but some species are found in saline environments, which suggests Lake Ohrid has a marine history. Recent studies, however, indicate fluvial/glaciofluvial deposition at the onset of Lake Ohrid sedimentation. Candona is the most diverse genus in Lake Ohrid, represented by 12 living species. Paralimnocythere is represented by five living species and all other genera are represented by one or two species. Reports of Candona bimucronata, Ilyocypris bradyi, Eucypris virens, Eucypris sp., Prionocypris zenkeri, Bradleystrandesia reticulate, Herpetocypris sp. 2, and Dolerocypris sinensis are firsts for this lake. Living ostracodes were collected at the maximum water depth (280 m in the lake (Candona hadzistei, C. marginatoides, C. media, C. ovalis, C. vidua, Fabaeformiscandona krstici, Cypria lacustris, C. obliqua and Amnicythere karamani. Cypria lacustris was overall the most abundant species and Cypria obliqua displayed the highest abundance at 280 m water depth. Principal environmental variables

  6. [New conduction disturbances and pacemaker indications after CoreValve® transcatheter aortic valve replacement. Incidence and follow up in a single center experience].

    Science.gov (United States)

    Aversa, Eliana; Muratore, Claudio A; Nemesio, M Laura; Tentori, Maria Cristina; Payaslian, Miguel

    2015-01-01

    Transcatheter aortic valve implantation (TAVI) is currently reserved for patients with symptomatic aortic stenosis and high surgical risk. One major limiting factor related to TAVI procedural complications is conduction abnormalities and the need for permanent pacemaker implantation. Evaluate the incidence of new conduction disturbances and pacemaker indications in patients with TAVI CoreValve® prosthesis (Medtronic Inc. Minneapolis, Minnesota, United States). We included 28 patients, mean age 80 years. ECG parameters were evaluated previous and after implantation. All patients were monitorized during TAVI. Follow up Holter monitoring was performed at one, 6 and 12 months after the procedure and we also evaluated telemetry of implanted pacemaker. In previous ECG we found 7 patients had right bundle branch block and 7 patients had left bundle brunch block (LBBB). The post implant ECG showed 7 new LBBB: 3 during valvuloplasty and 4 on the end of it. Six patients required pacemaker implantation for permanent or paroxysmal complete AV block (CAVB). At one year follow up, 3 patients with LBBB during valvuloplasty had a normal ECG, one still had LBBB and one an asymptomatic CAVB found in Holter monitoring. Conduction abnormalities are frequent after CoreValve® aortic valve prosthesis implantation. The incidence of new LBBB was 25%. CAVB during or post TAVI require PM implantation. New LBBB may need a closer follow up because in a 3% of the cases it may progress to CAVB. Copyright © 2014 Instituto Nacional de Cardiología Ignacio Chávez. Published by Masson Doyma México S.A. All rights reserved.

  7. The Ordovician ostracodes established by Aurel Krause, Part I

    Directory of Open Access Journals (Sweden)

    R. Schallreuter

    2011-02-01

    Full Text Available The lack of a revision of the ostracodes described by Aurel Krause at the end of the 19th century from glacial erratic boulders from Berlin and the Mark Brandenburg (Northern Germany has led to taxonomic confusion in the corresponding literature of the 20th century. To attain stability in names, some of Krause's ostracode species have been revised based on the types stored in the Museum für Naturkunde Berlin, namely Primitia plana, P. plana tuberculata, P. intermedia, P. globifera, Entomis sigma antiquata, Bollia v-scripta, B. granulosa, B. duplex, Strepula lineata, Isochilina canaliculata, Beyrichia dissecta, B. mamillosa, B. signata, and B. bidens. Most species have up to four younger synonyms among species described later from outcrops or borings in Baltoscandia or glacial erratic boulders of Northern Germany and Sweden. Three of Krause's species, which have been considered as nomina dubia by Jaanusson are in fact valid species. Some of Krause's species or of their synonyms are type species. doi:10.1002/mmng.201000015

  8. Aortic Valve Regurgitation

    Science.gov (United States)

    ... correct direction. These valves include the mitral valve, tricuspid valve, pulmonary valve and aortic valve. Each valve has ... Causes of aortic valve regurgitation include: Congenital heart valve disease. You may have been born with an aortic ...

  9. Transcatheter aortic valve implantation in patients with a mitral prosthesis; single center experience and review of literature.

    Science.gov (United States)

    Asil, Serkan; Şahiner, Levent; Özer, Necla; Kaya, E Barış; Evranos, Banu; Canpolat, Uğur; Yorgun, Hikmet; Karagöz, Heves; Aytemir, Kudret

    2016-10-15

    Following the encouraging results of several registries and trials, transcatheter aortic valve implantation (TAVI) has been recognized as a valid option in patients with severe aortic stenosis deemed at high or prohibitive risk for surgical treatment. Good procedural success and good clinical outcomes have been showed and very limited data exist on TAVI in the setting of a preexisting mitral prosthesis regarding the technique, potential complications, and outcomes. Here, we report six cases of transfemoral TAVI with a self-expanding bioprosthesis (CoreValve; Medtronic, Inc) in patients who had previously undergone mitral valve replacement. Preprocedural, intraprocedural ve postprocedural outcome and data were analyzed and a brief literature review is also presented. Our experiences show that transfemoral CoreValve implantation can be performed successfully in patients with mechanical and bioprosthetic mitral valves. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  10. Impact of patient-prosthesis mismatch following aortic valve replacement on short-term survival: a retrospective single center analysis of 632 consecutive patients with isolated stented biological aortic valve replacement.

    Science.gov (United States)

    Hoffmann, Grischa; Ogbamicael, Selam Abraham; Jochens, Arne; Frank, Derk; Lutter, Georg; Cremer, Jochen; Petzina, Rainer

    2014-09-01

    The impact of patient-prosthesis mismatch (PPM) after aortic valve replacement (AVR) on short-term and long-term mortality remains controversial. The objective of this study was to evaluate the incidence and severity of PPM and its impact on short-term survival in a large cohort of patients treated with isolated stented biological AVR in a single institution. We analyzed retrospectively data of 632 consecutive patients with aortic stenosis undergoing isolated stented biological AVR between January 2007 and February 2012 at our institution. PPM was defined as an indexed effective orifice area ≤ 0.85 cm(2)/m(2). Statistical analyses were performed to identify influencing variables on valve size implanted. Of the 632 patients investigated, 46% were females and mean age was 71.9 ± 10.4 years. PPM was observed in 93.8% (593 of 632 patients). In 71% of the patients, moderate (0.65-0.85 cm(2)/m(2)) PPM was present and in 22.8% severe (body mass index, and body surface area as simultaneous predictors of the valve size implanted (R(2)= 0.39). PPM had no discernable impact on short-term survival, although it was present in 93.8% of our patients following isolated stented biological AVR. Georg Thieme Verlag KG Stuttgart · New York.

  11. SAT-TAVI (single antiplatelet therapy for TAVI) study: a pilot randomized study comparing double to single antiplatelet therapy for transcatheter aortic valve implantation.

    Science.gov (United States)

    Stabile, Eugenio; Pucciarelli, Armando; Cota, Linda; Sorropago, Giovanni; Tesorio, Tullio; Salemme, Luigi; Popusoi, Grigore; Ambrosini, Vittorio; Cioppa, Angelo; Agrusta, Marco; Catapano, Donato; Moscariello, Cesare; Trimarco, Bruno; Esposito, Giovanni; Rubino, Paolo

    2014-07-01

    Common clinical practice recommends dual antiplatelet therapy (DAPT) for transcatheter aortic valve implantation (TAVI). The aim of the study was to evaluate, in a double blind randomized study, the safety of TAVI, with adjunctive pharmacotherapy consisting of single antiplatelet therapy. From April 2010 to April 2011, 120 consecutive patients, undergoing TAVI, have been enrolled in the study. Patients were randomly assigned to DAPT group (aspirin and clopidogrel 75 mg/qd or ticlopidine 500 mg/bid) or ASA group (aspirin only). TAVI device was the Sapien XT-Novaflex Delivery System (Edwards Lifesciences, Inc.). All patients were followed up to 6 months. Device success was achieved in 100% of patients. No difference in the VARC combined 30 day safety endpoint, all cause and cardiovascular mortality was observed. At 30 days vascular complications were reduced in the ASA group (p<0.05). No differences in the clinical status were detected between the groups up to 6 months. This study suggests that TAVI procedures can be performed without DAPT without increasing the morbidity and mortality. These findings, if confirmed in a larger multicenter randomized trial, will no longer support the use of DAPT for TAVI. Copyright © 2014. Published by Elsevier Ireland Ltd.

  12. An environmental tolerance index for ostracodes as indicators of physical and chemical factors in aquatic habitats

    Science.gov (United States)

    Curry, B. Brandon

    1999-01-01

    Continental ostracode occurrences reflect salinity, solute composition, temperature, flow conditions, and other environmental properties of the water they inhabit. Their occurrences also reflect the variability of many of these environmental parameters. Environmental tolerance indices (ETIs) offer a new way to express the nature of an ostracode's environment. As defined herein, ETIs range in value from zero to one, and may be calculated for continuous and binary variables. For continuous variables such as salinity, the ETI is the ratio of the range of values of salinity tolerated by an ostracode to the total range of salinity values from a representative database. In this investigation, the database of continuous variables consists of information from 341 sites located throughout the United States. Binary ETIs indicate whether an environmental variable such as flowing water affects ostracode presence or absence. The binary database consists of information from 784 sites primarily from Illinois, USA. ETIs were developed in this investigation to interpret paleohydrological changes implied by fossil ostracode successions. ETI profiles may be cast in terms of a weighted average, or on presence/absence. The profiles express ostracode tolerance of environmental parameters such as salinity or currents. Tolerance of a wide range of values is taken to indicate shallow water because shallow environments are conducive to thermal variability, short-term water residence, and the development of currents from wind-driven waves.

  13. Cretaceous ostracods of the Barreirinhas Basin: Taxonomy, biostratigraphic considerations and paleoenvironmental inferences

    Science.gov (United States)

    Santos Filho, M. A. B.; Fauth, G.; Piovesan, E. K.

    2017-01-01

    Ostracods are microcrustaceans that inhabit different aquatic environments and are frequently used in paleoecological interpretations and biostratigraphic studies. The Barreirinhas Basin, Northern of Brazil, contains a well-preserved ostracod assemblage in its sedimentary rocks of early and late Cretaceous age, which have been so far poorly studied. This paper contains the first taxonomic identification of the ostracod assemblages, as well as the elaboration of paleoenvironmental and biostratigraphic inferences, for the Cretaceous of the Barreirinhas Basin. The studied material consists of 147 samples from the wells 1-MAS-1A, 1-MAS-3A, 1-MAS-4A and 1-MAS-14A. 495 specimens were recovered, distributed between 40 species, 16 genera and 9 families, including three new species. Based on previously established biozones for the Sergipe basin, two biozones were identified: the Nigeroloxoconcha aff. Nigeroloxoconcha sp. GA A 22 Range Zone, of lower Cenomanian age; and the Brachycythere sapucariensis Interval Zone, of Turonian to middle Coniacian age. Finally, three distinct ostracod assemblages were defined: Assemblage 1, dominated by Conchoecia? species; Assemblage 2, well diversified but with low abundance; and Assemblage 3, with cold water ostracods such as Krithe. Based on the ostracod assemblages identified, a middle neritic, platformal paleoenvironment was inferred for the studied interval.

  14. Relationship Between the Surface Area to Volume Ratio and Temperature across Geologic Time in Ostracods

    Science.gov (United States)

    Jackson, C.; Zaroff, S.; Heim, N. A.; Payne, J.

    2014-12-01

    In 1877 Joseph Allen proposed that endothermic terrestrial organisms would have lower surface area to volume ratios (SAVR) in colder climates and higher SAVRs in warmer climates. With a smaller surface area compared to volume, organisms can retain more heat in cold climates. We tested to see if this principle applied to ostracods, a type of ectothermic marine invertebrate. We hypothesised that Allen's rule applies to ostracods, as Allen's rule has been demonstrated in frogs (Alho 2011), which are also ectotherms . We used the linear dimensions of the three major carapace axes of ostracod holotypes to estimate the SAVR. We compared ostracod SAVRs with paleotemperatures from Royer et al. (2004). We found that there was a correlation between surface area and temperature; it is a small, but statistically significant correlation (adj. R2=0.0167). This means that as temperature increased, the SAVR also increased. We also found a negative correlation between ostracod SAVR to geologic time(adj. R2=0.0114), which shows us that as time has gone on, ostracod SAVR has decreased. We then plotted the correlation coefficient of SAVR to temperature over geologic time to explore trends in the strength of Allen's rule. For most of time there was no relationship but during the Devonian, Allen's Rule did explain the trend. In short, temperature does explain some of the correlation between the SAVR and temperature, but it is likely there were other environmental factors affecting this relationship.

  15. Valve Disease

    Science.gov (United States)

    ... phen and Redux, which were removed from the market after being linked to heart valve disease. An ... have a prosthetic valve made of synthetic material. Beta-blockers control your heart rate and lower your ...

  16. Control Valve

    Energy Technology Data Exchange (ETDEWEB)

    Moore, Wayne R.

    2018-03-20

    A control valve includes a first conduit having a first inlet and a first outlet and defining a first passage; a second conduit having a second inlet and a second outlet and defining a second passage, the second conduit extending into the first passage such that the second inlet is located within the first passage; and a valve plate disposed pivotably within the first passage, the valve plate defining a valve plate surface. Pivoting of the valve plate within the first passage varies flow from the first inlet to the first outlet and the valve plate is pivotal between a first position and a second position such that in the first position the valve plate substantially prevents fluid communication between the first passage and the second passage and such that in the second position the valve plate permits fluid communication between the first passage and the second passage.

  17. Toxicity of Metals to a Freshwater Ostracod: Stenocypris major

    Directory of Open Access Journals (Sweden)

    Mohammad Shuhaimi-Othman

    2011-01-01

    Full Text Available Adults of freshwater ostracod Stenocypris major (Crustacea, Candonidae were exposed for a four-day period in laboratory conditions to a range of copper (Cu, cadmium (Cd, zinc (Zn, lead (Pb, nickel (Ni, iron (Fe, aluminium (Al, and manganese (Mn concentrations. Mortality was assessed, and median lethal times (LT50 and concentrations (LC50 were calculated. LT50 and LC50 increased with the decrease in mean exposure concentrations and times, respectively, for all metals. LC50s for 96 hours for Cu, Cd, Zn, Pb, Ni, Fe, Al, and Mn were 25.2, 13.1, 1189.8, 526.2, 19743.7, 278.9, 3101.9, and 510.2 μg/L, respectively. Metals bioconcentration in S. major increases with exposure to increasing concentrations, and Cd was the most toxic to S. major, followed by Cu, Fe, Mn, Pb, Zn, Al, and Ni (Cd>Cu>Fe>Mn>Pb>Zn>Al>Ni. Comparison of LC50 values for metals for this species with those for other freshwater crustacean reveals that S. major is equally or more sensitive to metals than most other tested crustacean.

  18. The Ordovician ostracodes established by Aurel Krause, Part II

    Directory of Open Access Journals (Sweden)

    R. Schallreuter

    2013-08-01

    Full Text Available The revision of ostracodes originally established by Aurel Krause is continued and finished with the description of the following species: Primitia distans, P. elongata, P. cincta, P. excavata, P. papillata, P. plicata, P. schmidtii, Strepula limbata, S. simplex, Entomis obliqua, E. plicata, E. sigma, E. sigma ornata, E. simplex, E. trilobata, Beyrichia erratica, B. erratica granulosa, B. erratica acuta, B. harpa, and B. marchica lata. Three of these species are younger primary homonyms. For Beyrichia erratica granulosa Krause, 1891 a respective decision of the ICZN according to art. 23.9.5 is presently unnecessary, because it has an older synonym (Beyrichia grewingkii Bock, 1867, and Primitia excavata Krause, 1892 has a younger synonym (Laccochilina paucigranosa Jaanusson, 1957. The third homonym, Beyrichia marchica lata Krause, 1891, is considered as a nomen protectum. Entomis sigma ornata, and E. plicata are presently considered as nomina dubia. Since the type material of the three species P. distans, E. sigma, and E. simplex is apparently lost, neotypes are designated. doi:10.1002/mmng.201300007

  19. Resource Limitation, Controphic Ostracod Density and Larval Mosquito Development.

    Directory of Open Access Journals (Sweden)

    Raylea Rowbottom

    Full Text Available Aquatic environments can be restricted with the amount of available food resources especially with changes to both abiotic and biotic conditions. Mosquito larvae, in particular, are sensitive to changes in food resources. Resource limitation through inter-, and intra-specific competition among mosquitoes are known to affect both their development and survival. However, much less is understood about the effects of non-culicid controphic competitors (species that share the same trophic level. To address this knowledge gap, we investigated and compared mosquito larval development, survival and adult size in two experiments, one with different densities of non-culicid controphic conditions and the other with altered resource conditions. We used Aedes camptorhynchus, a salt marsh breeding mosquito and a prominent vector for Ross River virus in Australia. Aedes camptorhynchus usually has few competitors due to its halo-tolerance and distribution in salt marshes. However, sympatric ostracod micro-crustaceans often co-occur within these salt marshes and can be found in dense populations, with field evidence suggesting exploitative competition for resources. Our experiments demonstrate resource limiting conditions caused significant increases in mosquito developmental times, decreased adult survival and decreased adult size. Overall, non-culicid exploitation experiments showed little effect on larval development and survival, but similar effects on adult size. We suggest that the alterations of adult traits owing to non-culicid controphic competition has potential to extend to vector-borne disease transmission.

  20. An expanded ostracod-based conductivity transfer function for climate reconstruction in the Levant

    Science.gov (United States)

    Mischke, Steffen; Almogi-Labin, Ahuva; Al-Saqarat, Bety; Rosenfeld, Arik; Elyashiv, Hadar; Boomer, Ian; Stein, Mordechai; Lev, Lilach; Ito, Emi

    2014-06-01

    We present the first modern calibration dataset linking ostracod assemblage composition to water chemistry, and other site-specific variables, in the hydrologically and geopolitically sensitive southern Levant region. A total of 42 ostracod taxa were recorded from the 178 sampled sites in Israel and Jordan. Ilyocypris spp., Heterocypris salina and Cypridopsis vidua are the most abundant taxa. Species strictly confined to freshwater conditions are Prionocypris zenkeri, Gomphocythere ortali and Prionocypris olivaceus. In contrast, H. salina, Bradleytriebella lineata and Cyprideis torosa show high frequencies in brackish waters (waters with higher conductivity). Humphcypris subterranea, G. ortali, P. olivaceus and Cypridopsis elongata apparently prefer flowing waters. Specific conductivity optima and tolerance ranges were calculated for the recorded ostracod species and may be used for the palaeoenvironmental assessment of fossil ostracod assemblages. In addition, a transfer-function for quantitative specific conductivity estimation based on 141 samples was established with weighted averaging partial least squares regression (WA-PLS). The resulting coefficient of determination r2 between observed and predicted conductivity values (0.72) and the root-mean-square error of prediction (RMSEP) in % gradient length (13.1) indicate that conductivity may be reliably estimated from ostracod assemblage data. The transfer function was first applied to last glacial ostracod assemblage data from an archaeological trench in the Sea of Galilee (northern Israel). Relatively large conductivity fluctuations between ca 1 and 7 mS cm-1 were inferred for the period 24-20 cal ka BP. In addition, four episodes of freshwater influx near the site of the trench were identified from the presence of shells of freshwater and stream-dwelling species intermingled with very abundant shells of Cyprideis torosa. The results of our study allow a better use of Quaternary ostracods from the Levant as

  1. Valve assembly

    International Nuclear Information System (INIS)

    Sandling, M.

    1981-01-01

    An improved valve assembly, used for controlling the flow of radioactive slurry, is described. Radioactive contamination of the air during removal or replacement of the valve is prevented by sucking air from the atmosphere through a portion of the structure above the valve housing. (U.K.)

  2. Problem: Heart Valve Stenosis

    Science.gov (United States)

    ... Understanding Problems and Causes Heart Murmurs and Valve Disease "Innocent" Heart Murmur Problem: Valve Stenosis - Problem: Aortic Valve Stenosis - Problem: Mitral Valve Stenosis - Problem: Tricuspid Valve Stenosis - Problem: Pulmonary Valve Stenosis Problem: Mitral ...

  3. Mitral Valve Prolapse

    Science.gov (United States)

    ... Aortic Valve Regurgitation - Problem: Mitral Valve Regurgitation - Problem: Tricuspid Valve Regurgitation - Problem: Pulmonary ... Heart Valve Disease Symptoms Dr. Robert Bonow describes the symptoms that ...

  4. A 600-ka Arctic sea-ice record from Mendeleev Ridge based on ostracodes

    Science.gov (United States)

    Cronin, Thomas M.; Polyak, L.V.; Reed, D.; Kandiano, E. S.; Marzen, R. E.; Council, E. A.

    2013-01-01

    Arctic paleoceanography and sea-ice history were reconstructed from epipelagic and benthic ostracodes from a sediment core (HLY0503-06JPC, 800 m water depth) located on the Mendeleev Ridge, Western Arctic Ocean. The calcareous microfaunal record (ostracodes and foraminifers) covers several glacial/interglacial cycles back to estimated Marine Isotope Stage 13 (MIS 13, ∼500 ka) with an average sedimentation rate of ∼0.5 cm/ka for most of the stratigraphy (MIS 5–13). Results based on ostracode assemblages and an unusual planktic foraminiferal assemblage in MIS 11 dominated by a temperate-water species Turborotalita egelida show that extreme interglacial warmth, high surface ocean productivity, and possibly open ocean convection characterized MIS 11 and MIS 13 (∼400 and 500 ka, respectively). A major shift in western Arctic Ocean environments toward perennial sea ice occurred after MIS 11 based on the distribution of an ice-dwelling ostracode Acetabulastoma arcticum. Spectral analyses of the ostracode assemblages indicate sea ice and mid-depth ocean circulation in western Arctic Ocean varied primarily at precessional (∼22 ka) and obliquity (∼40 ka) frequencies.

  5. Is tricuspid annuloplasty increasing surgical mortality and morbidity during mitral valve replacement? A single-centre experience.

    Science.gov (United States)

    Verdonk, Constance; Darmon, Arthur; Cimadevilla, Claire; Lepage, Laurent; Raffoul, Richard; Nataf, Patrick; Vahanian, Alec; Messika-Zeitoun, David

    2017-12-06

    Performance of tricuspid annuloplasty (TA) in patients undergoing mitral valve surgery is recommended based on the degree of tricuspid regurgitation and tricuspid annulus size, but is often underused. To evaluate the impact of combined TA on in-hospital outcome in patients undergoing mitral valve replacement (MVR). We selected all consecutive patients who underwent MVR for native valve disease. Clinical, echocardiographic and in-hospital complications were obtained from chart review. We identified 287 patients (mean age 62±17 years; 44% men). Combined TA was performed in 165 patients (57%), who had more rheumatic disease (71% vs. 24%; P<0.0001) and mitral stenosis (55% vs. 22%; P<0.0001), but less endocarditis (4% vs. 31%; P<0.0001), were more often in atrial fibrillation (54% vs. 22%; P<0.0001), were more severely symptomatic (80% vs. 57%; P<0.0001), presented with a higher systolic pulmonary artery pressure (SPAP) (53±16 vs. 45±15mmHg; P=0.0002) and were less likely to have required emergency surgery (17% vs. 38%; P<0.0001). Despite this higher risk profile, in-hospital mortality was slightly lower (5% vs. 13%; P=0.02) and complication rates were similar (redo surgery 22% vs. 16% [P=0.18] and tamponade 20% vs. 15% [P=0.15]). After adjustment for age, sex, functional class, SPAP, emergency surgery and concomitant coronary artery bypass graft or aortic valve replacement surgery, combined TA was not associated with an increased rate of in-hospital death (P=0.08) or major complications (P=0.89). In a consecutive series of patients who underwent MVR, TA did not seem to have a negative impact on immediate outcome. Hence, additional performance of TA at the time of MVR should not be declined on the basis of an increased surgical risk. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  6. Cretaceous-Paleogene ostracods from the Paraíba Basin, northeastern Brazil

    Science.gov (United States)

    de Lima Barros, Cecília; Piovesan, Enelise Katia; Oliveira Agostinho, Sonia Maria

    2018-04-01

    This work presents a detailed taxonomic study on the marine ostracods from the Paraíba Basin, northeastern Brazil, in wells from the wells Itamaracá-1IT-03-PE and Poty-1PO-01-PE, which record the Maastrichtian-Danian boundary. Besides the taxonomic data, this paper contributes to the paleoenvironmental knowledge of Cretaceous-Paleogene ostracods from the Paraíba Basin. The analysis of 98 samples of the well Itamaracá-1IT-03-PE and 59 samples of the Poty-1PO-01-PE resulted in the record of 34 ostracode species, all representative of a marine environment with normal salinity. Seven new species are proposed: Cytherella centrocompressa sp. nov.; Cytherella paraibensis sp. nov.; Neonesidea potyensis sp. nov.; Bythoceratina spinosa sp. nov.; Eucytherura ventrotuberculata sp. nov.; Langiella fauthi sp. nov. and Protobuntonia punctatum sp. nov.

  7. PALAEOECOLOGICAL CHANGES AFTER THE END-PERMIAN MASS EXTINCTION: EARLY TRIASSIC OSTRACODS FROM NORTHWESTERN GUANGXI PROVINCE,SOUTH CHINA

    Directory of Open Access Journals (Sweden)

    SYLVIE CRASQUIN-SOLEAU

    2006-03-01

    Full Text Available Early Triassic (Griesbachian to Spathian ostracod faunas are here first discovered and described form the Guangxi Province, South China. Thirty-seven species belonging to fourteen genera are recognized. Seven species are new: Bairdia fengshanensis n.sp., Bairdia wailiensis n.sp., Liuzhinia guangxiensis n.sp., Ptychobairdia luciaae n.sp., Ptychobairdia aldaae n.sp., Paracypris jinyaensis n.sp. and Paracypris gaetanii n.sp. The Griesbachian assemblage from the basal microbial limestone is well diversified and does not suggest any abnormal palaeoenvironmental conditions in terms of salinity, temperature or oxygen content. Particularly, the ostracods are typical of well oxygenated water and do not reflect any anoxia. Dienerian and Smithian ostracods are evidenced for the first time and the assemblages suggest less favourable palaeoenviromental conditions. Diversity and abundance of ostracod assemblages recovered from the Spathian on. The main taxonomic turnover among ostracod assemblages occurred seemingly between the Griesbachian and the Spathian.

  8. Ross Versus Non-Ross Aortic Valve Replacement in Children: A 22-Year Single Institution Comparison of Outcomes.

    Science.gov (United States)

    Brown, John W; Patel, Parth M; Ivy Lin, Jiuann-Huey; Habib, Asma S; Rodefeld, Mark D; Turrentine, Mark W

    2016-05-01

    The Ross aortic valve replacement (AVR) has been the AVR of choice for children at our center since 1993. Absence or inadequate quality of the pulmonary valve or, less commonly, family or surgeon preference caused us to select an alternative AVR prosthesis for some children. This review compares the outcomes of 42 children who received a non-Ross AVR with 115 children undergoing Ross root replacement at our institution during the most recent 22 years. A retrospective chart review of the 42 pediatric non-Ross AVRs was compared with 115 Ross AVRs. The mean age at AVR was 11.0 ± 6.5 years (range, 1 month to 18 years) for the non-Ross and 11.4 ± 5.5 years (range, 6 weeks to 18 years) for the Ross groups. Follow-up was 7.8 ± 6.2 years for the Ross group and 8.7 ± 6.5 years for the non-Ross group. The Ross AVR technique was modified in 2000; these modifications were applied to 72 patients (63%) of the total Ross AVR group. All-cause early and late mortality of the non-Ross AVR group was 17% compared with 4% for the Ross cohort (p = 0.017). The actuarial survival rate at 20 years for the non-Ross AVR group was 81% compared with 94% for the Ross group (p = 0.018). Reintervention rate was 29% (12/38) in the non-Ross group and 28% (32/115) in the entire Ross group (60% [26/43] before 2000, and 8% [6/72] after 2000). Thromboemboli, bleeding, and endocarditis occurred in 2.4%, 1.4%, and 10% in the non-Ross group compared with 0.9%, 2.6%, and 1.7% in the Ross AVR group (p = 0.46, 0.01, and 0.02), respectively. Patients in the non-Ross group had a significantly higher recurrent or persistent aortic valve gradient (>20 mm Hg) than did patients in the Ross group at most recent follow-up (p Ross AVR than with other types of AVR prostheses. The Ross AVR remains the treatment of choice for children who have an adequate pulmonary valve. Reoperation for Ross root dilatation, regurgitation, or both (only 6% since our modifications in 2000) has markedly reduced the main drawbacks

  9. Comparison between the SAPIEN S3 and the SAPIEN XT transcatheter heart valves: A single-center experience.

    Science.gov (United States)

    Sawaya, Fadi J; Spaziano, Marco; Lefèvre, Thierry; Roy, Andrew; Garot, Phillippe; Hovasse, Thomas; Neylon, Antoinette; Benamer, Hakim; Romano, Mauro; Unterseeh, Thierry; Morice, Marie-Claude; Chevalier, Bernard

    2016-12-26

    To investigate the clinical outcomes of transcatheter aortic valve implantation (TAVI) with the SAPIEN 3 transcatheter heart valve (S3-THV) vs the SAPIEN XT valve (XT-THV). We retrospectively analyzed 507 patients that underwent TAVI with the XT-THV and 283 patients that received the S3-THV at our institution between March 2010 and December 2015. Thirty-day mortality (3.5% vs 8.7%; OR = 0.44, P = 0.21) and 1-year mortality (25.7% vs 20.1%, P = 0.55) were similar in the S3-THV and the XT-THV groups. The rates of both major vascular complication and paravalvular regurgitation (PVR) > 1 were almost 4 times lower in the S3-THV group than the XT-THV group (major vascular complication: 2.8% vs 9.9%, P 1: 2.4% vs 9.7%, P < 0.0001). However, the rate of new pacemaker implantation was almost twice as high in the S3-THV group (17.3% vs 9.8%, P = 0.03). In the S3 group, independent predictors of new permanent pacemaker were pre-procedural RBBB (OR = 4.9; P = 0.001), pre-procedural PR duration (OR = 1.14, P = 0.05) and device lack of coaxiality (OR = 1.13; P = 0.05) during deployment. The S3-THV is associated to lower rates of major vascular complications and PVR but higher rates of new pacemaker compared to the XT-THV. Sub-optimal visualization of the S3-THV in relation to the aortic valvular complex during deployment is a predictor of new permanent pacemaker.

  10. Valve Repair or Replacement

    Science.gov (United States)

    ... Replacement Menu Topics Topics FAQs Valve Repair or Replacement Heart valves play a key role in this ... leaflets with a tissue patch. What is valve replacement? Severe valve damage means the valve must be ...

  11. Quaternary ostracodes and molluscs from the Rukwa Basin (Tanzania) and their evolutionary and paleobiogeographic implications

    Science.gov (United States)

    Cohen, Andrew S.; Van Bocxlaer, Bert; Todd, Jonathan A.; McGlue, Michael; Michel, Ellinor; Nkotagu, Hudson H.; Grove, A.T.; Delvaux, Damien

    2013-01-01

    Much of the spectacular biodiversity of the African Great Lakes is endemic to single lake basins so that the margins of these basins or their lakes coincide with biogeographic boundaries. Longstanding debate surrounds the evolution of these endemic species, the stability of bioprovinces, and the exchange of faunas between them over geologic time as the rift developed. Because these debates are currently unsettled, we are uncertain of how much existing distribution patterns are determined by modern hydrological barriers versus reflecting past history. This study reports on late Quaternary fossils from the Rukwa Basin and integrates geological and paleoecological data to explore faunal exchange between freshwater bioprovinces, in particular with Lake Tanganyika. Lake Rukwa's water level showed large fluctuations over the last 25 ky, and for most of this period the lake contained large habitat diversity, with different species assemblages and taphonomic controls along its northern and southern shores. Comparison of fossil and modern invertebrate assemblages suggests faunal persistence through the Last Glacial Maximum, but with an extirpation event that occurred in the last 5 ky. Some of the molluscs and ostracodes studied here are closely related to taxa (or part of clades) that are currently endemic to Lake Tanganyika, but others testify to wider and perhaps older faunal exchanges between the Rukwa bioprovince and those of Lake Malawi and the Upper Congo (in particular Lake Mweru). The Rukwa Basin has a long history of rifting and lacustrine conditions and, at least temporarily, its ecosystems appear to have functioned as satellites to Lake Tanganyika in which intralacustrine speciation occurred. Paleontological studies of the Rukwa faunas are particularly relevant because of the basin's important role in the late Cenozoic biogeography of tropical Africa, and because many of the molecular traces potentially revealing this history would have been erased in the late

  12. On two new species of marine Ostracodes in the Carboniferous of Asturias, Spain

    NARCIS (Netherlands)

    Bless, M.J.M.

    1965-01-01

    This note is the result of a preliminary investigation made in the summer of 1964. During that season the author visited the coal-mine ”Villoria” of ”Cementos Fradera S.A.” (Asturias, Spain) in order to collect specimens of Carboniferous ostracodes. Two new species of Hollinella were found and are

  13. A LATE TRIASSIC OSTRACOD ASSEMBLAGE FROM THE QUATTERVALS NAPPE (AUSTROALPINE, NORTHERN ITALY

    Directory of Open Access Journals (Sweden)

    SYLVIE CRASQUIN-SOLEAU

    2000-07-01

    Full Text Available The up to 1200 m thick Norian succession of the Quattervals Nappe (Central Austroalpine, Italy documents a tectonically-driven passage from intertidal facies (Dolomia Principale-Hauptdolomit, represented by early-dolomitized bedded to massive gray dolostones, to intraplatform basin sediments (Pra Grata Formation and Quattervals Limestone, consisting of resedimented dark limestones and thin bedded laminated limestones, alternating (mainly in the Pra Grata Formation with intraformational breccias containing abundant shallow-water facies. The transitional and basinal facies contain an interesting ostracod assemblage, beside bioclastic layers containing shallow-water and upper slope skeletal grains.The ostracod fauna is rich in specimens belonging to few genera, denoting restricted environmental conditions characterized by variations of salinity and low oxygenation. Despite the intense deformation and recrystallization related to the Alpine tectonics, the paleontological analysis of the ostracod assemblage from the base of the Quattervals Limestone, allowed the identification of the two new species of ostracods Rhombocythere dimorphica and Kerocythere quattervalsi in association with other already known forms. 

  14. Robotic mitral valve replacement: A single center, medium-long term follow-up of 43 cases

    Directory of Open Access Journals (Sweden)

    Guo-peng LIU

    2017-08-01

    Full Text Available Objective To summarize the surgical experience gained from robotic mitral valve replacement (MVR, and demonstrate the long-term clinical follow-up results. Methods From Jan. 2007 to Jan. 2015, more than 700 patients underwent various types of robotic cardiac surgery in the Department the authors served in, and of them 43 patients underwent robotic MVR with da Vinci Surgical System (Intuitive Surgical, USA. Among the 43 patients, the average age was 47±11 years (ranged 19-65 years, and sex ratio (female to male was 0.8:1. Six patients were with heart function of NYHA class Ⅰ, 30 patients were of NYHA class Ⅱ and 7 patients were of NYHA class Ⅲ. The left ventricular ejection fraction (LVEF were 54%-78% (64.0%±7.1%, and 20 patients had atrial fibrillation on admission, and 35 patients were with rheumatic mitral stenosis (MS. Atrial septal defect (0.7cm in size co-existed in 1 case and 1 patient had mild aortic regurgitation. Mechanical or bioprosthetic mitral valve was replaced via left atriotomy by using da Vinci robotic surgical system after cardiopulmonary bypass (CPB set-up. Radiopaque titan clips was employed by Cor-Knot knot-tying device (LSI Solutions, Inc, Victor, NY to anchor the prosthetic valve. Trans-esophageal echocardiography (TEE was performed before and after surgery. The operative data were collected and patients were followed up at outpatient clinic regularly up to 6 years. Results All cases were performed successfully with the same surgery. No conversion to median sternotomy or operative mortality occurred. The average operation time was 292±62 minutes (ranged 140-450 minutes with CPB time of 124±26 minutes and aortic occlusion time of 88±21 minutes. The postoperative mechanical ventilation support time was continued for 15±6 hours, and the average staying length in critical care unit was 4±1 days. No myocardial infarction, ventricular tachycardia or excessive bleeding was complicated. All patients were successfully

  15. The outcome after aortic valve-sparing (David) operation in 179 patients: a single-centre experience.

    Science.gov (United States)

    Leontyev, Sergey; Trommer, Constanze; Subramanian, Sreekumar; Lehmann, Sven; Dmitrieva, Yaroslava; Misfeld, Martin; Mohr, Friedrich W; Borger, Michael A

    2012-08-01

    The David aortic valve-sparing reimplantation (AVr-D) operation is increasingly being used in patients with aortic root aneurysmal disease and pliable aortic cusps. The objective of this study was to assess our early and medium-term outcomes with the AVr-D operation. Between 2003 and 2011, a total of 179 patients underwent AVr-D procedures. The mean patient age was 49.7 ± 15.1 years, and 23.5% (n = 42) were females. Marfan syndrome was present in 17.3% of patients (n = 31), and acute Type A aortic dissection in 15.6% (n = 28). Clinical follow-up was 100% complete and was 1.8 ± 1.6 years (0 days to 7.5 years) long. Echocardiographic follow-up was performed 2.2 ± 1.5 years (0 days to 7.5 years) postoperatively and was 77% complete. Early mortality was 1.1% (n = 2), with both deaths occurring in patients with Type A dissection. Pre-discharge echocardiography revealed no patients with >2+ aortic insufficiency (AI), 19.6% of patients (n = 34) with 1+ or 2+ AI and 80.4% of patients (n = 145) with trace or no AI. Left ventricular end-diastolic diameters decreased significantly from 5.6 ± 0.9 to 5.1 ± 0.8 cm early postoperatively (P valve re-replacement during follow-up, two due to early endocarditis and two due to non-coronary leaflet prolapse in Marfan patients. Five-year freedom from aortic valve reoperation was 95.9 ± 2.0%. AVr-D is associated with a low mortality and morbidity rate, even in patients with Type A aortic dissection. Although a slightly higher rate of recurrent AI may be present in patients with Marfan syndrome, freedom from recurrent AI and reoperation remains excellent during medium-term follow-up. The David operation should be considered the gold standard for patients with proximal aortic root pathology (aneurysm or dissection) and pliable aortic cusps.

  16. Nuclear radiation actuated valve

    Science.gov (United States)

    Christiansen, David W.; Schively, Dixon P.

    1985-01-01

    A nuclear radiation actuated valve for a nuclear reactor. The valve has a valve first part (such as a valve rod with piston) and a valve second part (such as a valve tube surrounding the valve rod, with the valve tube having side slots surrounding the piston). Both valve parts have known nuclear radiation swelling characteristics. The valve's first part is positioned to receive nuclear radiation from the nuclear reactor's fuel region. The valve's second part is positioned so that its nuclear radiation induced swelling is different from that of the valve's first part. The valve's second part also is positioned so that the valve's first and second parts create a valve orifice which changes in size due to the different nuclear radiation caused swelling of the valve's first part compared to the valve's second part. The valve may be used in a nuclear reactor's core coolant system.

  17. Analysis of Effect of Inlet Swirl In Four Stroke Single Cylinder Diesel Engine With Different Inlet Valve Geometries Using CFD

    Science.gov (United States)

    Gobinath, R.; Mathiselvan, G.; Kumarasubramanian, R.

    2017-05-01

    Flow patterns are essential to ensure that the engine can produce high performance with the presence of swirl and tumble effect inside the engine cylinder. This paper provides the simulation of air is simulated in the software to predict the flow pattern. The flow pattern is simulated by using the steady state pressure based solver. The domain used for the simulations predicated on the particular engine parameters. Mistreatment the CFD problem solver ANSYS FLUENT, the CFD simulation is earned for four totally different geometries of the valve. The geometries consist of Horizontal, Vertical, curve and arc springs. In this simulation, only the intake strokes are simulated. From this results show that the velocity of the air flow is high during the sweeps the intake stroke takes place. This situation is produced more swirls and tumble effect during the compression, hence enhancing the combustion rate in a whole region of the clearance volume of the engine cylinder. This will initiate to the production of tumble and swirl in the engine cylinder.

  18. Two new species of suctorians, Acineta satyanandani sp. nov. and Paracineta karunakarani sp. nov. epizoic on ostracods

    Digital Repository Service at National Institute of Oceanography (India)

    Santhakumari, V.

    Two, species of protozoic suctorians, Acineta satyanandani sp. nov. and Paracineta karunakarani sp. nov., are described. These were found attached on the body of the marine ostracod, Cypridina dentata (Muller), collected from the shelf and slope...

  19. Late Miocene/Pliocene Ostracod Biostratigraphy from South Carpathian Foredeep, Romania (Badislava-Topolog Area)

    Science.gov (United States)

    Floroiu, Alina; Stoica, Marius; Vasiliev, Iuliana; Krijgsman, Wout

    2016-04-01

    The Paratethys epicontinental sea has been an essential paleogeographic feature defining the Eurasian interior since Oligocene. By the end of the Miocene, ongoing tectonic activity in the region determined severe restrictions of the connection of the large former Paratethys sea resulting in the formation of several smaller subbasins: the Pannonian basin, the Dacian basin, the Black Sea and the Caspian Sea. In the western part of the Dacian Basin, the thick and continuous Mio-Pliocene sedimentary successions of the Getic Depression of Romania provide an exceptional opportunity to study the paleoecological changes in the Eastern Paratethys during the time when the Mediterranean and Black Sea experienced important sea level changes related to the Messinian Salinity Crisis. These sedimentary successions were the basis of high-resolution magnetobiostratigraphic studies that allow a detailed correlation to the Geological Time Scale. Here, we present the main characteristics of the ostracod assemblages of the Late Miocene/Pliocene sedimentary succession from Badislava-Topolog section covering the Eastern Paratethys regional Maeotian and Pontian, stages that are, at moment, under ongoing formal stratigraphic definition process. The Mio-Pliocene is exposed in the central part of the Getic Depression, especially Topolog-Arges area, where it riches up to 500 m in thickness being incorporated into a large monocline structure with 15o-20o plungeto the south. The Upper Maeotian deposits from the area have developed mainly in fluviatile-deltaic facies with frequent continental intercalations. The ostracod assemblage is represented by rare fresh water ostracods of Candona, Pseudocandona and Ilyocypris genera, capable to populate unstable environments like flood-plains, lakes and rivers with temporary existence. The scarce Maeotian ostracod fauna from this marginal section differs essentially from the more diversified one of the same age recorded in areas that evolved in basinal

  20. Incidence, feasibility and outcome of percutaneous coronary intervention after transcatheter aortic valve implantation with a self-expanding prosthesis. Results from a single center experience.

    Science.gov (United States)

    Allali, Abdelhakim; El-Mawardy, Mohamed; Schwarz, Bettina; Sato, Takao; Geist, Volker; Toelg, Ralph; Richardt, Gert; Abdel-Wahab, Mohamed

    2016-09-01

    Percutaneous coronary intervention (PCI) after transcatheter aortic valve implantation (TAVI) can become technically challenging after implantation of the self-expanding Medtronic CoreValve (MCV) device, which completely covers the aortic root. The aim of this study was to report on the incidence, feasibility and outcome of PCI after TAVI with the MCV device. Between 2007 and 2014, all patients subjected to PCI after MCV implantation in a single-center institutional TAVI database were retrospectively identified. Clinical, angiographic and procedural characteristics were reviewed and analyzed. We identified a total of 17 patients (5.7%) treated with 24 PCI procedures for 29 lesions at a median of 17.7months (range 1-72) after MCV implantation. The mean age was 79.7±6.8years and the mean logistic EuroSCORE was 30.3%±18.9%. Nine procedures were performed for patients with acute coronary syndrome. 89.6% of the treated lesions were of type B2/C and 79.3% were de novo ones. A median of one guiding catheter was necessary to intubate the target coronary ostium (range 1-10) and 95% of the lesions on the left coronary artery were treated through a Judkins catheter. In one primary PCI for STEMI the intubation of the right coronary ostium was not successful. Final procedural success was obtained in 95.8%, and peri-procedural death occurred in one patient. The need for PCI after MCV is not uncommon and is mostly related to coronary artery disease progression. PCI after MCV is usually feasible and safe, but coronary intubation in an emergency setting can be challenging. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. Single calibration multiplane stereo-PIV: the effect of mitral valve orientation on three-dimensional flow in a left ventricle model

    Science.gov (United States)

    Saaid, Hicham; Segers, Patrick; Novara, Matteo; Claessens, Tom; Verdonck, Pascal

    2018-03-01

    The characterization of flow patterns in the left ventricle may help the development and interpretation of flow-based parameters of cardiac function and (patho-)physiology. Yet, in vivo visualization of highly dynamic three-dimensional flow patterns in an opaque and moving chamber is a challenging task. This has been shown in several recent multidisciplinary studies where in vivo imaging methods are often complemented by in silico solutions, or by in vitro methods. Because of its distinctive features, particle image velocimetry (PIV) has been extensively used to investigate flow dynamics in the cardiovascular field. However, full volumetric PIV data in a dynamically changing geometry such as the left ventricle remain extremely scarce, which justifies the present study. An investigation of the left ventricle flow making use of a customized cardiovascular simulator is presented; a multiplane scanning-stereoscopic PIV setup is used, which allows for the measurement of independent planes across the measurement volume. Due to the accuracy in traversing the illumination and imaging systems, the present setup allows to reconstruct the flow in a 3D volume performing only one single calibration. The effects of the orientation of a prosthetic mitral valve in anatomical and anti-anatomical configurations have been investigated during the diastolic filling time. The measurement is performed in a phase-locked manner; the mean velocity components are presented together with the vorticity and turbulent kinetic energy maps. The reconstructed 3D flow structures downstream the bileaflet mitral valve are shown, which provides additional insight of the highly three-dimensional flow.

  2. The role of the heart team in complicated transcatheter aortic valve implantation: a 7-year single-centre experience.

    Science.gov (United States)

    Kiefer, Philipp; Seeburger, Jörg; Noack, Thilo; Schröter, Thomas; Linke, Axel; Schuler, Gerhard; Haensig, Martin; Vollroth, Marcel; Mohr, Friedrich-Wilhelm; Holzhey, David Michael

    2015-06-01

    European guidelines recommend to perform transcatheter aortic valve implantation (TAVI) within a multidisciplinary heart team. However, there is a strong drive--despite existing guidelines--to perform TAVI outside of specialized centres. The aim of this study was to clarify the necessity of on-site cardiac surgery by providing a clear insight into the complications during/after TAVI that needed surgical management. A total of 2287 (1523 transfemoral, 752 transapical and 12 transaortic) patients, with a mean age of 84.5 ± 5.3 years, and a mean log EuroSCORE of 21.7 ± 16.3, of which 205 were female (84%), underwent TAVI since February 2006 at our institution. All procedure-related complications that required surgical interventions, whether immediate or delayed but within the initial hospital stay, were recorded and retrospectively analysed. Out of this cohort, 245 (10.7%) patients required surgical treatment due to major complications. A total of 42 patients (1.8%) underwent conversion to full sternotomy and 27 (1.2%) were dependent on the short-term use of the heart-lung machine. Vascular complications with surgical intervention were seen in 85 patients (3.7%), 54 patients (2.4%) had to have a rethoracotomy within their initial stay and 15 (0.7%) required a cardiac reoperation. Severe complications during TAVI that can only be resolved surgically will continue to occur. Therefore, each TAVI procedure should be conducted or accompanied by a cardiac surgeon and an experienced team within a specialized centre. © The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  3. Prosthetic valve endocarditis after transcatheter aortic valve implantation

    DEFF Research Database (Denmark)

    Olsen, Niels Thue; De Backer, Ole; Thyregod, Hans G H

    2015-01-01

    or worse postprocedural paravalvular regurgitation (hazard ratio, 4.0 [1.5-11]), implantation of >1 prosthesis (hazard ratio, 5.2 [1.5-18]), and any vascular complication (hazard ratio, 3.8 [1.5-9.8]). CONCLUSIONS: TAVI-PVE occurred at a slightly higher rate than reported for surgically implanted valves...... risk factors. METHODS AND RESULTS: Observational single-center study of 509 consecutive patients treated with a transcatheter implanted self-expandable aortic valve prosthesis (Medtronic CoreValve). We identified 18 patients diagnosed with TAVI-PVE during a median follow-up period of 1.4 years...

  4. {Carbon and oxygen isotope signals from marine ostracod calcite - results from present and past oceans}

    Science.gov (United States)

    Bornemann, A.; Speijer, R. P.

    2009-04-01

    Systematic stable isotope studies on ostracod calcite are generally rare, in particular for marine taxa only the work of DIDIÉ & BAUCH (2002) provides first clues towards an improved understanding of ostracod stable isotope data in paleoceanography. Here we present analyses from recent near surface sediments from the Gulf of Taranto, the Levantine Basin (15 ka, both Mediterranean Sea) and the Paleocene of Tunisia (southern Tethyan margin). Data are compared to those from selected benthic foraminiferal taxa from which the living habitat and the isotopic disequilibria from ambient sea-water are well known. In addition, size fractions of monospecific samples have been studied in order to test whether a size/mass dependent change exists with respect to the isotopic composition of the carapace calcite. Calcification of ostracod carapaces is a very rapid process, which often takes place within a few hours and the obtained signal provides only a snap-shot of the prevailing paleoceanographic conditions. Multiple mono-specific measurements show therefore a much higher variability than benthic foraminifera, but may give a more complete picture of the seasonal changes. Our study confirms the findings of DIDIÉ & BAUCH (2002) and others (for non-marine taxa) that ostracod calcite displays a positive species-specific deviation from the sea-water ^18O composition between 0.5 and 1.5 per mil with an intra-specific variability of less than 0.5 per mil. In contrast ^13C values cover a huge range with an off-set from sea-water of up to -5 per mil and show a high intra-specific variability of up to 2 per mil. Size-fraction data show no systematic change, although a statistically significant positive covariance between ^18O and ^13C has been observed. This covariance consists of a slope similar to a kinetic controlled fractionation as has been described from asymbiotic planktic foraminifera (Globigerina bulloides) and corals (MCCONNAUGHEY, 1989; SPERO & LEA, 1996). This suggests that

  5. Famennian ostracods from the Istanbul zone (Gebze, Kocaeli, NW Turkey) and their paleogeographical relations

    Science.gov (United States)

    Nazik, Atike; Çapkinoǧlu, Şenol; Şeker, Emine

    2012-11-01

    Famennian (Late Devonian) ostracods of the Thuringian Mega-Assemblage were recovered for the first time from three incomplete sections of the Ayineburnu Member of the Büyükada Formation in the Denizliköy area (Gebze, NW Turkey), which were sampled for conodonts. Conodont faunas define an interval extending from the Upper rhomboidea? or Lower marginifera Zone into the Middle expansa Zone of the standard Upper Devonian conodont zonation. The ostracod faunas found here consist of species mainly with thin-walls, long spines and often smooth surfaces such as Rectonaria, Tricornina, Orthonaria, Triplacera, Beckerhealdia, Timorhealdia, Bohemina, Paraberounella and Acratia. These taxa indicate faunal relationship with Thuringia and the Rhenish Massif in Germany, the Cantabrian Mountains and Pyrenees in Spain, Holy Cross Mountains in Poland, North Africa and China.

  6. The Freedom SOLO bovine pericardial stentless valve

    Directory of Open Access Journals (Sweden)

    Stanger O

    2014-12-01

    Full Text Available Olaf Stanger, Hendrik Tevaearai, Thierry Carrel Clinic for Cardiovascular Surgery, University Hospital Berne, Switzerland Abstract: The third-generation bovine pericardium Freedom SOLO (FS stentless valve emerged in 2004 as a modified version of the Pericarbon Freedom stentless valve and as a very attractive alternative to stented bioprostheses. The design, choice of tissue, and anticalcification treatment fulfill most, if not all, requirements for an ideal valve substitute. The FS combines the single-suture, subcoronary implantation technique with the latest-generation bovine pericardial tissue and novel anticalcification treatment. The design allows imitation of the native healthy valve through unrestricted adaption to the patient's anatomy, reproducing a normal valve/root complex. However, despite hemodynamic performance superior to stented valves, we are approaching a critical observation period as superior durability, freedom from structural valve deterioration, and nonstructural failure has not been proven as expected. However, optimal performance and freedom from structural valve deterioration depend on correct sizing and perfect symmetric implantation, to ensure low leaflet stress. Any malpositioning can lead to tissue fatigue over time. Furthermore, the potential for better outcomes depends on optimal patient selection and observance of the limitations for the use of stentless valves, particularly for the FS. Clearly, stentless valve implantation techniques are less reproducible and standardized, and require surgeon-dependent experience and skill. Regardless of whether or not stentless valve durability surpasses third-generation stented bioprostheses, they will continue to play a role in the surgical repertoire. This review intends to help practitioners avoid pitfalls, observe limitations, and improve patient selection for optimal long-term outcome with the attractive FS stentless valve. Keywords: aortic valve, bioprosthesis, cardiac

  7. Concomitant anterior and posterior urethral valves in pediatrics: A single center experience over 12 years and long-term follow up after endoscopic treatment.

    Science.gov (United States)

    Kajbafzadeh, Abdol-Mohammad; Hosseini Sharifi, Seyed Hossein; Keihani, Sorena; Soltani, Mohammad Hossein; Tajali, Afshin; Salavati, Alborz; Payabvash, Seyedmehdi; Mehdizadeh, Mehrzad

    2015-05-01

    To report our 12-year experience with endoscopic management of patients with concomitant anterior and posterior urethral valves. We retrospectively reviewed the charts of patients referred to us for management of urethral valves from 2000 to 2012 to find cases with concomitant anterior and posterior valves. The diagnosis of valves was first suspected on voiding cystourethrography and confirmed by urethrocystoscopy. We collected available data on patients' age at diagnosis, clinical presentations, ultrasound and urodynamic findings, and surgical treatments. The final outcome at last follow up was also recorded. From 38 cases with anterior urethral valve, six (15.8%) presented concomitant anterior and posterior valves. The age at diagnosis in these patients ranged from antenatal diagnosis to 13 years. Initial presenting symptoms were recurrent urinary tract infection, incontinence, urosepsis and poor urinary stream. All valves were ablated by transurethral fulguration/resection using small-sized urethrocystoscopes. Among those with concomitant anterior and posterior valves, four patients had vesicoureteral reflux at presentation that resolved in two patients after valve ablation. One patient progressed to renal failure and required dialysis. Bladder hypercontractility and detrusor overactivity were the main urodynamic patterns in these patients. Concomitant anterior and posterior valves seem to be more prevalent than previously assumed, and might be missed on initial assessment. Oblique view voiding cystourethrography with full-length delineation of the urethra is of paramount diagnostic importance when obstruction is suspected. A meticulous urethrocystoscopy should follow for confirming the diagnosis and endoscopic ablation/resection of the valves. © 2015 The Japanese Urological Association.

  8. Cold-seep ostracods from the western Svalbard margin: direct palaeo-indicator for methane seepage?

    Science.gov (United States)

    Yasuhara, Moriaki; Sztybor, Kamila; Rasmussen, Tine L.; Okahashi, Hisayo; Sato, Runa; Tanaka, Hayato

    2018-01-01

    Despite their high abundance and diversity, microfossil taxa adapted to a particular chemosynthetic environment have rarely been studied and are therefore poorly known. Here we report on an ostracod species, Rosaliella svalbardensis gen. et sp. nov., from a cold methane seep site at the western Svalbard margin, Fram Strait. The new species shows a distinct morphology, different from other eucytherurine ostracod genera. It has a marked similarity to Xylocythere, an ostracod genus known from chemosynthetic environments of wood falls and hydrothermal vents. Rosaliella svalbardensis is probably an endemic species or genus linked to methane seeps. We speculate that the surface ornamentation of pore clusters, secondary reticulation, and pit clusters may be related to ectosymbiosis with chemoautotrophic bacteria. This new discovery of specialized microfossil taxa is important because they can be used as an indicator species for past and present seep environments (http://zoobank.org/urn:lsid:zoobank.org:pub:6075FF30-29D5-4DAB-9141-AE722CD3A69B" target="_blank">http://zoobank.org/urn:lsid:zoobank.org:pub:6075FF30-29D5-4DAB-9141-AE722CD3A69B).

  9. Marine ostracod provinciality in the Late Ordovician of palaeocontinental Laurentia and its environmental and geographical expression.

    Directory of Open Access Journals (Sweden)

    Mohibullah Mohibullah

    Full Text Available BACKGROUND: We examine the environmental, climatic and geographical controls on tropical ostracod distribution in the marine Ordovician of North America. METHODOLOGY/PRINCIPAL FINDINGS: Analysis of the inter-regional distribution patterns of Ordovician Laurentian ostracods, focussing particularly on the diverse Late Ordovician Sandbian (ca 461 to 456 Ma faunas, demonstrates strong endemicity at the species-level. Local endemism is very pronounced, ranging from 25% (e.g. Foxe basin to 75% (e.g. Michigan basin in each basin, a pattern that is also reflected in other benthic faunas such as brachiopods. Multivariate (ordination analyses of the ostracod faunas allow demarcation of a Midcontinent Province and a southern Marginal Province in Laurentia. While these are most clearly differentiated at the stratigraphical level of the bicornis graptolite biozone, analyses of the entire dataset suggest that these provinces remain distinct throughout the Sandbian interval. Differences in species composition between the provinces appear to have been controlled by changes in physical parameters (e.g. temperature and salinity related to water depth and latitude and a possible regional geographic barrier, and these differences persist into the Katian and possibly the Hirnantian. Local environmental parameters, perhaps operating at the microhabitat scale, may have been significant in driving local speciation events from ancestor species in each region. CONCLUSIONS/SIGNIFICANCE: Our work establishes a refined methodology for assessing marine benthic arthropod micro-benthos provinciality for the Early Palaeozoic.

  10. Subcellular preservation in giant ostracod sperm from an early Miocene cave deposit in Australia.

    Science.gov (United States)

    Matzke-Karasz, Renate; Neil, John V; Smith, Robin J; Symonová, Radka; Mořkovský, Libor; Archer, Michael; Hand, Suzanne J; Cloetens, Peter; Tafforeau, Paul

    2014-07-07

    Cypridoidean ostracods are one of a number of animal taxa that reproduce with giant sperm, up to 10 000 µm in length, but they are the only group to have aflagellate, filamentous giant sperm. The evolution and function of this highly unusual feature of reproduction with giant sperm are currently unknown. The hypothesis of long-term evolutionary persistence of this kind of reproduction has never been tested. We here report giant sperm discovered by propagation phase contrast X-ray synchrotron micro- and nanotomography, preserved in five Miocene ostracod specimens from Queensland, Australia. The specimens belong to the species Heterocypris collaris Matzke-Karasz et al. 2013 (one male and three females) and Newnhamia mckenziana Matzke-Karasz et al. 2013 (one female). The sperm are not only the oldest petrified gametes on record, but include three-dimensional subcellular preservation. We provide direct evidence that giant sperm have been a feature of this taxon for at least 16 Myr and provide an additional criterion (i.e. longevity) to test hypotheses relating to origin and function of giant sperm in the animal kingdom. We further argue that the highly resistant, most probably chitinous coats of giant ostracod sperm may play a role in delaying decay processes, favouring early mineralization of soft tissue. © 2014 The Author(s) Published by the Royal Society. All rights reserved.

  11. Diseases of the Tricuspid Valve

    Science.gov (United States)

    ... Valve Menu Topics Topics FAQs Diseases of the Tricuspid Valve Diseases of the heart valves are grouped according to ... heart valves , tricuspid incompetence , tricuspid insufficiency , tricuspid regurgitation , tricuspid ... Links MedlinePlus | Tricuspid Regurgitation Valve Disease Valve ...

  12. Variable Valve Actuation

    Energy Technology Data Exchange (ETDEWEB)

    Jeffrey Gutterman; A. J. Lasley

    2008-08-31

    the mechanism it was determined that the single cam design did not have enough flexibility to satisfy three critical OEM requirements simultaneously, (maximum valve lift variation, intake valve opening timing and valve closing duration), and a new approach would be necessary. After numerous internal design reviews including several with the OEM a dual cam design was developed that had the flexibility to meet all motion requirements. The second cam added complexity to the mechanism however the cost was offset by the deletion of the electric motor required in the previous design. New patent applications including detailed drawings and potential valve motion profiles were generated and alternate two cam designs were proposed and evaluated for function, cost, reliability and durability. Hardware was designed and built and testing of sample hardware was successfully completed on an engine test stand. The mechanism developed during the course of this investigation can be applied by Original Equipment Manufacturers, (OEM), to their advanced diesel engines with the ultimate goal of reducing emissions and improving fuel economy. The objectives are: (1) Develop an optimal, cost effective, variable valve actuation (VVA) system for advanced low temperature diesel combustion processes. (2) Design and model alternative mechanical approaches and down-select for optimum design. (3) Build and demonstrate a mechanism capable of application on running engines.

  13. Valve's Way

    DEFF Research Database (Denmark)

    Foss, Nicolai Juul; Dobrajska, Magdalena

    2015-01-01

    Puranam and Håkonsson (2015) challenge us to ponder what we as organization design theorists make of Valve’s way (see also Jeppesen, 2008). We believe that Valve, in spite of its radical vision, does not represent a challenge to fundamental organization design theory and that it is questionable...

  14. Vacuum Valve

    CERN Multimedia

    1974-01-01

    This valve was used in the Intersecting Storage Rings (ISR) to protect against the shock waves that would be caused if air were to enter the vacuum tube. Some of the ISR chambers were very fragile, with very thin walls - a design required by physicists on the lookout for new particles.

  15. 3D Printed Multimaterial Microfluidic Valve.

    Directory of Open Access Journals (Sweden)

    Steven J Keating

    Full Text Available We present a novel 3D printed multimaterial microfluidic proportional valve. The microfluidic valve is a fundamental primitive that enables the development of programmable, automated devices for controlling fluids in a precise manner. We discuss valve characterization results, as well as exploratory design variations in channel width, membrane thickness, and membrane stiffness. Compared to previous single material 3D printed valves that are stiff, these printed valves constrain fluidic deformation spatially, through combinations of stiff and flexible materials, to enable intricate geometries in an actuated, functionally graded device. Research presented marks a shift towards 3D printing multi-property programmable fluidic devices in a single step, in which integrated multimaterial valves can be used to control complex fluidic reactions for a variety of applications, including DNA assembly and analysis, continuous sampling and sensing, and soft robotics.

  16. Haemodynamic consequences of targeted single- and dual-site right ventricular pacing in adults with congenital heart disease undergoing surgical pulmonary valve replacement

    Science.gov (United States)

    Plymen, Carla M.; Finlay, Malcolm; Tsang, Victor; O'leary, Justin; Picaut, Nathalie; Cullen, Shay; Walker, Fiona; Deanfield, John E; Hsia, T.Y.; Bolger, Aidan P.; Lambiase, Pier D.

    2015-01-01

    Aims The purpose of this study was to create an epicardial electroanatomic map of the right ventricle (RV) and then apply post-operative-targeted single- and dual-site RV temporary pacing with measurement of haemodynamic parameters. Cardiac resynchronization therapy is an established treatment for symptomatic left ventricular (LV) dysfunction. In congenital heart disease, RV dysfunction is a common cause of morbidity—little is known regarding the potential benefits of CRT in this setting. Methods and results Sixteen adults (age = 32 ± 8 years; 6 M, 10 F) with right bundle branch block (RBBB) and repaired tetralogy of Fallot (n = 8) or corrected congenital pulmonary stenosis (n = 8) undergoing surgical pulmonary valve replacement (PVR) for pulmonary regurgitation underwent epicardial RV mapping and haemodynamic assessment of random pacing configurations including the site of latest RV activation. The pre-operative pulmonary regurgitant fraction was 49 ± 10%; mean LV end-diastolic volume (EDV) 85 ± 19 mL/min/m2 and RVEDV 183 ± 89 mL/min/m2 on cardiac magnetic resonance imaging. The mean pre-operative QRS duration is 136 ± 26 ms. The commonest site of latest activation was the RV free wall and DDD pacing here alone or combined with RV apical pacing resulted in significant increases in cardiac output (CO) vs. AAI pacing (P < 0.01 all measures). DDDRV alternative site pacing significantly improved CO by 16% vs. AAI (P = 0.018), and 8.5% vs. DDDRV apical pacing (P = 0.02). Conclusion Single-site RV pacing targeted to the region of latest activation in patients with RBBB undergoing PVR induces acute improvements in haemodynamics and supports the concept of ‘RV CRT’. Targeted pacing in such patients has therapeutic potential both post-operatively and in the long term. PMID:25371427

  17. A continuous 250,000 yr record of oxygen and carbon isotopes in ostracode and bulk-sediment carbonate from Bear Lake, Utah-Idaho

    Science.gov (United States)

    Bright, Jordon; Kaufman, D.S.; Forester, R.M.; Dean, W.E.

    2006-01-01

    Oxygen and carbon isotopes from a continuous, 120-m-long, carbonate-rich core from Bear Lake, Utah-Idaho, document dramatic fluctuations in the hydrologic budget of the lake over the last 250,000 yr. Isotopic analyses of bulk sediment samples capture millennial-scale variability. Ostracode calcite was analyzed from 78 levels, mainly from the upper half of the core where valves are better preserved, to compare the isotopic value of purely endogenic carbonate with the bulk sediment, which comprises both endogenic and detrital components. The long core exhibits three relatively brief intervals with abundant endogenic aragonite (50??10%) and enriched ??18O and ??13C. These intervals are interpreted as warm/dry periods when the lake retracted into a topographically closed basin. We correlate these intervals with the interglacial periods of marine oxygen-isotope stages 1, 5e, and 7a, consistent with the presently available geochronological control. During most of the time represented by the core, the lake was fresher than the modern lake, as evidenced by depleted ??18O and ??13C in bulk-sediment carbonate. ?? 2006 Elsevier Ltd. All rights reserved.

  18. Ostracods (Crustacea) and their palaeoenvironmental implication for the Solimões Formation (Late Miocene; Western Amazonia/Brazil).

    Science.gov (United States)

    Gross, Martin; Ramos, Maria Ines; Caporaletti, Marco; Piller, Werner E

    2013-03-01

    Western Amazonia's landscape and biota were shaped by an enormous wetland during the Miocene epoch. Among the most discussed topics of this ecosystem range the question on the transitory influx of marine waters. Inter alia the occurrence of typically brackish water associated ostracods is repeatedly consulted to infer elevated salinities or even marine ingressions. The taxonomical investigation of ostracod faunas derived from the upper part of the Solimões Formation (Eirunepé; W-Brazil) documents a moderately diverse assemblage (19 species). A wealth of freshwater ostracods (mainly Cytheridella , Penthesilenula ) was found co-occurring with taxa (chiefly Cyprideis ) usually related to marginal marine settings today. The observed faunal compositions as well as constantly very light δ 18 O- and δ 13 C-values obtained by measuring both, the freshwater and brackish water ostracod group, refer to entirely freshwater conditions. These results corroborate with previous sedimentological and palaeontological observations, which proposed a fluvial depositional system for this part of western Amazonia during the Late Miocene. We demonstrate that some endemic, "brackish" water ostracods (i.e., Cyprideis ) have been effectively adapted to freshwater conditions. Thus, their occurrence is no univocal evidence for the influence of brackish or marine waters in western Amazonia during the Miocene.

  19. 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). ...

  20. Quaternary ostracode and foraminiferal biostratigraphy and paleoceanography in the western Arctic Ocean

    Science.gov (United States)

    Cronin, Thomas M.; DeNinno, Lauren H.; Polyak, L.V.; Caverly, Emma K.; Poore, Richard; Brenner, Alec R.; Rodriguez-Lazaro, J.; Marzen, R.E.

    2014-01-01

    The stratigraphic distributions of ostracodes and selected calcareous benthic and planktic foraminiferal species were studied in sediment cores from ~ 700 to 2700 m water depth on the Northwind, Mendeleev, and Lomonosov Ridges in the western Arctic Ocean. Microfaunal records in most cores cover mid- to late Quaternary sediments deposited in the last ~ 600 ka, with one record covering the last ~ 1.5 Ma. Results show a progressive faunal turnover during the mid-Pleistocene transition (MPT, ~ 1.2 to 0.7 Ma) and around the mid-Brunhes event (MBE, ~ 0.4 Ma) reflecting major changes in Arctic Ocean temperature, circulation and sea-ice cover. The observed MPT shift is characterized by the extinction of species that today inhabit the sea-ice free subpolar North Atlantic and/or seasonally sea-ice free Nordic Seas (Echinocythereis sp., Rockalliacf. enigmatica, Krithe cf. aquilonia, Pterygocythereis vannieuwenhuisei). After a very warm interglacial during marine isotope stage (MIS) 11 dominated by the temperate planktic foraminifer Turborotalita egelida, the MBE experienced a shift to polar assemblages characteristic of predominantly perennial Arctic sea-ice cover during the interglacial and interstadial periods of the last 300 ka. These include the planktic foraminifera Neogloboquadrina pachyderma, the sea-ice dwelling ostracodeAcetabulastoma arcticum and associated benthic taxa Pseudocythere caudata,Pedicythere neofluitans, and Polycope spp. Several species can be used as biostratigraphic markers of specific intervals such as ostracodes Rabilimis mirabilis — MIS 5 and P. vannieuwenhuisei extinction after MIS 11, and foraminiferal abundance zones Bulimina aculeata — late MIS 5 and Bolivina arctica — MIS 5-11.

  1. The late glacial–Holocene transition as inferred from ostracod and pollen records in the Lago Piccolo di Avigliana (Northern Italy)

    NARCIS (Netherlands)

    Belis, Claudio A.; Finsinger, W.; Ammann, B.

    2008-01-01

    Ostracod and pollen records of Lago Piccolo di Avigliana were used for the reconstruction of aquatic and terrestrial palaeoenvironments between 17 and 10 kyr cal BP. A combination of multivariate ordination techniques (PCA and RDA) made it possible to describe ostracod and pollen biostratigraphies

  2. Microbiostratigraphy of the Berriasian-Valanginian boundary in eastern Crimea: foraminifers, ostracods, organic-walled dinoflagellate cysts

    Science.gov (United States)

    Savelieva, Yuliya N.; Shurekova, Olga V.; Feodorova, Anna A.; Grishchenko, Vladimir A.; Guzhikov, Andrei Yu.

    2017-08-01

    Thorough study of foraminifers, ostracods and dinoflagellate remnants from the Zavodskaya Balka and Koklyuk sections helps to characterize the detailed biostratigraphic division of the Berriasian / Valanginian boundary sequence in the Feodosiya district of eastern Crimea. The foraminifer and dinocyst associations from the lower part of the sequence are clearly comparable with common Berriasian associations throughout all Mountain Crimea. On the other hand, foraminifer, ostracod and dinocyst associations from its upper part have been recorded only in eastern Crimea. The upper foraminifer level corresponds to the boreal ammonite zones from the Tauricum-Verrucosum (Upper Berriasian-Valanginian). Most of the ostracod species are endemic. The base of the uppermost dinocyst level correlates with the Lower Valanginian Paratollia zone from north-western Europe.

  3. Paleoenvironmental interpretation of the Plio-Pleistocene Kallithea Bay Section, Rhodes, Greece, based on Ostracods

    DEFF Research Database (Denmark)

    Hastrup, Annette; Thomsen, Erik

    2005-01-01

    biofacies. Biofacies I includes the coarse-grained deposits in the lower part of the section. It is associated with species of Xestoleberis, Aurila, Callistocythere and other shallow-water ostracods. Biofacies II occupies the central part of the section. It is associated with species that today live mainly...... and III are intermixed with a large number of shallow-water species belonging mainly to Xestoleberis, Aurila, and Semicytherura. The shallow-water species consist almost exclusively of juvenile specimens and they are probably allochthonous. A number of laminated beds in the upper part of the section...

  4. Pump arrangement Comprising a Savety Valve

    OpenAIRE

    Richter, M.; Kruckow, J.

    2009-01-01

    A pump arrangement comprises a pump (20) having a pump inlet (22) and a pump outlet (24), which are designed to pump a fluid from the pump inlet to the pump outlet, and it further comprises a safety valve (40), which is disposed between the pump outlet (24) and an outlet (48) of the pump arrangement and comprises a valve set (42) and a valve cover (44). The valve seat, the pump outlet, and the pump inlet are structured in a first surface of a first single-piece part (14) of the pump arrangeme...

  5. Transcatheter aortic valve replacement

    Science.gov (United States)

    ... gov/ency/article/007684.htm Transcatheter aortic valve replacement To use the sharing features on this page, please enable JavaScript. Transcatheter aortic valve replacement (TAVR) is surgery to replace the aortic valve. ...

  6. Aortic Valve Disease

    Science.gov (United States)

    ... It is then replaced with an artificial valve (prosthesis). There are two valve options for aortic valve ... place, the catheter will be withdrawn from your body through the original access point. Because not all ...

  7. Ostracods (Crustacea associated with microbialites across the Permian-Triassic boundary in Dajiang (Guizhou Province, South China

    Directory of Open Access Journals (Sweden)

    Marie-Beatrice FOREL

    2012-08-01

    Full Text Available 26 samples were processed for a taxonomic study of ostracods from the Upper Permian (Changhsingian - Lower Triassic (Griesbachian interval of the Dajiang section, Guizhou Province, South China. 112 species belonging to 27 genera are recognized. Five new species are described: Acratia candyae sp. nov, Bairdia adelineae sp. nov., Bairdia? huberti sp. nov., Bairdia jeromei sp. nov., Orthobairdia jeanlouisi sp. nov. The unexpected survival faunas associated with microbial formations in the aftermath of the end-Permian extinction are documented for the first time. Ostracod biodiversity variations and palaeo-environmental modifications associated with microbial growth through the Permian-Triassic boundary (PTB are discussed.

  8. What Is Heart Valve Disease?

    Science.gov (United States)

    ... Heart Valves Sometimes heart valves can’t be repaired and must be replaced. This surgery involves removing the faulty valve and replacing it with a man-made or biological valve. Biological valves are made ...

  9. Influence of the single EGR valve usability on development of the charge directed to individual cylinders of an internal combustion engine

    Directory of Open Access Journals (Sweden)

    Krakowian Konrad

    2017-01-01

    Full Text Available Exhaust gas recirculation systems (EGR, aside to a catalytic converters, are nowadays widely used in piston internal combustion engines to reduce nitrogen oxides (NOx in the exhaust gas. They are characterized in that a portion of exhaust gases from the exhaust manifold is recirculated (via a condenser, and directed to a particular valve. The valve, depending on the current engine load and speed, doses the appropriate amount of exhaust gas into the exhaust manifold. Moreover, its location has a significant impact on the diverse formation of nitrogen oxides and fumes smokiness from the individual cylinders of the engine, which is a result of uneven propagation of exhaust gas into the channels of the intake manifold. This article contains the results of numerical characterized charges formed in symmetrical intake manifold with a centrally–placed EGR valve. Simulations were performed for the original intake system derived from the two-liter, turbocharged VW diesel engine.

  10. Influence of the single EGR valve usability on development of the charge directed to individual cylinders of an internal combustion engine

    Science.gov (United States)

    Krakowian, Konrad; Kaźmierczak, Andrzej; Górniak, Aleksander; Wróbel, Radosław

    2017-11-01

    Exhaust gas recirculation systems (EGR), aside to a catalytic converters, are nowadays widely used in piston internal combustion engines to reduce nitrogen oxides (NOx) in the exhaust gas. They are characterized in that a portion of exhaust gases from the exhaust manifold is recirculated (via a condenser), and directed to a particular valve. The valve, depending on the current engine load and speed, doses the appropriate amount of exhaust gas into the exhaust manifold. Moreover, its location has a significant impact on the diverse formation of nitrogen oxides and fumes smokiness from the individual cylinders of the engine, which is a result of uneven propagation of exhaust gas into the channels of the intake manifold. This article contains the results of numerical characterized charges formed in symmetrical intake manifold with a centrally-placed EGR valve. Simulations were performed for the original intake system derived from the two-liter, turbocharged VW diesel engine.

  11. Investigations on pneumatically forced-actuated compressor valves

    Science.gov (United States)

    Stöckel, Christian; Thomas, Christiane; Nickl, Jörg; Hesse, Ullrich

    2017-08-01

    In the present paper the performance of a novel designed valve for reciprocating piston machines is investigated, which makes existing compressors utilizable for operating as expander. Three design parameters were identified as critical for the valves performance particularly in forced actuated mode. Within a numerical simulation a study on the crucial geometrical parameters, the influence could be observed. Afterwards the experimental setup for the integral test of the valve design is presented and also additional tests for single valve components.

  12. Selective patient experience with the Blom-Singer Dual Valve voice prosthesis.

    Science.gov (United States)

    Brownlee, Ben; Ahmad, Saniya; Grammer, Tracy; Krempl, Greg

    2018-02-01

    This study compares the overall durability, phonation effort, and speech quality achieved by the Blom-Singer Dual Valve prosthesis to the same characteristics achieved by the single-valve prosthesis used in a select population of total laryngectomy patients who have demonstrated single-valve prosthesis failure within 3 months of placement. Prospective phase IV study. Fourteen patients who had previously experienced early valve failure using a single-valve prosthesis had a Dual Valve placed by a speech language pathologist. A total of seventeen Dual Valves were inserted during routine clinical visits for valve replacement. Time intervals from insertion to replacement of the Dual Valve, as well as the average lifespan of patients' three previous single valves were collected. Subjective, categorical responses to speech quality and phonation effort for the Dual Valve compared to the single valve were collected on a questionnaire upon failure of the device. The mean duration of the single valve was 60 days, with a median of 51 days, whereas the mean duration of the Dual Valve was 164 days, with a median duration of 84 days. Both sets of data were statistically significant, with a P value of .0131. Valve life was increased in 86% of patients, with 43% experiencing greater than 150 days improvement in valve duration when using the Dual Valve. Phonation effort was increased in 14% of patients, and speech quality was not significantly affected in any patients. In this select population, the Dual Valve offers improved durability over the single valve without sacrificing speech quality, making it a preferred prosthesis option for patients experiencing single-valve failure in less than 3 months. 4. Laryngoscope, 128:422-426, 2018. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.

  13. Microfluidic sieve valves

    Science.gov (United States)

    Quake, Stephen R; Marcus, Joshua S; Hansen, Carl L

    2015-01-13

    Sieve valves for use in microfluidic device are provided. The valves are useful for impeding the flow of particles, such as chromatography beads or cells, in a microfluidic channel while allowing liquid solution to pass through the valve. The valves find particular use in making microfluidic chromatography modules.

  14. Remote actuated valve implant

    Energy Technology Data Exchange (ETDEWEB)

    McKnight, Timothy E.; Johnson, Anthony; Moise, Kenneth J.; Ericson, Milton Nance; Baba, Justin S.; Wilgen, John B.; Evans, Boyd Mccutchen

    2016-05-10

    Valve implant systems positionable within a flow passage, the systems having an inlet, an outlet, and a remotely activatable valve between the inlet and outlet, with the valves being operable to provide intermittent occlusion of the flow path. A remote field is applied to provide thermal or magnetic activation of the valves.

  15. Remote actuated valve implant

    Science.gov (United States)

    McKnight, Timothy E; Johnson, Anthony; Moise, Jr., Kenneth J; Ericson, Milton Nance; Baba, Justin S; Wilgen, John B; Evans, III, Boyd McCutchen

    2014-02-25

    Valve implant systems positionable within a flow passage, the systems having an inlet, an outlet, and a remotely activatable valve between the inlet and outlet, with the valves being operable to provide intermittent occlusion of the flow path. A remote field is applied to provide thermal or magnetic activation of the valves.

  16. Tissue engineered aortic valve

    OpenAIRE

    Dohmen, P M

    2012-01-01

    Several prostheses are available to replace degenerative diseased aortic valves with unique advantages and disadvantages. Bioprotheses show excellent hemodynamic behavior and low risk of thromboembolic complications, but are limited by tissue deterioration. Mechanical heart valves have extended durability, but permanent anticoagulation is mandatory. Tissue engineering created a new generation heart valve, which overcome limitations of biological and mechanical heart valves due to remodelling,...

  17. A temporary pond in the Early Cretaceous of southern England: palaeoclimatic implications of nonmarine "Purbeck-Wealden" ostracod faunas

    Science.gov (United States)

    Horne, D. J.

    2009-04-01

    Excavation of the partial skeleton of an Iguanodon from the Upper Weald Clay (Barremian, Early Cretaceous) at Smokejacks Brickworks near Ockley, Surrey, UK included detailed sampling for micropalaeontological and palynological and studies (Nye et al., 2008). Rich and well-preserved non-marine assemblages of pollen and spores include early angiosperms as well as freshwater green algae. Taphonomic analyses show the ostracod assemblages to be autochthonous thanatocoenoses, indicative of local environment at the time of deposition. Using a palaeobiological approach, the ostracods and palynomorphs demonstrate temporary / ephemeral freshwater conditions at the time when the Iguanodon died and the carcase was buried. Ostracod "faunicycles" in "Purbeck-Wealden" deposits may represent salinity variations in non-marine water-bodies, influenced by the balance between precipitation and evaporation, and/or the relative abundance of permanent and temporary waterbodies in the landscape; many assemblages resulted from post-mortem mixing, perhaps during flood events (Horne, 2002). Faunal alternations may therefore reflect shifts of the boundary between warm temperate and paratropical climate in the Early Cretaceous of NW Europe. The previously rejected suggestion that such assemblage variations record Milankovitch cyclicity deserves to be reconsidered, as does the possibility that they reflect changes on sub-Milankovitch timescales. Climate variability may have influenced the differential evolutionary success of sexual, mixed and parthenogenetic reproductive strategies in nonmarine ostracods. Latitudinally restricted distribution patterns and wind dispersal of resting eggs offer potential for inferring global climate patterns from ostracod palaeobiogeography, although dispersal by large animals (e.g., crocodiles, pterosaurs) is likely to have confused any aeolian transport patterns. References Horne, D. J. 2002. Ostracod biostratigraphy and palaeoecology of the Purbeck Limestone

  18. Hydrochemistry, ostracods and diatoms in a deep, tropical, crater lake in Western Mexico

    Directory of Open Access Journals (Sweden)

    Margarita Caballero

    2013-10-01

    Full Text Available Crater lakes are sensitive to natural and anthropogenic environmental changes and it is important to define and understand their current status in order to evaluate past changes related to climate variability and future ones associated with modern global change. We sampled lake waters, surface sediments and sediment trap samples (dry vs wet season in lake Santa Maria del Oro (SMO, Western Mexico (21°22’58’’N, 104°34’48’’W, 750 m asl. Its present condition was assessed in terms of: i thermal and oxygen stratification patterns, ii hydrochemistry and nutrient status, iii carbonate precipitation (dry vs wet season, and iv spatial (depth and seasonal (dry vs wet season distribution of ostracod and diatom communities. Our results indicate that this 65-m deep lake is warm monomicitic, with a stable thermal stratification for most of the year (thermocline 16-24 m, metalimnetic gradient up to 7ºC. The water column is thermally homogeneous from late January to early March. Dissolved oxygen is vertically homogeneous only in January, when deoxygenation occurs throughout the water column. This is the first report of such a situation in a Mexican lake. Santa Maria del Oro has slightly alkaline, [HCO3–]-[Cl–] and [Na+]>[Mg2+]>>[Ca2+] waters. Although it is a freshwater system, total dissolved solids, electrical conductivity (EC and [Cl–] indicate that the lake has undergone evaporative concentration. Aragonite  precipitation, occurring during the wet and warm part of the year, favours Ca2+ depletion and Cl– enrichment of lake waters. This is a mesotrophic lake with relatively high soluble reactive phosphorus and silica levels. Nitrogen reaches its highest values during winter mixing (January, but becomes the limiting nutrient during stratification. Ostracod and diatom assemblages differ in specific regions of the lake. Ostracods are more diverse and abundant in littoral areas with dense vegetation, where the community is mainly formed

  19. A humid early Holocene in Yemen interpreted from palaeoecology and taxonomy of freshwater ostracods

    Science.gov (United States)

    Mohammed, Munef; Frenzel, Peter; Keyser, Dietmar; Hussain, Fadhl; Abood, Abdulkareem; Sha'af, Abdulmajed; Alzara'e, Sadham; Alammari, Sakher

    2018-01-01

    Lake or marsh sediments in the Qa'a Jahran-Dhamār area indicate a period of higher moisture availability in the early Holocene of the highlands of Yemen. Forty-two marl-peat sediment samples from eight stratigraphic sections of that area have been collected and are examined for the first time for their ostracod associations. Eight species belonging to seven genera and four families are reported. Their ecological tolerances and preferences are used to investigate the climatic and environmental changes in the early to mid-Holocene. Our data are compared and correlated with previous archaeological results, particularly from the region of Qa'a Jahran (Dhamār) in the vicinity of the village of Beyt Nahmi. We conclude that the wettest period of the Holocene was from about 7900 to 7400 cal yr BP, when northwards incursion of the Indian Ocean Monsoon caused intensified monsoon precipitation over southern Arabia.

  20. The management of vesicoureteral reflux in the setting of posterior urethral valve with emphasis on bladder function and renal outcome: a single center cohort study.

    Science.gov (United States)

    Tourchi, Ali; Kajbafzadeh, Abdol-Mohammad; Aryan, Zahra; Ebadi, Maryam

    2014-01-01

    To represent our experience in the management of posterior urethral valves and concomitant vesicoureteral reflux (VUR). A total of 326 children with posterior urethral valve who had underwent valve ablation/bladder neck incision were studied, and those who had persistent VUR and were categorized under 3 main groups were followed up. Group 1 (n = 71) received prophylactic antibiotic, group 2 (n = 50) underwent Deflux injection (2a) (n = 28): Deflux injection alone, group 2b (n = 22) Deflux with concomitant autologous blood injection (HABIT), and group 3 (n = 19) underwent ureteroneocystostomy before referral and was followed up conservatively. VUR resolution, incidence of urinary tract infections (UTI), and bladder function were assessed. Mean duration of follow-up was 3.8 years; VUR resolution occurred in 66.1%, 86.0%, and 94.0% of groups 1-3, respectively (P = .013). Resolution rate in group 2b was significantly higher than group 2a (90.9% vs 78.5%). Patients in group 2 experienced a longer UTI-free period compared with others (P <.05). Urodynamic studies demonstrated significant decrease in maximum voiding detrusor pressure and detrusor overactivity in all groups (P <.001). Children in group 3 ended up with lower compliance compared with others (P <.001). After toilet training, only 2.8%, 21.4%, 13.6%, and 27% children were diagnosed with lower urinary tract dysfunction in groups 1-3, respectively (P = .027). Myogenic failure developed only in 3 boys in group 3. Ablation/bladder neck incision leads to significant improvement in VUR status in part because of improvement in bladder function. After successful valve removal, conservative therapy can be regarded as the mainstay of reflux treatment, whereas HABIT is recommended for high grade VUR associated with febrile UTI or deterioration in renal function. Copyright © 2014 Elsevier Inc. All rights reserved.

  1. Eocene-Pliocene deep sea ostracodes from ODP site 744A, Southern Indian Ocean

    Directory of Open Access Journals (Sweden)

    Cristianini T. Bergue

    2010-09-01

    Full Text Available The Eocene-Pliocene deep sea ostracodes from the ODP site 744A (Kerguelen Plateau are herein studied under the taxonomic and paleoecologic aspects. 28 species are identified, being the genera Krithe, Cytherella and Dutoitella the most diversified. A faunal threshold was recorded in the Early Oligocene, which is tentatively explained under the knowledge of the paleoceanographical studies carried out not only in the Kerguelen Plateau but also in adjacent areas. The faunal turnover and variations in both richness and abundance possibly reflect the inception of psychrosphere and the influence of hydrological changes in the preservation of carapaces. Moreover, the influence of those changes on carbonate preservation is discussed as the cause of faunal impoverishment in the upper portion of the core.Ostracodes do intervalo Eoceno-Plioceno do sítio 744A do ODP (Platô Kerguelen são aqui estudados sob o aspecto taxonômico e paleoecológico. 28 espécies são identificadas, sendo os gêneros Krithe, Cytherella e Dutoitella os mais diversificados. Uma transição faunística registrada no Eoligoceno é investigada com base em estudos paleoceanográficos realizados no Platô Kerguelen e em áreas adjacentes. A transição e as variações de riqueza e abundância possivelmente refletem o estabelecimento da psicrosfera e mudanças hidrológicas associadas, na composição da fauna. Além disso, a influência destas mudanças na preservação do carbonato é discutida comopossível causa do empobrecimento da fauna na porção superior do testemunho.

  2. Five Sarsiellidae ostracods (Crustacea: Myodocopida) from the South Coast of Korea (East China Sea).

    Science.gov (United States)

    Karanovic, Ivana; Soh, Ho-Young

    2015-04-17

    The East China Sea is part of the Warm Temperate Northwest Pacific zoogeographic province and, as such, has a high biodiversity and many tropical and subtropical biotic elements. Nevertheless, many invertebrate groups from this area remain poorly studied. Ostracods are one of them, especially those belonging to the subclass Myodocopa. In this paper we provide the first data on a diverse myodocopid family, Sarsiellidae, not only for the East China Sea, but also for Korea. Five species are reported in this paper from three Korean islands (Jeju, Chuja, and Maemul), and they are only a part of the ostracods collected during this study, indicating a high diversity of the group in this region. Three new species, Eurypylus koreanus sp. nov., Eusarsiella hanguk sp. nov., and Sarsiella nereis sp. nov., clearly stand apart from their respective congeners, mostly by prominent shell characters but also by details of the soft part morphology. Their affinity though clearly indicates a close connection of the region with the more southern zoogeographical realms, especially Central Indo Pacific and partly Temperate Australasia. Two species previously known from Japan (north part of the Sea of Japan and southeastern part of the Pacific Coast of Japan), Sarsiella japonica Hiruta, 1977 and S. misakiensis Kajiyama, 1912, are redescribed. Based on 11 newly obtained COI sequences we construct a preliminary phylogenetic tree, which supports previous hypotheses based on the morphological data, that Eusarsiella Cohen & Kornicker, 1975 is a polyphyletic taxon. With the maps of species distribution provided for each of the three genera, we give an overview of their current zoogeography, and clearly indicate areas that have no data, mostly due to the lack of investigation.

  3. Which valve is which?

    Directory of Open Access Journals (Sweden)

    Pravin Saxena

    2015-01-01

    Full Text Available A 25-year-old man presented with a history of breathlessness for the past 2 years. He had a history of operation for Tetralogy of Fallot at the age of 5 years and history suggestive of Rheumatic fever at the age of 7 years. On echocardiographic examination, all his heart valves were severely regurgitating. Morphologically, all the valves were irreparable. The ejection fraction was 35%. He underwent quadruple valve replacement. The aortic and mitral valves were replaced by metallic valve and the tricuspid and pulmonary by tissue valve.

  4. Vertical distribution of pelagic ostracods (Myodocopa) in the Subantarctic and Antarctic zones of the Australian-New Zealand sector in the Southern Ocean

    Science.gov (United States)

    Chavtur, V. G.; Mazdygan, E. R.

    2015-03-01

    Materials from the Russian expeditions in the Australia-New Zealand sector of the Southern Ocean during the period from 1956 until 1983 have been studied. In the Subantarctic zone, the fauna of pelagic ostracods is formed mainly by the allochthonic complex tropical-subtropical and antarctic species. The number of ostracod species, as well as their density and biomass, increase with depth, reaching a maximum at the 400-500-m layer and decreasing closer to the bottom. The vertical distribution of pelagic ostracods is similar in the Antarctic and Subantarctic zones. Nevertheless, the maximum number of species here is determined mainly by the aboriginal complex of widespread and cold-water ostracods, which moves deeper when moving to higher latitudes. There are regular changes in the vertical distribution of dominant species with latitude. They are determined by the specific structure and dynamics of water masses in separate subzones of the study region.

  5. What Is Heart Valve Surgery?

    Science.gov (United States)

    ... working correctly. Most valve replacements involve the aortic Tricuspid valve and mitral valves. The aortic valve separates the ... in life and cause problems. •Aging can make valves weaken or harden. • Certain diseases can scar or destroy a valve. What can ...

  6. Corrosion of valve metals

    International Nuclear Information System (INIS)

    Draley, J.E.

    1976-01-01

    A general survey related to the corrosion of valve metals or film-forming metals. The way these metals corrode with some general examples is described. Valve metals form relatively perfect oxide films with little breakdown or leakage when anodized

  7. A case of SAPIEN XT valve fallen into left ventricle during valve-in-valve transcatheter aortic valve implantation.

    Science.gov (United States)

    Koizumi, Shigeki; Ehara, Natsuhiko; Nishiya, Kenta; Koyama, Tadaaki

    2017-06-24

    Late transcatheter heart valve embolization is a rare but life-threatening complication of transcatheter aortic valve implantation. Surgical intervention is performed for most cases, but some cases were treated by valve-in-valve transcatheter aortic valve implantation. We describe a patient in whom a 29-mm Edwards SAPIEN XT valve migrated into the left ventricular outflow tract 41 days after the initial implantation. We tried to perform valve-in-valve transcatheter aortic valve implantation using a transfemoral approach. As soon as the second transcatheter heart valve touched the first implanted valve, it fell into the left ventricle. Immediate surgical intervention was required. The first valve was removed, and surgical aortic valve replacement was successfully performed. In conclusion, we should choose surgical aortic valve replacement for late transcatheter heart valve embolization. Even if we need to treat by catheter intervention, transapical approach may be better.

  8. Experimental test on the use of MS-222 for ostracod anaesthesia: concentration, immersion period and recovery time

    Directory of Open Access Journals (Sweden)

    Francesc MEZQUITA

    2010-08-01

    Full Text Available Anaesthesia of animals may be useful for different purposes, particularly for veterinary reasons or in experimental research, for manipulation or treatment of immobilized but alive animals. Its use in crustaceans is not uncommon, but it has never been described for Ostracoda. We provide brief and preliminary guidelines on the use of the tricaine mesylate (MS-222 on the widespread freshwater ostracod Eucypris virens and we show that this compound is an effective anaesthetic used as a bath treatment at minimum concentrations of 500 mg L-1. This value is considerably higher than that recommended for other aquatic animals like fish. Recovery time, ranging from 5 to 15 minutes, is mostly determined by anaesthetic bath concentration, while bath duration influenced to a lesser extent. Anaesthesia induced with MS-222 can prove useful for minute manipulation of living ostracods e.g. for identification, marking or image capture under the microscope.

  9. Aortic valve surgery - open

    Science.gov (United States)

    ... while you are connected to this machine. This machine does the work of your heart while your heart is stopped. If your aortic valve is too damaged, you will need a new valve. This is called replacement surgery. Your surgeon will remove your aortic valve ...

  10. Bicuspid Aortic Valve

    Science.gov (United States)

    2006-08-01

    with tricuspid aortic valves matched for age, gender and grade of valvular disease . These studies suggest that the predisposition for aortic...enlargement in healthy patients with normally functioning BAV when compared to healthy subjects with normally functioning tricuspid aortic valves ...ascending aorta but also in the pulmonary arteries of patients with BAV, compared to that of patients with tricuspid aortic valves . These studies

  11. Heart Valve Diseases

    Science.gov (United States)

    Your heart has four valves. Normally, these valves open to let blood flow through or out of your heart, and then shut to keep it from flowing ... close tightly. It's one of the most common heart valve conditions. Sometimes it causes regurgitation. Stenosis - when ...

  12. When a Heart Murmur Signals Valve Disease

    Science.gov (United States)

    ... Understanding Problems and Causes Heart Murmurs and Valve Disease "Innocent" Heart Murmur Problem: Valve Stenosis - Problem: Aortic Valve Stenosis - Problem: Mitral Valve Stenosis - Problem: Tricuspid Valve Stenosis - Problem: Pulmonary Valve Stenosis Problem: Mitral ...

  13. Population Structure, Life Strategies and Systematics of Phosphatocope Ostracods from the Middle Cambrian of Bornholm

    Directory of Open Access Journals (Sweden)

    I. Hinz-Schallreuter

    1998-01-01

    Full Text Available She Middle Cambrian Borregård Member of Bornholm which is the stratigraphical equivalent to the Baltoscandian Exsulans Limestone yielded a rich and comparatively diverse ostracod fauna in its upper part. It comprises eight species out of four genera. They belong to three known subfamilies that are redefined on the basis of special characters of the contact margin. An ontogenetic character unknown from typical ostracods is documented in several species: during early ontogeny the gestalt (l:h ratio develops constantly in becoming increasingly longer until the so-called ontogenetical turning point (OTP from which the direction of growth focusses on carapace height. This phenomenon may be explained by changes in body morphology. The Borregård association represents an ecologic community type differing from other yet recorded Middle Cambrian communities in the Baltoscandic region. Apart from Vestrogothia longispinosa which is a common faunal element in Baltoscandian ostracod faunas, the yet recorded species of Bidimorpha are unknown from other Baltoscandian occurrences. Vice versa, the known species of Bidimorpha described from Swedish occurrences have not been recognized in the rich Borregård community. Similarly, Falites insula and Hesslandona abdominalis may be of local significance, too, but the respective records from contemporaneous Swedish localities are insufficient in this respect, yet. Due to specific morphological adaptations, the four genera are assumed to represent different benthic life strategies. New taxa are: Bidimorpha arator n. sp., Bidimorpha labiator n. sp., Bidimorpha sexspinosa n. sp., Falites insula n. sp., Hesslandona abdominalis n. sp., Vestrogothia herrigi n. sp. and Vestrogothia minilaterospinata n. sp. Aus dem mittelkambrischen Borregård Member von Bornholm, einem zeitlichen Äquivalent des baltoskandischen Exsulanskalkes, wurde eine reiche und vergleichsweise diverse Ostrakodenfauna gewonnen. Sie umfaßt 8 Arten aus

  14. Double MgO-based Perpendicular Magnetic-Tunnel-Junction Spin-valve Structure with a Top Co2Fe6B2Free Layer using a Single SyAF [Co/Pt]nLayer.

    Science.gov (United States)

    Choi, Jin-Young; Lee, Dong-Gi; Baek, Jong-Ung; Park, Jea-Gun

    2018-02-01

    A new perpendicular spin-transfer-torque magnetic-tunnel-junction (p-MTJ) spin-valve was developed to achieve a high tunneling magnetoresistance (TMR) ratio. It had a double MgO-based spin-valve structure with a top Co 2 Fe 6 B 2 free layer and incorporated a single SyAF [Co(0.4 nm)/Pt(0.3 nm)] 3 layer and a new buffer layer of Co(0.6)/Pt(0.3)/Co(0.4). It had a TMR ratio of 180% and anisotropy exchange field (H ex ) of 3.44 kOe after ex-situ annealing of 350 °C for 30 min under a vacuum below 10 -6 torr and a perpendicular magnetic field of 3 tesla, thereby ensuring a memory margin and avoiding read disturbance failures. Its high level of performance was due to the face-center-cubic crystallinity of the MgO tunneling barrier being significantly improved by decreasing its surface roughness (i.e., peak-to-valley length of 1.4 nm).

  15. Diversity of planktonic Ostracods (Crustacea: Ostracoda in the mixed layer of northeastern Arabian Sea during the summer monsoon

    Directory of Open Access Journals (Sweden)

    Jasmine Purushothaman

    2015-03-01

    Full Text Available Planktonic ostracods contribute significantly to the biomass of zooplankton in the Arabian Sea with an unusually high density due to swarming.  However, due to the small size, their abundance is often underestimated.  In this paper, the diversity of planktonic ostracods in the mixed layer depth of the northeastern Arabian Sea in relation to environmental parameters during the summer monsoon is presented.  The mean abundance in the mixed layer depth was very high.  About 26 species belonging to 17 genera representing two families were recognized.  Out of this, 25 species belonged to (3 sub families, 16 genera the order Myodocopa and one to the order Myodocopida.  The dominant species were Cypridina dentata, Euconchoecia aculeata, Conchoecia subarcuata and Orthoconchoecia atlantica.  Cypridina dentata and Euconchoecia aculeata contributed to about 89% of the total abundance.  The results suggest that the distribution and diversity of ostracods were very much influenced by the hydrographic conditions of the Arabian Sea during the summer monsoon. 

  16. Exuberant accessory mitral valve tissue with possible true parachute mitral valve: a case report

    Directory of Open Access Journals (Sweden)

    Nikolic Aleksandra

    2012-09-01

    Full Text Available Abstract Introduction A parachute mitral valve is defined as a unifocal attachment of mitral valve chordae tendineae independent of the number of papillary muscles. Data from the literature suggests that the valve can be distinguished on the basis of morphological features as either a parachute-like asymmetrical mitral valve or a true parachute mitral valve. A parachute-like asymmetrical mitral valve has two papillary muscles; one is elongated and located higher in the left ventricle. A true parachute mitral valve has a single papillary muscle that receives all chordae, as was present in our patient. Patients with parachute mitral valves during childhood have multilevel left-side heart obstructions, with poor outcomes without operative treatment. The finding of a parachute mitral valve in an adult patient is extremely rare, especially as an isolated lesion. In adults, the unifocal attachment of the chordae results in a slightly restricted valve opening and, more frequently, valvular regurgitation. Case presentation A 40-year-old Caucasian female patient was admitted to a primary care physician due to her recent symptoms of heart palpitation and chest discomfort on effort. Transthoracic echocardiography showed chordae tendineae which were elongated and formed an unusual net shape penetrating into left ventricle cavity. The parasternal short axis view of her left ventricle showed a single papillary muscle positioned on one side in the posteromedial commissure receiving all chordae. Her mitral valve orifice was slightly eccentric and the chordae were converting into a single papillary muscle. Mitral regurgitation was present and it was graded as moderate to severe. Her left atrium was enlarged. There were no signs of mitral stenosis or a subvalvular ring. She did not have a bicuspid aortic valve or coarctation of the ascending aorta. The dimensions and systolic function of her left ventricle were normal. Our patient had a normal body habitus

  17. Preliminary study on the L ate Cretaceous ostracods from continental scientific drilling SK1 in the Songliao Basin, NE China

    Science.gov (United States)

    Xi, Dangpeng; Qu, Haiying; Shi, Zhongye; Wan, Xiaoqiao

    2017-04-01

    Songliao Basin is one of the biggest lacustrine systems in Asia during Cretaceous age. Widespread deposits in the basin are mainly composed of clastic sediments which contain abundant fossils including gastropod, bivalves, ostracods, vertebrates and others. These well preserved ostracod fossils provide us valuable information about past climate changes and biotic responses in a greenhouse environment.The Cretaceous Continental Scientific Drilling in the Songliao Basin (SK1) offers a rare opportunity to study Late Cretaceous non-marine ostracod. The SK1 was drilled separately in two boreholes: the lower 959.55-meter-thick south core (SK1(s)), and the upper 1636.72-meter-thick north core (SK1 (n)), containing the Upper Quantou, Qingshankou, Yaojia, Nenjiang Formation, Sifangtai, Mingshui and lower Taikang formations. Here we establish high-resolution non-marine ostracod biostratigraphy based on SK1. 80 species belonging to 12 genera in the SK1(S) and 45 species assigned to 20 genera in the SK1(n) have been recovered. Nineteen ostracod assemblage zones have been recognized: 1. Mongolocypris longicaudata-Cypridea Assemblage Zone, 2.Triangulicypris torsuosus-Triangulicypris torsuosus. nota Assemblage Zone, 3. Cypridea dekhoinensis-Cypridea gibbosa Assemblage Zone, 4.Cypridea nota-Sunliavia tumida Assemblage Zone, 5.Cypridea edentula-Lycopterocypris grandis Assemblage Zone, 6.Cypridea fuyuensis-Triangulicypris symmetrica Assemblage Zone, 7.Triangulicypris vestilus-Triangulicypris fusiformis-Triangulicypris pumilis Assemblage Zone, 8.Cypridea panda-Mongolocypris obscura Assemblage Zone, 9. Cypridea exornata-Cypridea dongfangensis Assemblage Zone, 10.Cypridea favosa-Mongolocypris tabulata Assemblage Zone, 11.Cypridea formosa-Cypridea sunghuajiangensis Assemblage Zone, 12. Cypridea anonyma-Candona fabiforma Assemblage Zone, 13.Cypridea gracila-Cypridea gunsulinensis Assemblage Zone, 14.Mongolocypris magna-Mongolocypris heiluntszianensis Assemblage Zone, 15.Cypridea

  18. Multiproxies (benthic foraminifera, ostracods and biopolymers approach applied to identify the environmental partitioning of the Guadiana River Estuary (Iberian Peninsula

    Directory of Open Access Journals (Sweden)

    Lazaro Luiz Mattos Laut

    2016-04-01

    Full Text Available The Guadiana River is the fourth longest river in Europe and is a natural frontier between southern Portugal and Spain. This river was historically used to transport minerals exploited in the region since the Roman Empire and therefore suffered human interventions that have been intensified after the industrial revolution. The Guadiana River has in its limits the Guadiana Valley Natural Park, which is of great value for the Conservation of Geobiodiversity. This study mainly aims to identify zones with the environmental characteristics in the estuarine area of the Guadiana River based on the distribution and ecology of microorganisms (ostracods and foraminifera associated with physicochemical parameters and sedimentological and geochemical (carbohydrate, lipid, protein, total organic carbon and total sulfur data. Fifty-five foraminifera taxa were identified along the estuary with dominance of Ammonia tepida and Miliammina fusca and 13 ostracods taxa with dominance Leptocythere lacertosa and Loxoconcha elliptica. Detrended correspondence analysis (DCA performed using biotic and abiotic variables indicated that pH, grain size, total organic carbon (TOC and lipids were the most influent factors in the distribution of these organisms. Four zones were identified in the Guadiana River estuary: i Low estuary - region with the largest marine influence with sandy sediment, higher salinity and total sulfur and mainly represented by the dominance of estuarine species of foraminifera (Ammonia tepida and Cribroelphidium vadescens and by the ostracods (Darwinula stevensoni, Semicytherura sulcata and Urocythereis oblonga; ii Intermediate estuary - region characterized by neutral pH and sandy sediment enriched in carbohydrates; this region is characterized by the presence of the ostracods species Cytherois fischeri and Neocytherideis subulata and by calcareous and agglutinated species in foraminiferal assemblages; iii Upper estuary - silt, high TOC, proteins and

  19. Pliocene shallow water paleoceanography of the North Atlantic ocean based on marine ostracodes

    Science.gov (United States)

    Cronin, T. M.

    1991-01-01

    Middle Pliocene marine ostracodes from coastal and shelf deposits of North and Central America and Iceland were studied to reconstruct paleotemperatures of shelf waters bordering portions of the Western Boundary Current System (including the Gulf Loop Current, Florida Current, Gulf Stream and North Atlantic Drift). Factor analytic transfer functions provided Pliocene August and February bottom-water temperatures of eight regions from the tropics to the subfrigid. The results indicate: (1) meridional temperature gradients in the western North Atlantic were less steep during the Pliocene than either today or during Late Pleistocene Isotope Stage 5e; (2) tropical and subtropical shelf waters during the Middle Pliocene were as warm as, or slightly cooler than today; (3) slightly cooler water was on the outer shelf off the southeastern and mid-Atlantic coast of the U.S., possibly due to summer upwelling of Gulf Stream water; (4) the shelf north of Cape Hatteras, North Carolina may have been influenced by warm water incursions from the western edge of the Gulf Stream, especially in summer; (5) the northeast branch of the North Atlantic Drift brought warm water to northern Iceland between 4 and 3 Ma; evidence from the Iceland record indicates that cold East Greenland Current water did not affect coastal Iceland between 4 and 3 Ma; (6) Middle Pliocene North Atlantic circulation may have been intensified, transporting more heat from the tropics to the Arctic than it does today. ?? 1991.

  20. Taxonomy of quaternary deep-sea ostracods from the Western North Atlantic ocean

    Science.gov (United States)

    Yasuhara, Moriaki; Okahashi, H.; Cronin, T. M.

    2009-01-01

    Late Quaternary sediments from Ocean Drilling Program (ODP) Hole 1055B, Carolina Slope, western North Atlantic (32??47.041??? N, 76??17.179??? W; 1798m water depth) were examined for deep-sea ostracod taxonomy. A total of 13933 specimens were picked from 207 samples and c. 120 species were identified. Among them, 87 species were included and illustrated in this paper. Twenty-eight new species are described. The new species are: Ambocythere sturgio, Argilloecia abba, Argilloecia caju, Argilloecia keigwini, Argilloecia robinwhatleyi, Aversovalva carolinensis, Bythoceratina willemvandenboldi, Bythocythere eugeneschornikovi, Chejudocythere tenuis, Cytheropteron aielloi, Cytheropteron demenocali, Cytheropteron didieae, Cytheropteron richarddinglei, Cytheropteron fugu, Cytheropteron guerneti, Cytheropteron richardbensoni, Eucytherura hazeli, Eucytherura mayressi, Eucytherura namericana, Eucytherura spinicorona, Posacythere hunti, Paracytherois bondi, Pedicythere atroposopetasi, Pedicythere kennettopetasi, Pedicythere klothopetasi, Pedicythere lachesisopetasi, Ruggieriella mcmanusi and Xestoleberis oppoae. Taxonomic revisions of several common species were made to reduce taxonomic uncertainty in the literature. This study provides a robust taxonomic baseline for application to palaeoceanographical reconstruction and biodiversity analyses in the deep and intermediate-depth environments of the North Atlantic Ocean. ?? The Palaeontological Association, 2009.

  1. High male sexual investment as a driver of extinction in fossil ostracods.

    Science.gov (United States)

    Martins, Maria João Fernandes; Puckett, T Markham; Lockwood, Rowan; Swaddle, John P; Hunt, Gene

    2018-04-01

    Sexual selection favours traits that confer advantages in the competition for mates. In many cases, such traits are costly to produce and maintain, because the costs help to enforce the honesty of these signals and cues 1 . Some evolutionary models predict that sexual selection also produces costs at the population level, which could limit the ability of populations to adapt to changing conditions and thus increase the risk of extinction 2-4 . Other models, however, suggest that sexual selection should increase rates of adaptation and enhance the removal of deleterious mutations, thus protecting populations against extinction 3, 5, 6 . Resolving the conflict between these models is not only important for explaining the history of biodiversity, but also relevant to understanding the mechanisms of the current biodiversity crisis. Previous attempts to test the conflicting predictions produced by these models have been limited to extant species and have thus relied on indirect proxies for species extinction. Here we use the informative fossil record of cytheroid ostracods-small, bivalved crustaceans with sexually dimorphic carapaces-to test how sexual selection relates to actual species extinction. We show that species with more pronounced sexual dimorphism, indicating the highest levels of male investment in reproduction, had estimated extinction rates that were ten times higher than those of the species with the lowest investment. These results indicate that sexual selection can be a substantial risk factor for extinction.

  2. An ostracode based paleolimnologic and paleohydrologic history of Death Valley: 200 to 0 ka

    Science.gov (United States)

    Forester, R.M.; Lowenstein, T.K.; Spencer, R.J.

    2005-01-01

    Death Valley, a complex tectonic and hydrologic basin, was cored from its lowest surface elevation to a depth of 186 m. The sediments range from bedded primary halite to black muds. Continental ostracodes found in the black muds indicate that those sediments were deposited in a variety of hydrologic settings ranging from deep, relatively fresh water to shallow saline lakes to spring discharge supported wetlands. The alkaline-enriched, calcium-depleted paleolake waters indicate extrabasinal streamflow and basin-margin spring discharge. The alkaline-depleted, calcium-enriched paleowetland waters indicate intrabasinal spring discharge. During Marine Isotope Stage 6 (MIS 6, ca. 180-140 ka) the hydrologic settings were highly variable, implying that complex relations existed between climate and basin hydrology. Termination II (MIS 6 to MIS 5E) was a complex multicyclic sequence of paleoenvironments, implying that climates oscillated between high and low effective moisture. MIS 4 (ca. 73-61 ka) was a spring discharge supported wetland complex. During MIS 2 (ca. 20-12 ka) the hydrologic settings were variable, although they are not fully understood because some black muds deposited during that time were lost during coring. ?? 2005 Geological Society of America.

  3. Aortic or Mitral Valve Replacement With the Biocor and Biocor Supra

    Science.gov (United States)

    2017-04-26

    Aortic Valve Insufficiency; Aortic Valve Regurgitation; Aortic Valve Stenosis; Aortic Valve Incompetence; Mitral Valve Insufficiency; Mitral Valve Regurgitation; Mitral Valve Stenosis; Mitral Valve Incompetence

  4. Transcatheter Tricuspid Valve-in-Valve Intervention for Degenerative Bioprosthetic Tricuspid Valve Disease.

    Science.gov (United States)

    Praz, Fabien; George, Isaac; Kodali, Susheel; Koulogiannis, Konstantinos P; Gillam, Linda D; Bechis, Mary Z; Rubenson, David; Li, Wei; Duncan, Alison

    2017-08-23

    Isolated reoperative tricuspid valve replacement is one of the highest risk operations classified in the Society of Thoracic Surgeons registry, particularly in the setting of preexisting right ventricular dysfunction. Transcatheter tricuspid valve-in-valve implantation represents an attractive alternative to redo surgery in patients with tricuspid bioprosthetic valve degeneration who are considered high-risk or unsuitable surgical candidates. In this review article, the authors discuss the emergence of transcatheter tricuspid valve-in-valve therapy, preprocedural echocardiographic assessment of tricuspid bioprosthetic valve dysfunction, periprocedural imaging required for tricuspid valve-in-valve implantation, and postprocedural assessment of tricuspid transcatheter device function. Copyright © 2017 American Society of Echocardiography. All rights reserved.

  5. Intelligent Flow Control Valve

    Science.gov (United States)

    Kelley, Anthony R (Inventor)

    2015-01-01

    The present invention is an intelligent flow control valve which may be inserted into the flow coming out of a pipe and activated to provide a method to stop, measure, and meter flow coming from the open or possibly broken pipe. The intelligent flow control valve may be used to stop the flow while repairs are made. Once repairs have been made, the valve may be removed or used as a control valve to meter the amount of flow from inside the pipe. With the addition of instrumentation, the valve may also be used as a variable area flow meter and flow controller programmed based upon flowing conditions. With robotic additions, the valve may be configured to crawl into a desired pipe location, anchor itself, and activate flow control or metering remotely.

  6. Transcatheter Tricuspid Valve Replacement.

    Science.gov (United States)

    Krishnaswamy, Amar; Navia, Jose; Kapadia, Samir R

    2018-01-01

    Tricuspid regurgitation (TR) is a common entity, most commonly functional in nature due to right-sided dysfunction in the setting of concomitant cardiac disease or pulmonary hypertension. Patients living with TR often experience numerous limitations as a result of right-sided heart failure symptoms, including functional decline, frequent hospitalizations, liver failure, and kidney failure. Furthermore, patients with significant TR demonstrate worse survival, although a cause-and-effect relationship has not been proven. For patients with a degenerated surgical bioprosthesis or valve ring, placement of a transcatheter aortic valve prosthesis in a valve-in-valve or valve-in-ring fashion may provide symptomatic benefit. For patients with native valve regurgitation, novel devices for treatment are currently under development. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. Low noise control valve

    International Nuclear Information System (INIS)

    Christie, R.S.

    1975-01-01

    Noise is one of the problems associated with the use of any type of control valve in systems involving the flow of fluids. The advent of OSHA standards has prompted control valve manufacturers to design valves with special trim to lower the sound pressure level to meet these standards. However, these levels are in some cases too high, particularly when a valve must be located in or near an area where people are working at tasks requiring a high degree of concentration. Such locations are found around and near research devices and in laboratory-office areas. This paper describes a type of fluid control device presently being used at PPL as a bypass control valve in deionized water systems and designed to reduce sound pressure levels considerably below OSHA standards. Details of the design and construction of this constant pressure drop variable flow control valve are contained in the text and are shown in photographs and drawings. Test data taken are included

  8. Test Rig for Valves of Digital Displacement Machines

    DEFF Research Database (Denmark)

    Nørgård, Christian; Christensen, Jeppe Haals; Bech, Michael Møller

    2017-01-01

    A test rig for the valves of digital displacement machines has been developed at Aalborg University. It is composed of a commercial radial piston machine, which has been modified to facilitate Digital Displacement operation for a single piston. Prototype valves have been optimized, designed...

  9. Modeling the Mitral Valve

    Science.gov (United States)

    Kaiser, Alexander

    2016-11-01

    The mitral valve is one of four valves in the human heart. The valve opens to allow oxygenated blood from the lungs to fill the left ventricle, and closes when the ventricle contracts to prevent backflow. The valve is composed of two fibrous leaflets which hang from a ring. These leaflets are supported like a parachute by a system of strings called chordae tendineae. In this talk, I will describe a new computational model of the mitral valve. To generate geometry, general information comes from classical anatomy texts and the author's dissection of porcine hearts. An MRI image of a human heart is used to locate the tips of the papillary muscles, which anchor the chordae tendineae, in relation to the mitral ring. The initial configurations of the valve leaflets and chordae tendineae are found by solving solving an equilibrium elasticity problem. The valve is then simulated in fluid (blood) using the immersed boundary method over multiple heart cycles in a model valve tester. We aim to identify features and mechanisms that influence or control valve function. Support from National Science Foundation, Graduate Research Fellowship Program, Grant DGE 1342536.

  10. Prosthetic heart valves.

    Science.gov (United States)

    Chambers, J

    2014-10-01

    Heart valve replacements improve symptoms and life expectancy but may have potential problems. Biological replacements have limited durability but do not require anticoagulation and are usually used for the relatively elderly. Mechanical valves have a virtually zero primary failure rate but require anticoagulation and are usually used for the relatively younger patient. Transcatheter valves are used for patients in whom conventional surgery is not technically feasible or who have significant comorbidities. This article discusses the management of patients after valve replacement and discusses future developments. © 2014 John Wiley & Sons Ltd.

  11. Biological heart valves.

    Science.gov (United States)

    Ciubotaru, Anatol; Cebotari, Serghei; Tudorache, Igor; Beckmann, Erik; Hilfiker, Andres; Haverich, Axel

    2013-10-01

    Cardiac valvular pathologies are often caused by rheumatic fever in young adults, atherosclerosis in elderly patients, or by congenital malformation of the heart in children, in effect affecting almost all population ages. Almost 300,000 heart valve operations are performed worldwide annually. Tissue valve prostheses have certain advantages over mechanical valves such as biocompatibility, more physiological hemodynamics, and no need for life-long systemic anticoagulation. However, the major disadvantage of biological valves is related to their durability. Nevertheless, during the last decade, the number of patients undergoing biological, rather than mechanical, valve replacement has increased from half to more than three-quarters for biological implants. Continuous improvement in valve fabrication includes development of new models and shapes, novel methods of tissue treatment, and preservation and implantation techniques. These efforts are focused not only on the improvement of morbidity and mortality of the patients but also on the improvement of their quality of life. Heart valve tissue engineering aims to provide durable, "autologous" valve prostheses. These valves demonstrate adaptive growth, which may avoid the need of repeated operations in growing patients.

  12. Options for Heart Valve Replacement

    Science.gov (United States)

    ... are the most commonly replaced valves. Pulmonary and tricuspid valve replacements are fairly uncommon in adults. Replacing a ... Problems and Causes • Risks, Signs and Symptoms • Accurate Diagnosis • Treatment Options ... Repair Valve Replacement - Ross Procedure - Newer Surgery Options - ...

  13. Karyotype Variability and Inter-Population Genomic Differences in Freshwater Ostracods (Crustacea Showing Geographical Parthenogenesis

    Directory of Open Access Journals (Sweden)

    Radka Symonová

    2018-03-01

    Full Text Available Transitions from sexual to asexual reproduction are often associated with polyploidy and increased chromosomal plasticity in asexuals. We investigated chromosomes in the freshwater ostracod species Eucypris virens (Jurine, 1820, where sexual, asexual and mixed populations can be found. Our initial karyotyping of multiple populations from Europe and North Africa, both sexual and asexual, revealed a striking variability in chromosome numbers. This would suggest that chromosomal changes are likely to be accelerated in asexuals because the constraints of meiosis are removed. Hence, we employed comparative genomic hybridization (CGH within and among sexual and asexual populations to get insights into E. virens genome arrangements. CGH disclosed substantial genomic imbalances among the populations analyzed, and three patterns of genome arrangement between these populations: 1. Only putative ribosomal DNA (rDNA-bearing regions were conserved in the two populations compared indicating a high sequence divergence between these populations. This pattern is comparable with our findings at the interspecies level of comparison; 2. Chromosomal regions were shared by both populations to a varying extent with a distinct copy number variation in pericentromeric and presumable rDNA-bearing regions. This indicates a different rate of evolution in repetitive sequences; 3. A mosaic pattern of distribution of genomic material that can be explained as non-reciprocal genetic introgression and evidence of a hybrid origin of these individuals. We show an overall increased chromosomal dynamics in E. virens that is complementary with available phylogenetic and population genetic data reporting highly differentiated diploid sexual and asexual lineages with a wide variety of genetic backgrounds.

  14. Adjustable valves in normal-pressure hydrocephalus: a retrospective study of 218 patients

    DEFF Research Database (Denmark)

    Zemack, G.; Rommer, Bertil Roland

    2008-01-01

    OBJECTIVE: We sought to assess the value of adjusting shunt valve opening pressure, complications, and outcomes with the use of an adjustable shunt valve in the treatment of patients with normal-pressure hydrocephalus (NPH). METHODS: In a single-center retrospective study, 231 adjustable valves (...

  15. Retrieval analysis of mechanical heart valves: impact on design and clinical practice

    NARCIS (Netherlands)

    Cromheecke, M. E.; Overkamp, P. J.; de Mol, B. A.; van Gaalen, G. L.; Becker, A. E.

    1998-01-01

    Explanted mechanical heart valves were examined nondestructively, and the findings were related to guidelines, technical reports, and other information to judge the risk of failure and its possible impact on valve design and clinical practice. Diagnoses for single valves could be made, but risks and

  16. Modification and performance evaluation of a mono-valve engine

    Science.gov (United States)

    Behrens, Justin W.

    A four-stroke engine utilizing one tappet valve for both the intake and exhaust gas exchange processes has been built and evaluated. The engine operates under its own power, but has a reduced power capacity than the conventional 2-valve engine. The reduction in power is traced to higher than expected amounts of exhaust gases flowing back into the intake system. Design changes to the cylinder head will fix the back flow problems, but the future capacity of mono-valve engine technology cannot be estimated. The back flow of exhaust gases increases the exhaust gas recirculation (EGR) rate and deteriorates combustion. Intake pressure data shows the mono-valve engine requires an advanced intake valve closing (IVC) time to prevent back flow of charge air. A single actuation camshaft with advanced IVC was tested in the mono-valve engine, and was found to improve exhaust scavenging at TDC and nearly eliminated all charge air back flow at IVC. The optimum IVC timing is shown to be approximately 30 crank angle degrees after BDC. The mono-valve cylinder head utilizes a rotary valve positioned above the tappet valve. The open spaces inside the rotary valveand between the rotary valve and tappet valve represent a common volume that needs to be reduced in order to reduce the base EGR rate. Multiple rotary valve configurations were tested, and the size of the common volume was found to have no effect on back flow but a direct effect on the EGR rate and engine performance. The position of the rotary valve with respect to crank angle has a direct effect on the scavenging process. Optimum scavenging occurs when the intake port is opened just after TDC.

  17. The safety relief valve handbook design and use of process safety valves to ASME and International codes and standards

    CERN Document Server

    Hellemans, Marc

    2009-01-01

    The Safety Valve Handbook is a professional reference for design, process, instrumentation, plant and maintenance engineers who work with fluid flow and transportation systems in the process industries, which covers the chemical, oil and gas, water, paper and pulp, food and bio products and energy sectors. It meets the need of engineers who have responsibilities for specifying, installing, inspecting or maintaining safety valves and flow control systems. It will also be an important reference for process safety and loss prevention engineers, environmental engineers, and plant and process designers who need to understand the operation of safety valves in a wider equipment or plant design context. . No other publication is dedicated to safety valves or to the extensive codes and standards that govern their installation and use. A single source means users save time in searching for specific information about safety valves. . The Safety Valve Handbook contains all of the vital technical and standards informat...

  18. Josephson magnetic rotary valve

    NARCIS (Netherlands)

    Soloviev, I.I.; Klenov, N.V.; Bakurskiy, S.V.; Bol’ginov, V.V.; Ryazanov, V.V.; Kupriyanov, M..Y.; Golubov, Alexandre Avraamovitch

    2014-01-01

    We propose a control element for a Josephson spin valve. It is a complex Josephson device containing ferromagnetic (F) layer in the weak-link area consisting of two regions, representing 0 and π Josephson junctions, respectively. The valve's state is defined by mutual orientations of the F-layer

  19. Mitral Valve Disease

    Science.gov (United States)

    ... clots, but they also are less durable than mechanical valves and may need to be replaced in the future. Like mitral valve repair, replacement can be done minimally invasively or with traditional open heart surgery. Your medical team will discuss the advantages ...

  20. Clinical Bioprosthetic Heart Valve Thrombosis After Transcatheter Aortic Valve Replacement: Incidence, Characteristics, and Treatment Outcomes.

    Science.gov (United States)

    Jose, John; Sulimov, Dmitriy S; El-Mawardy, Mohamed; Sato, Takao; Allali, Abdelhakim; Holy, Erik W; Becker, Björn; Landt, Martin; Kebernik, Julia; Schwarz, Bettina; Richardt, Gert; Abdel-Wahab, Mohamed

    2017-04-10

    The aim of this study was to determine the incidence, characteristics, and treatment outcomes of patients diagnosed with clinical transcatheter heart valve thrombosis. Limited data exists on clinical or manifest transcatheter heart valve thrombosis. Prior studies have focused on subclinical thrombosis. A retrospective analysis was conducted of prospectively collected data from a single-center registry that included 642 consecutive patients who underwent transcatheter aortic valve replacement between 2007 and 2015 (305 patients had self-expanding valves; balloon-expandable, n = 281; mechanically expanding, n = 56). Long-term oral anticoagulation (OAC) was indicated in 261 patients, while 377 patients received dual-antiplatelet therapy post-procedure. All patients underwent scheduled clinical and echocardiographic follow-up. The overall incidence of clinical valve thrombosis was 2.8% (n = 18). No patient on OAC developed thrombosis. Of the detected thrombosis cases, 13 patients had balloon-expandable, 3 had self-expanding, and 2 had mechanically expanding valves. Thrombosis occurred significantly more often with balloon-expandable valves (odds ratio: 3.45; 95% confidence interval: 1.22 to 9.81; p = 0.01) and following valve-in-valve procedures (odds ratio: 5.93; 95% confidence interval: 2.01 to 17.51; p = 0.005). Median time to diagnosis of valve thrombosis was 181 days. The median N-terminal pro-brain natriuretic peptide level was 1,318 pg/ml (interquartile range: 606 to 1,676 pg/ml). The mean transvalvular gradient and valve area were 34 ± 14 mm Hg and 1.0 ± 0.46 cm 2 , respectively. Computed tomography showed hypoattenuating areas with reduced leaflet motion. Initiation of OAC resulted in significant reduction of transvalvular gradient and clinical improvement. No deaths were related to valve thrombosis. Clinical transcatheter heart valve thrombosis is more common than previously considered, characterized by imaging abnormalities and increased gradients

  1. ULTRA HIGH VACUUM VALVE

    Science.gov (United States)

    Fry, W.A.

    1962-05-29

    A valve for high vacuum applications such as the CStellarator where chamber pressures as low as 2 x 10/sup -10/ mm Hg are necessary is designed with a line-of-sight path through the valve for visual inspection of the contents of reactants in such chambers. The valve comprises a turnable resilient metal ball having an aperture therethrough, means for selectively turning the ball to rotate the axis of its line-of-sight path, and soft, deformable opposing orifices that are movable relatively toward said ball to seal with opposite ball surfaces upon said movement of said axis of said line-of-sight path. The valve also includes a bellows seal connected between said orifices and internal actuating means that eliminates the requirement for gasketed turnable valve closing stems. (AEC)

  2. Multiple-port valve

    International Nuclear Information System (INIS)

    Doody, T.J.

    1978-01-01

    A multiple-port valve assembly is designed to direct flow from a primary conduit into any one of a plurality of secondary conduits as well as to direct a reverse flow. The valve includes two mating hemispherical sockets that rotatably receive a spherical valve plug. The valve plug is attached to the primary conduit and includes diverging passageways from that conduit to a plurality of ports. Each of the ports is alignable with one or more of a plurality of secondary conduits fitting into one of the hemispherical sockets. The other hemispherical socket includes a slot for the primary conduit such that the conduit's motion along that slot with rotation of the spherical plug about various axes will position the valve-plug ports in respect to the secondary conduits

  3. Correlation between investment in sexual traits and valve sexual dimorphism in Cyprideis species (Ostracoda).

    Science.gov (United States)

    Fernandes Martins, Maria João; Hunt, Gene; Lockwood, Rowan; Swaddle, John P; Horne, David J

    2017-01-01

    Assessing the long-term macroevolutionary consequences of sexual selection has been hampered by the difficulty of studying this process in the fossil record. Cytheroid ostracodes offer an excellent system to explore sexual selection in the fossil record because their readily fossilized carapaces are sexually dimorphic. Specifically, males are relatively more elongate than females in this superfamily. This sexual shape difference is thought to arise so that males carapaces can accommodate their very large copulatory apparatus, which can account for up to one-third of body volume. Here we test this widely held explanation for sexual dimorphism in cytheroid ostracodes by correlating investment in male genitalia, a trait in which sexual selection is seen as the main evolutionary driver, with sexual dimorphism of carapace in the genus Cyprideis. We analyzed specimens collected in the field (C. salebrosa, USA; C. torosa, UK) and from collections of the National Museum of Natural History, Washington, DC (C. mexicana). We digitized valve outlines in lateral view to obtain measures of size (valve area) and shape (elongation, measured as length to height ratio), and obtained several dimensions from two components of the hemipenis: the muscular basal capsule, which functions as a sperm pump, and the section that includes the intromittent organ (terminal extension). In addition to the assessment of this primary sexual trait, we also quantified two dimensions of the male secondary sexual trait-where the transformed right walking leg functions as a clasping organ during mating. We also measured linear dimensions from four limbs as indicators of overall (soft-part) body size, and assessed allometry of the soft anatomy. We observed significant correlations in males between valve size, but not elongation, and distinct structural parts of the hemipenis, even after accounting for their shared correlation with overall body size. We also found weak but significant positive correlation

  4. Correlation between investment in sexual traits and valve sexual dimorphism in Cyprideis species (Ostracoda.

    Directory of Open Access Journals (Sweden)

    Maria João Fernandes Martins

    Full Text Available Assessing the long-term macroevolutionary consequences of sexual selection has been hampered by the difficulty of studying this process in the fossil record. Cytheroid ostracodes offer an excellent system to explore sexual selection in the fossil record because their readily fossilized carapaces are sexually dimorphic. Specifically, males are relatively more elongate than females in this superfamily. This sexual shape difference is thought to arise so that males carapaces can accommodate their very large copulatory apparatus, which can account for up to one-third of body volume. Here we test this widely held explanation for sexual dimorphism in cytheroid ostracodes by correlating investment in male genitalia, a trait in which sexual selection is seen as the main evolutionary driver, with sexual dimorphism of carapace in the genus Cyprideis. We analyzed specimens collected in the field (C. salebrosa, USA; C. torosa, UK and from collections of the National Museum of Natural History, Washington, DC (C. mexicana. We digitized valve outlines in lateral view to obtain measures of size (valve area and shape (elongation, measured as length to height ratio, and obtained several dimensions from two components of the hemipenis: the muscular basal capsule, which functions as a sperm pump, and the section that includes the intromittent organ (terminal extension. In addition to the assessment of this primary sexual trait, we also quantified two dimensions of the male secondary sexual trait-where the transformed right walking leg functions as a clasping organ during mating. We also measured linear dimensions from four limbs as indicators of overall (soft-part body size, and assessed allometry of the soft anatomy. We observed significant correlations in males between valve size, but not elongation, and distinct structural parts of the hemipenis, even after accounting for their shared correlation with overall body size. We also found weak but significant

  5. One hundred patients' experience with the Jyros valve.

    Science.gov (United States)

    Walesby, R K; Di Salvo, C; Black, M M

    1996-12-01

    The ideal mechanical valve abolishes all potential areas for blood stagnation and hence the potential for micro-emboli and clot formation. This problem has been addressed by the innovative design of the Jyros valve which has evolved from the technology available from Russian space research. The valve comprises two pyrolytic carbon leaflets which can rotate within the solid carbon housing to either align themselves to the optimum haemodynamic configuration, or to respond by rotation either continuous or intermittent, according to the degree of swirl on the inflow profile. This Jyros mechanical heart valve has been assessed in vivo at the London Chest Hospital since August 1992 where the series of unselected patients constitutes the largest single user experience available. 107 valves were implanted in 100 patients of age range 33 to 80 years. 23 patients were re-replacement for failed xenograft and 26 underwent concomitant revascularisation. 92 patients left hospital and 4 died later all from non-valve related causes. Two valves were explanted for endocarditis (one pre-existing) but successfully re-replaced. There have been no late thrombo-embolic events. Two patients with AVR & CABG had strokes at 8 months. There is no excessive haemolysis in excess of that detected for any mechanical valve nor any mechanical valve-related failure. Rotation of the valve is variable and can be visualised by 2D and M mode echo and by X-ray screening as the leaflets are impregnated with Boron carbide. Half of the valves rotate constantly and a quarter intermittently. There appears to be no disadvantage to patients in whom no valve rotation could be demonstrated. We have found that the theoretical potential of performance have been achieved.

  6. Gate valve performance prediction

    International Nuclear Information System (INIS)

    Harrison, D.H.; Damerell, P.S.; Wang, J.K.; Kalsi, M.S.; Wolfe, K.J.

    1994-01-01

    The Electric Power Research Institute is carrying out a program to improve the performance prediction methods for motor-operated valves. As part of this program, an analytical method to predict the stem thrust required to stroke a gate valve has been developed and has been assessed against data from gate valve tests. The method accounts for the loads applied to the disc by fluid flow and for the detailed mechanical interaction of the stem, disc, guides, and seats. To support development of the method, two separate-effects test programs were carried out. One test program determined friction coefficients for contacts between gate valve parts by using material specimens in controlled environments. The other test program investigated the interaction of the stem, disc, guides, and seat using a special fixture with full-sized gate valve parts. The method has been assessed against flow-loop and in-plant test data. These tests include valve sizes from 3 to 18 in. and cover a considerable range of flow, temperature, and differential pressure. Stem thrust predictions for the method bound measured results. In some cases, the bounding predictions are substantially higher than the stem loads required for valve operation, as a result of the bounding nature of the friction coefficients in the method

  7. GIANT PROSTHETIC VALVE THROMBUS

    Directory of Open Access Journals (Sweden)

    Prashanth Kumar

    2015-04-01

    Full Text Available Mechanical prosthetic valves are predisposed to bleeding, thrombosis & thromboembolic complications. Overall incidence of thromboembolic complications is 1% per year who are on oral anticoagulants, whereas bleeding complications incidence is 0.5% to 6.6% per year. 1, 2 Minimization of Scylla of thromboembolic & Charybdis of bleeding complication needs a balancing act of optimal antithrombotic therapy. We are reporting a case of middle aged male patient with prosthetic mitral valve presenting in heart failure. Patient had discontinued anticoagulants, as he had subdural hematoma in the past. He presented to our institute with a giant prosthetic valve thrombus.

  8. FLUID MECHANICS OF ARTIFICIAL HEART VALVES

    OpenAIRE

    Dasi, Lakshmi P; Simon, Helene A; Sucosky, Philippe; Yoganathan, Ajit P

    2009-01-01

    1. Artificial heart valves have been in use for over five decades to replace diseased heart valves. Since the first heart valve replacement performed with a caged-ball valve, more than 50 valve designs have been developed, differing principally in valve geometry, number of leaflets and material. To date, all artificial heart valves are plagued with complications associated with haemolysis, coagulation for mechanical heart valves and leaflet tearing for tissue-based valve prosthesis. For mecha...

  9. Valve monitoring ITI-MOVATS

    International Nuclear Information System (INIS)

    Moureau, S.

    1993-01-01

    ITI-MOVATS provides a wide range of test devices to monitor the performance of valves: motor operated gate or globe valve, butterfly valve, air operated valve, and check valve. The ITI-MOVATS testing equipment is used in the following three areas: actuator setup/baseline testing, periodic/post-maintenance testing, and differential pressure testing. The parameters typically measured with the MOVATS diagnostic system as well as the devices used to measure them are described. (Z.S.)

  10. Transcatheter valve-in-valve implantation for failed bioprosthetic heart valves.

    Science.gov (United States)

    Webb, John G; Wood, David A; Ye, Jian; Gurvitch, Ronen; Masson, Jean-Bernard; Rodés-Cabau, Josep; Osten, Mark; Horlick, Eric; Wendler, O; Dumont, Eric; Carere, Ronald G; Wijesinghe, Namal; Nietlispach, Fabian; Johnson, Mark; Thompson, Chrisopher R; Moss, Robert; Leipsic, Jonathon; Munt, Brad; Lichtenstein, Samuel V; Cheung, Anson

    2010-04-27

    The majority of prosthetic heart valves currently implanted are tissue valves that can be expected to degenerate with time and eventually fail. Repeat cardiac surgery to replace these valves is associated with significant morbidity and mortality. Transcatheter heart valve implantation within a failed bioprosthesis, a "valve-in-valve" procedure, may offer a less invasive alternative. Valve-in-valve implantations were performed in 24 high-risk patients. Failed valves were aortic (n=10), mitral (n=7), pulmonary (n=6), or tricuspid (n=1) bioprostheses. Implantation was successful with immediate restoration of satisfactory valve function in all but 1 patient. No patient had more than mild regurgitation after implantation. No patients died during the procedure. Thirty-day mortality was 4.2%. Mortality was related primarily to learning-curve issues early in this high-risk experience. At baseline, 88% of patients were in New York Heart Association functional class III or IV; at the last follow-up, 88% of patients were in class I or II. At a median follow-up of 135 days (interquartile range, 46 to 254 days) and a maximum follow-up of 1045 days, 91.7% of patients remained alive with satisfactory valve function. Transcatheter valve-in-valve implantation is a reproducible option for the management of bioprosthetic valve failure. Aortic, pulmonary, mitral, and tricuspid tissue valves were amenable to this approach. This finding may have important implications with regard to valve replacement in high-risk patients.

  11. Climate change and tectonic activity during the early Pliocene Warm Period from the ostracod record at Lake Qinghai, northeastern Tibetan Plateau

    Science.gov (United States)

    Lu, Fengyan; An, Zhisheng; Chang, Hong; Dodson, John; Qiang, Xiaoke; Yan, Hong; Dong, Jibao; Song, Yougui; Fu, Chaofeng; Li, Xiangzhong

    2017-05-01

    The Early Pliocene Warm Period (EPWP, 5-3 Ma) is sometimes thought to be a useful analogue for a future warmer world, and thus the boundary conditions and drivers of climate in the EPWP may provide valuable lessons for understanding how a future warmer world might unfold. Lake Qinghai is located on the northeastern margin of the Tibetan Plateau (TP) and is affected by both Monsoon climate and Westerlies circulation. It is sensitive to the climate drivers of these systems. Its sediments, accumulated over the Cenozoic period, are a rich source of information for climate, tectonics and environmental changes of the period. We present a high-resolution ostracod record from a Lake Qinghai sediment core with a record of the period 5.10-2.60 Ma, thus covering the EPWP. Ostracods appear at 4.63 Ma and are most abundant until 3.58 Ma, while a body of water was present at the core site. This suggests a phase of humid climate and an intensified Asian Summer Monsoon (ASM), which is consistent with a warmer and wetter climate in the early Pliocene. Within this period the ostracod record shows some variabilities in lake level with deeper periods suggesting more intense ASM compared to those with shallower water. The disappearance of ostracods at 3.58 Ma may provide evidence for the uplift of Qinghai Nanshan (south of Qinghai Lake) since this is when the ASM intensified.

  12. New data on Paleocene-Eocene fauna (gastropods, ostracods, fishes) and palynoflora of the Boltysh impact structure (Ukraine) with reference to palaeobiogeography and palaeoecology

    Czech Academy of Sciences Publication Activity Database

    Dykan, N.; Kovalchuk, O.; Dykan, K.; Gurov, E.; Dašková, Jiřina; Přikryl, Tomáš

    2018-01-01

    Roč. 287, č. 2 (2018), s. 213-239 ISSN 0077-7749 Institutional support: RVO:67985831 Keywords : pollen * gastropods * ostracods * fishes * Boltysh * Paleogene * Eastern Eurpúe Subject RIV: DB - Geology ; Mineralogy Impact factor: 0.777, year: 2016

  13. Blocked Urethral Valves

    Science.gov (United States)

    ... the penis. Rarely, small membranes form across the urethra in boys early in pregnancy, and they can block the flow of urine out of the bladder. These membranes are called posterior urethral valves and can have life-threatening consequences ...

  14. Dry product valve

    International Nuclear Information System (INIS)

    Greaves, James D.

    1984-01-01

    This invention provides a system for delivering particulate radioactive or other toxic wastes to a container in which they can be solidified. The system includes a set of valves that prevent the escape of dusty materials to the atmosphere

  15. Ball check valve

    International Nuclear Information System (INIS)

    Bevilacqua, F.

    1978-01-01

    A pressurized nuclear reactor having an instrument assembly sheathed in a metallic tube which is extended vertically upward into the reactor core by traversing a metallic guide tube which is welded to the wall of the vessel is described. Sensors in each instrument assembly are connected to instruments outside the vessel to manifest the conditions within the core. Each instrument assembly probe is moved into position within a metallic guide channel. The guide channel penetrates the wall of the vessel and forms part of the barrier to the environment within the pressure vessel. Each channel includes a ball check valve which is opened by the instrument assembly probe when the probe passes through the valve. A ball valve element is moved from its seat by the probe to a position lateral of the bore of the channel and is guided to its seat along a sloped path within the valve body when the probe is removed. 5 claims, 3 figures

  16. 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...... assigned to the 'small' aortic size subset. Effective orifice area indices were calculated for all patients to assess the geographic distribution of patient-prosthesis mismatch. Univariable and multivariable logistic regression analyses adjusting for possible confounding variables were performed. RESULTS...

  17. Coanda effect in valves

    Directory of Open Access Journals (Sweden)

    Uruba Václav

    2017-01-01

    Full Text Available Coanda effect takes place in flow within valves diffuser for certain conditions. The valve plug in half-closed position forms wall-jet, which could be stable or instable, depending on geometry and other conditions. This phenomenon was subject of experimental study using time-resolved PIV technique. For the acquired data analysis the special spatio-temporal methods have been used.

  18. Edwards valve-in-valve implantation in tricuspid position.

    Science.gov (United States)

    Álvarez-Fuente, Maria; Haas, Nikolaus A; Del Cerro, Maria Jesus

    2017-10-01

    We present two cases of percutaneous Sapien XT valve-in-valve implantation in the tricuspid position: a 20-year-old man with severe congenital pulmonary stenosis and percutaneous valvuloplasty, who required surgical implantation of two protheses, pulmonary and tricuspid, and a 12-year-old boy with CHD and a degenerated tricuspid prosthesis. We implanted three Sapien XT valve-in-valves, two in the tricuspid position and one in the pulmonic position. Sapien XT valve-in-valve implantation in the tricuspid position is feasible and can decrease the number of surgeries in CHD patients.

  19. Effect of single intraoperative dose of amiodarone in patients with rheumatic valvular heart disease and atrial fibrillation undergoing valve replacement surgery

    Directory of Open Access Journals (Sweden)

    Selvaraj Thiruvenkadam

    2009-01-01

    Full Text Available Maintenance of sinus rhythm (SR is superior to rate control in atrial fibrillation (AF. In order to achieve SR, we administered single-dose intravenous amiodarone intraoperatively and evaluated its effect on conversion of rheumatic AF to SR in patients undergoing valvular heart surgery. Patients were randomly assigned to amiodarone ( n = 42 or control ( n = 40 group in a double blind manner. The amiodarone group received amiodarone (3 mg/kg intravenously prior to the institution of cardiopulmonary bypass and the control group received the same volume of normal saline. In the amiodarone group, the initial rhythm after the release of aortic cross clamp was noted to be AF in 14.3% ( n = 6 and remained so in 9.5% ( n = 4 of patients till the end of surgery. In the control group, the rhythm soon after the release of aortic cross clamp was AF in 37.5% ( n = 15 ( p = 0.035 and remained so in 32.5% ( n = 13 of patients till the end of surgery ( p = 0.01. At the end of first post-operative day 21.4% ( n = 9 of patients in amiodarone group and 55% ( n = 22 of patients in control group were in AF ( p = 0.002. The requirement of cardioversion/defibrillation was 1.5 (±0.54 in amiodarone group and 2.26 (±0.73 in the control group ( p = 0.014, and the energy needed was 22.5 (±8.86 joules in the amiodarone group and 40.53 (±16.5 in the control group ( p = 0.008. A single intraoperative dose of intravenous amiodarone increased the conversion rate of AF to normal sinus rhythm, reduced the need and energy required for cardioversion/defibrillation and reduced the recurrence of AF within one day.

  20. The Influence of Oxygen, Temperature, and Salinity on Ostracod Body Size in the Gulf of California and the Pacific Coast of North America

    Science.gov (United States)

    Wong, N.; Weber, M.; Heim, N.; Payne, J.

    2014-12-01

    The study of body size and its evolution is important to paleontological understanding of ecological niches that different organisms have occupied. Ostracods, with frequent occurrences throughout the geological record beginning in the Ordovician, are useful in analyzing how body size has changed. Therefore, understanding the impact of environmental variables is crucial to understanding patterns of body size evolution in extinct ostracods. In order to further investigate this question, ostracod populations in the Gulf of California and the Pacific Coast of North America were studied. By compiling data from Ostracoda from the Gulf of California (Swain, 1967), Marine Holocene Ostracoda from the Pacific Coast of North and Central America (Swain and Gilby, 1974), and the National Oceanographic Data Center, we compare environmental factors, including oxygen levels, temperature, salinity, and depth with anteroposterior length measurements of about 180 recent ostracod species in order to determine the impact of these variables. Using R, we constructed graphs of oxygen levels, temperature, and salinity versus average body size. Using a correlation test, the correlation coefficient for oxygen is -0.193, temperature is -0.398, and salinity is -0.322, with the corresponding p-values of 0.067, 9.196 x 10-5, and 0.002; only the latter two p-values are significant at the alpha = 0.05 level. The correlation test for depth was calculated but showed no trends. The statistically significant correlation coefficient between temperature and body size suggests a strong negative correlation. Because oxygen levels and salinity levels are, to some extent, dependent upon temperature, this may explain the smaller, yet still statistically significant, correlation between body size and salinity. Relationships between ostracod body size and temperature may be relevant to our understanding of the impacts on ecological structure as the ocean temperatures fluctuate in the future.

  1. Transcatheter tissue engineered heart valves.

    Science.gov (United States)

    Emmert, Maximilian Y; Weber, Benedikt; Falk, Volkmar; Hoerstrup, Simon P

    2014-01-01

    Valvular heart disease represents a leading cause of mortality worldwide. Transcatheter heart valve replacement techniques have been recently introduced into the clinical routine expanding the treatment options for affected patients. However, despite this technical progress toward minimally invasive, transcatheter strategies, the available heart valve prostheses for these techniques are bioprosthetic and associated with progressive degeneration. To overcome such limitations, the concept of heart valve tissue engineering has been repeatedly suggested for future therapy concepts. Ideally, a clinically relevant heart valve tissue engineering concept would combine minimally invasive strategies for both, living autologous valve generation as well as valve implantation. Therefore, merging transcatheter techniques with living tissue engineered heart valves into a trascatheter tissue engineered heart valve concept could significantly improve current treatment options for patients suffering from valvular heart disease. This report provides an overview on transcatheter tissue engineered heart valves and summarizes available pre-clinical data.

  2. FEATURES OF CONTROLLING ELECTROPNEUMATIC VALVES OF ACTUATOR TO CONTROL ITS CLUTCH WITH ACCELERATION VALVE

    Directory of Open Access Journals (Sweden)

    O. A. Yaryta

    2018-01-01

    Full Text Available The article deals with one of the ways to control an actuator of the automated clutch control system. The aim is to design control of the electropneumatic actuator, to control its coupling with the acceleration valve on the basis of experimental research as well as to provide rational parameters of the automated clutch control system for the robotic transmission. The feature of the system is an acceleration valve in the design of the electropneumatic actuator to control the clutch. New links demand to adjust the way to control the actuator. The connection of Pulse-Width Modulation (PWM with single power supply pulses to control electropneumatic valves is substantiated. The quantitative characteristics of single control pulses and PWM ones are determined. The error of operation accuracy for various ways of the control of the electropneumatic actuator to control the clutch of the robotic transmission is determined. Obtained separate PWM area is designed to suppress the initial hysteresis when the rod of the clutch actuator is moved. An algorithm for the operation of a clutch control system is proposed, taking into account the use of two modes of operation of solenoid valves. A graphical interpretation of the clutch control algorithm is presented, which gives an idea of the location of the constant signal feeding zones to the solenoid valve, as well as the operation areas of the solenoid valve in PWM mode. The control algorithm of the clutch booster provides a mode of guaranteed absence of excess pressure in the pneumatic cylinder after releasing the clutch pedal, provided that two normally closed solenoid valves are used. This configuration of the electro-pneumatic clutch control system allows the use of an emergency clutch release system in case of voltage absence. The reference algorithm for filtering the array of data coming from the feedback sensor, as well as the numerical values of the delay caused by the presence of a filter, are given.

  3. THE OSTRACODS IN THE PALAEOENVIRONMENTAL INTERPRETATION OF THE LATE LANGHIAN - EARLY SERRAVALLIAN SECTION OF RAS IL-PELLEGRIN (MALTA

    Directory of Open Access Journals (Sweden)

    GIOACCHINO BONADUCE

    2002-07-01

    Full Text Available The distribution of ostracods in the composed Langhian-Serravallian section of Ras il Pellegrin (Malta has been studied quantitatively to define the evolution of both the assemblages and the palaeoenvironmental conditions. 99 samples have been examined at a stratigraphic distance of about 1 m. 78 species have been identified whose assemblages indicate an epibathyal environment and a sedimentation depth of 500-700 m. In particular, the almost continuous occurrence of the genus Oblitacythereis, which characterizes the water layer just above the psychrosphere, together with the absolute absence of the psychrospheric genus Agrenocythere confirm this interpretation. The sudden drop of both the simple diversity and abundance near the boundary "Upper Globigerina Limestone" - "Blue Clays" Formations, especially at the top of the succession, in our opinion may be due to the the decrease of dissolved bottom oxygen content as supported also by the Cytherellidae. 

  4. Quaternary Sea-ice history in the Arctic Ocean based on a new Ostracode sea-ice proxy

    Science.gov (United States)

    Cronin, T. M.; Gemery, L.; Briggs, W.M.; Jakobsson, M.; Polyak, L.; Brouwers, E.M.

    2010-01-01

    Paleo-sea-ice history in the Arctic Ocean was reconstructed using the sea-ice dwelling ostracode Acetabulastoma arcticum from late Quaternary sediments from the Mendeleyev, Lomonosov, and Gakkel Ridges, the Morris Jesup Rise and the Yermak Plateau. Results suggest intermittently high levels of perennial sea ice in the central Arctic Ocean during Marine Isotope Stage (MIS) 3 (25-45 ka), minimal sea ice during the last deglacial (16-11 ka) and early Holocene thermal maximum (11-5 ka) and increasing sea ice during the mid-to-late Holocene (5-0 ka). Sediment core records from the Iceland and Rockall Plateaus show that perennial sea ice existed in these regions only during glacial intervals MIS 2, 4, and 6. These results show that sea ice exhibits complex temporal and spatial variability during different climatic regimes and that the development of modern perennial sea ice may be a relatively recent phenomenon. ?? 2010.

  5. Classification of heart valve condition using acoustic measurements

    Energy Technology Data Exchange (ETDEWEB)

    Clark, G. [Lawrence Livermore National Lab., CA (United States)

    1994-11-15

    Prosthetic heart valves and the many great strides in valve design have been responsible for extending the life spans of many people with serious heart conditions. Even though the prosthetic valves are extremely reliable, they are eventually susceptible to long-term fatigue and structural failure effects expected from mechanical devices operating over long periods of time. The purpose of our work is to classify the condition of in vivo Bjork-Shiley Convexo-Concave (BSCC) heart valves by processing acoustic measurements of heart valve sounds. The structural failures of interest for Bscc valves is called single leg separation (SLS). SLS can occur if the outlet strut cracks and separates from the main structure of the valve. We measure acoustic opening and closing sounds (waveforms) using high sensitivity contact microphones on the patient`s thorax. For our analysis, we focus our processing and classification efforts on the opening sounds because they yield direct information about outlet strut condition with minimal distortion caused by energy radiated from the valve disc.

  6. Transcatheter Aortic Valve Replacement for Degenerative Bioprosthetic Surgical Valves

    DEFF Research Database (Denmark)

    Dvir, Danny; Webb, John; Brecker, Stephen

    2012-01-01

    Transcatheter aortic valve-in-valve implantation is an emerging therapeutic alternative for patients with a failed surgical bioprosthesis and may obviate the need for reoperation. We evaluated the clinical results of this technique using a large, worldwide registry....

  7. NRC valve performance test program - check valve testing

    International Nuclear Information System (INIS)

    Jeanmougin, N.M.

    1987-01-01

    The Valve Performance Test Program addresses the current requirements for testing of pressure isolation valves (PIVs) in light water reactors. Leak rate monitoring is the current method used by operating commercial power plants to survey the condition of their PIVs. ETEC testing of three check valves (4-inch, 6-inch, and 12-inch nominal diameters) indicates that leak rate testing is not a reliable method for detecting impending valve failure. Acoustic emission monitoring of check valves shows promise as a method of detecting loosened internals damage. Future efforts will focus on evaluation of acoustic emission monitoring as a technique for determining check valve condition. Three gate valves also will be tested to evaluate whether the check valve results are applicable to gate type PIVs

  8. AN EXPERIMENTAL INVESTIGATION OF THE EFFECTS OF VARIABLE VALVE TIMING ON THE PERFORMANCE IN SPARK IGNITION ENGINE

    Directory of Open Access Journals (Sweden)

    Ali AKBAŞ

    2001-01-01

    Full Text Available In this study, an alternative prototype has been designed and constructed for variable valve timing systems which are used in spark ignition engines. The effects of intake valve timing and lift changing on engine performance have been investigated without changing the opening duration of the valves. A four stroke, single cylinder, spark ignition engine has been used for these experiments.

  9. Keep pushing! Limiting interruptions to CPR; bag-valve mask versus ...

    African Journals Online (AJOL)

    This has led to first responders and paramedics performing single rescuer CPR using a bag-valve-mask (BVM) device as opposed to the historical practice of intubating and ventilating via an endotracheal tube. Bag-valve-mask ventilations, especially during single rescuer CPR, are however associated with complications ...

  10. Anaesthesia for transvenous transcatheter tricuspid valve-in-valve ...

    African Journals Online (AJOL)

    2011-02-27

    Feb 27, 2011 ... Keywords: transvenous, transcatheter, tricuspid prosthesis, valve-in-valve implantation. Abstract. The authors report and discuss the anaesthetic management of a transvenous transcatheter tricuspid valve replacement. The conduct of anaesthesia, the challenges encountered and the specific risks ...

  11. Mitral Valve Aneurysm: A Rare Complication of Aortic Valve Endocarditis

    Directory of Open Access Journals (Sweden)

    A Moaref

    2008-11-01

    Full Text Available A 20-year-old intravenous drug abuser man, refered to our hospital with dyspnea and orthopnea. Tranesophagealechocardiography revealed severe aortic regurgitation, healed vegetation of aortic valve and an aneurysm of theanterior leaflet of the mitral valve. The patient was discharged after aortic valve replacement and mitral valverepair.

  12. What Is Heart Valve Disease?

    Science.gov (United States)

    ... is called a valve-in-valve procedure. Heart-Healthy Lifestyle Changes to Treat Other Related Heart Conditions To ... your doctor may advise you to make heart-healthy lifestyle changes, such as: Heart-healthy eating Aiming for ...

  13. Pneumococcal pulmonary valve endocarditis

    Directory of Open Access Journals (Sweden)

    Apostolos Vrettos

    2017-07-01

    Full Text Available Pulmonary valve endocarditis is a rare type of infective endocarditis (IE. Streptococcus pneumoniae is a pathogen that is uncommonly associated with IE. A 50 year-old male was referred to us after an incidental echocardiographic finding of a pulmonary valve vegetation. The patient had a recent admission for drainage of a scrotal abscess from which S. pneumoniae was isolated, complicated by hospital acquired pneumonia and pulmonary embolism. Analysis using polymerase chain reaction of the surgically resected mass revealed signs of 16S ribosomal DNA consistent with S. pneumoniae infection. This was an extremely rare case of pneumococcal pulmonary valve IE presenting entirely asymptomatically in the absence of any known risk factors.

  14. Cavitation problems in sodium valves

    International Nuclear Information System (INIS)

    Elie, X.

    1976-01-01

    Cavitation poses few problems for sodium valves, in spite of the fact that the loops are not pressurized. This is no doubt due to the low flow velocities in the pipes. For auxiliary loop valves we are attempting to standardize performances with respect to cavitation. For economic reasons cavitation thresholds are approached with large diameter valves. (author)

  15. Optothermally actuated capillary burst valve

    DEFF Research Database (Denmark)

    Eriksen, Johan; Bilenberg, Brian; Kristensen, Anders

    2017-01-01

    We demonstrate the optothermal actuation of individual capillary burst valves in an all-polymer microfluidic device. The capillary burst valves are realised in a planar design by introducing a fluidic constriction in a microfluidic channel of constant depth. We show that a capillary burst valve can...

  16. Telocytes in human heart valves.

    Science.gov (United States)

    Yang, Yang; Sun, Wei; Wu, Sean M; Xiao, Junjie; Kong, Xiangqing

    2014-05-01

    Valve interstitial cells (VICs) are responsible for maintaining the structural integrity and dynamic behaviour of the valve. Telocytes (TCs), a peculiar type of interstitial cells, have been recently identified by Popescu's group in epicardium, myocardium and endocardium (visit www.telocytes.com). The presence of TCs has been identified in atria, ventricles and many other tissues and organ, but not yet in heart valves. We used transmission electron microscopy and immunofluorescence methods (double labelling for CD34 and c-kit, or vimentin, or PDGF Receptor-β) to provide evidence for the existence of TCs in human heart valves, including mitral valve, tricuspid valve and aortic valve. TCs are found in both apex and base of heart valves, with a similar density of 27-28 cells/mm(2) in mitral valve, tricuspid valve and aortic valve. Since TCs are known for the participation in regeneration or repair biological processes, it remains to be determined how TCs contributes to the valve attempts to re-establish normal structure and function following injury, especially a complex junction was found between TCs and a putative stem (progenitor) cell. © 2014 The Authors. Journal of Cellular and Molecular Medicine published by John Wiley & Sons Ltd and Foundation for Cellular and Molecular Medicine.

  17. Building valve amplifiers

    CERN Document Server

    Jones, Morgan

    2013-01-01

    Building Valve Amplifiers is a unique hands-on guide for anyone working with tube audio equipment--as an electronics hobbyist, audiophile or audio engineer. This 2nd Edition builds on the success of the first with technology and technique revisions throughout and, significantly, a major new self-build project, worked through step-by-step, which puts into practice the principles and techniques introduced throughout the book. Particular attention has been paid to answering questions commonly asked by newcomers to the world of the valve, whether audio enthusiasts tackling their first build or

  18. Tricuspid valve and percutaneous approach: No longer the forgotten valve!

    Science.gov (United States)

    Bouleti, Claire; Juliard, Jean-Michel; Himbert, Dominique; Iung, Bernard; Brochet, Eric; Urena, Marina; Dilly, Marie-Pierre; Ou, Phalla; Nataf, Patrick; Vahanian, Alec

    2016-01-01

    Tricuspid valve disease is mainly represented by tricuspid regurgitation (TR), which is a predictor of poor outcome. TR is usually secondary, caused by right ventricle pressure or volume overload, the leading cause being left-sided heart valve diseases. Tricuspid surgery for severe TR is recommended during left valve surgery, and consists of either a valve replacement or, most often, a tricuspid repair with or without prosthetic annuloplasty. When TR persists or worsens after left valvular surgery, redo isolated tricuspid surgery is associated with high mortality. In addition, a sizeable proportion of patients present with tricuspid surgery deterioration over time, and need a reintervention, which is associated with high morbi-mortality rates. In this context, and given the recent major breakthrough in the percutaneous treatment of aortic and mitral valve diseases, the tricuspid valve appears an appealing challenge, although it raises specific issues. The first applications of transcatheter techniques for tricuspid valve disease were valve-in-valve and valve-in-ring implantation for degenerated bioprosthesis or ring annuloplasty. Some concerns remain regarding prosthesis sizing, rapid ventricular pacing and the best approach, but these procedures appear to be safe and effective. More recently, bicuspidization using a transcatheter approach for the treatment of native tricuspid valve has been published, in two patients. Finally, other devices are in preclinical development. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  19. Climate variability during the Medieval Climate Anomaly and Little Ice Age based on ostracod faunas and shell geochemistry from Biscayne Bay, Florida: Chapter 14

    Science.gov (United States)

    Cronin, Thomas M.; Wingard, G. Lynn; Dwyer, Gary S.; Swart, Peter K.; Willard, Debra A.; Albietz, Jessica

    2012-01-01

    An 800-year-long environmental history of Biscayne Bay, Florida, is reconstructed from ostracod faunal and shell geochemical (oxygen, carbon isotopes, Mg/Ca ratios) studies of sediment cores from three mudbanks in the central and southern parts of the bay. Using calibrations derived from analyses of modern Biscayne and Florida Bay ostracods, palaeosalinity oscillations associated with changes in precipitation were identified. These oscillations reflect multidecadal- and centennial-scale climate variability associated with the Atlantic Multidecadal Oscillation during the late Medieval Climate Anomaly (MCA) and the Little Ice Age (LIA). Evidence suggests wetter regional climate during the MCA and drier conditions during the LIA. In addition, twentieth century anthropogenic modifications to Everglades hydrology influenced bay circulation and/or processes controlling carbon isotopic composition.

  20. New safety valve addresses environmental concerns

    International Nuclear Information System (INIS)

    Taylor, J.; Austin, R.

    1992-01-01

    This paper reports that Conoco Pipeline is using a unique relief valve to reduce costs while improving environmental protection at its facilities. Conoco Pipeline Co. Inc. began testing new relief valves in 1987 to present over-pressuring its pipelines while enhancing the safety, environmental integrity and profitability of its pipelines. Conoco worked jointly with Rupture Pin Technology Inc., Oklahoma City, to seek a solution to a series of safety, environmental, and operational risks in the transportation of crude oil and refined products through pipelines. Several of the identified problems were traced to a single equipment source: the reliability of rupture discs used at pipeline stations to relieve pressure by diverting flow to tanks during over-pressure conditions. Conoco's corporate safety and environmental policies requires solving problems that deal with exposure to hydrocarbon vapors, chemical spills or the atmospheric release of fugitive emissions, such as during rupture disc maintenance. The company had used rupture pin valves as vent relief devices in conjunction with development by Rick Austin of inert gas methods to protect the inner casing wall and outer carrier pipeline wall in pipeline road crossings. The design relies on rupture pin valves set at 5 psi to isolate vent openings from the atmosphere prior to purging the annular space between the pipeline and casing with inert gas to prevent corrosion. Speciality Pipeline Inspection and Engineering Inc., Houston, is licensed to distribute the equipment for the new cased-crossing procedure

  1. Mitral Valve Prolapse

    Science.gov (United States)

    ... Body Mind Sexual Health Food & Fitness Diseases & Conditions Infections Drugs & Alcohol School & Jobs Sports Expert Answers (Q&A) Staying Safe Videos for Educators Search English Español Mitral Valve ... You Play? Print en español Prolapso de ...

  2. Thermostatic Radiator Valve Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Dentz, Jordan [Advanced Residential Integrated Energy Solutions Collaborative, New York, NY (United States); Ansanelli, Eric [Advanced Residential Integrated Energy Solutions Collaborative, New York, NY (United States)

    2015-01-01

    A large stock of multifamily buildings in the Northeast and Midwest are heated by steam distribution systems. Losses from these systems are typically high and a significant number of apartments are overheated much of the time. Thermostatically controlled radiator valves (TRVs) are one potential strategy to combat this problem, but have not been widely accepted by the residential retrofit market.

  3. Bicuspid aortic valve

    Science.gov (United States)

    ... females. A BAV often exists in babies with coarctation of the aorta (narrowing of the aorta). BAV is also seen ... to view the blood vessels of the heart Treatment ... to the heart and into the narrow opening of the aortic valve. A balloon attached to the end of ...

  4. SAFETY SHUTOFF VALVE

    DEFF Research Database (Denmark)

    2010-01-01

    It is disclosed a shut-off valve which acts automatically and has a fully mechanical performance with respect to the loosing of the tower-shape part balance under the effect of the special acceleration Which is arisen from the quakes waves or serious vibrations, while such vibrations are mainly r...

  5. Measurement of reed valve kinematics

    Directory of Open Access Journals (Sweden)

    Fenkl Michael

    2016-01-01

    Full Text Available The measurement of key kinematic parameters of a reed valve movement is necessary for the further development of the reed valve system. These parameters are dependent on the geometry and material properties of the valve. As they directly affect the quantity of air flowing around the valve, a simple and easy to implement measurement of various valve configuration based on the air flow has been devised and is described in this paper, along with its technical parameters and drawbacks when evaluating reed valves used in reciprocating air compressors. Results are presented for a specimen of a compressor under examination. All kinematic parameters, and timing of the opening and closing of the valve, obtained from the measurement are presented and discussed.

  6. Tricuspid valve endocarditis.

    Science.gov (United States)

    Hussain, Syed T; Witten, James; Shrestha, Nabin K; Blackstone, Eugene H; Pettersson, Gösta B

    2017-05-01

    Right-sided infective endocarditis (RSIE) is less common than left-sided infective endocarditis (IE), encompassing only 5-10% of cases of IE. Ninety percent of RSIE involves the tricuspid valve (TV). Given the relatively small numbers of TVIE cases operated on at most institutions, the purpose of this review is to highlight and discuss the current understanding of IE involving the TV. RSIE and TVIE are strongly associated with intravenous drug use (IVDU), although pacemaker leads, defibrillator leads and vascular access for dialysis are also major risk factors. Staphylococcus aureus is the predominant causative organism in TVIE. Most patients with TVIE are successfully treated with antibiotics, however, 5-16% of RSIE cases eventually require surgical intervention. Indications and timing for surgery are less clear than for left-sided IE; surgery is primarily considered for failed medical therapy, large vegetations and septic pulmonary embolism, and less often for TV regurgitation and heart failure. Most patients with an infected prosthetic TV will require surgery. Concomitant left-sided IE has its own surgical indications. Earlier surgical intervention may potentially prevent further destruction of leaflet tissue and increase the likelihood of TV repair. Fortunately, TV debridement and repair can be accomplished in most cases, even those with extensive valve destruction, using a variety of techniques. Valve repair is advocated over replacement, particularly in IVDUs patients who are young, non-compliant and have a higher risk of recurrent infection and reoperation with valve replacement. Excising the valve without replacing, it is not advocated; it has been reported previously, but these patients are likely to be symptomatic, particularly in cases with septic pulmonary embolism and increased pulmonary vascular resistance. Patients with concomitant left-sided involvement have worse prognosis than those with RSIE alone, due predominantly to greater likelihood of

  7. Paleoenvironmental interpretation through the analysis of ostracodes and carbonate microfacies: study of the Jandaíra Formation, Upper Cretaceous, Potiguar Basin

    Directory of Open Access Journals (Sweden)

    Marcos Antonio Batista dos Santos Filho

    Full Text Available Paleoecological analyses are important tools for the reconstruction of paleoenvironments. This paper had the objective of using analysis of ostracode assemblages and carbonate microfacies of a well (Carbomil and an outcrop (Quixeré from the Jandaíra Formation, Potiguar Basin, in order to verify how they corroborate and complement the other. Two paleoenvironments for Carbomil Well (assemblages 1 and 2, respectively marine and brackish to neritic environments and one for Quixeré Outcrop (assemblage 3, marine environment were identified through the ostracode assemblage analysis. Thin section analysis allowed the identification of two different facies for Carbomil Well, i.e. bioclastic packstones to wackstones, a marine brackish or restricted marine system; and bioclastic grainstones to packstones, a normal, shallow marine system. High levels of alteration on the samples prevented an adequate analysis of Quixeré Outcrop; however, it seems to point towards a low-energy environment. Overall, information provided by the thin sections corroborate and complement data of the ostracode assemblages, which allowed a higher degree of certainty for the paleoenvironmental analysis.

  8. Biostratigraphic analysis based on palynomorphs and ostracods from core 2-JNS-01PE, Lower Cretaceous, Jatobá Basin, northeastern Brazil

    Science.gov (United States)

    Nascimento, Luiz R. D. S. L.; Tomé, Maria E. T. R.; Barreto, Alcina M. F.; Holanda de Oliveira, David; Neumann, Virgínio H. M. L.

    2017-07-01

    This manuscript presents a biostratigraphic analysis based on non-marine palynomorphs and ostracods during the interval corresponding to the Aptian - lower Albian (local Alagoas stage) in the Jatobá Basin, northeastern Brazil. The data used for the analysis were from 179 samples collected in core 2-JSN-01-PE, which was drilled in the locality of Serra Negra, municipality of Ibimirim, Pernambuco. Of the 179 samples collected and prepared, only 23 presented ostracods, whereas 64 levels were carriers of organic waste, which aided in the biostratigraphic correlation of the studied core. From the palynological data, it was possible to identify the upper limit of the Inaperturopollenites turbatus (P-260) palynozone and the Sergipea variverrucata (P-270) palynozone and the lower limit of the Complicatisaccus cearensis (P-280) palynozone in the core 2-JSN-01-PE. Among the palynozones, the upper limit of P-260, whose record is difficult to track in northeastern Brazil and has been identified only in the Sergipe/Alagoas basin, and the limit of P-270 and P-280 in the Jatobá Basin, which had not yet been identified, can be highlighted. From the data based on non-marine ostracods, it was possible identify the "Cytheridea"? spp. ex. Group 201/218 Biozone (herein designated Damonella grandiensis), code 011. Such record in the Jatobá Basin is represented for a diverse fauna when compared with the record of monospecific fauna initially proposed in the Sergipe/Alagoas Basin.

  9. Temporal changes in Quaternary paleoenvironment and ostracode fauna in the eastern Indian Sea off Western Australia (IODP, Exp. 356, site U1461)

    Science.gov (United States)

    Iwatani, H.; Yasuhara, M.; Angue Minto'O, C. M.; Bassetti, M. A.; Expedition 356 Scientists, I.

    2016-12-01

    The International Ocean Discovery Program Expedition 356 drilled on seven sites off Western Australia to reveal the history of the Indonesian throughflow, the effects of the Australian monsoon, and the subsidence of the northwest shelf of Australia. To achieve these objectives, we investigated paleoenvironmental evolutions in this region during the Quaternary period using high-resolution statistical analyses of the fossil Ostracoda (Crustacea) as an effective environmental indicator. For the investigation, we used a sediment core obtained from an area off Western Australia in the eastern Indian Sea (site: U1461; water depth: 128 m; latitude: 20°, 12.85' S; longitude: 115°, 03.94' E). The upper part of the core mainly comprises alternating beds of darker-colored packstone/wackestone and light-colored wackestone/mudstone. The light-colored wackestone/mudstone beds often contain fecal pellets and well-preserved molluscan fossils. We investigated fossil ostracode faunal composition and species diversity changes during the deposition of the study site. Many well-preserved ostracodes were recorded in the studied cores. Many of collected species are extant taxa that inhabit the upper sublittoral regions as reported from around the recent Indian Ocean off northwestern Australia. Ostracode assemblages, abundance, and diversity drastically changed during the deposition, and they are concordant with sedimentary facies. Here we will discuss the relationships between these paleo-communities changes and paleoenvironmental conditions.

  10. Orbital-scale Central Arctic Ocean Temperature Records from Benthic Foraminiferal δ18O and Ostracode Mg/Ca Ratios

    Science.gov (United States)

    Keller, K.; Cronin, T. M.; Dwyer, G. S.; Farmer, J. R.; Poirier, R. K.; Schaller, M. F.

    2017-12-01

    Orbital-scale climate variability is often amplified in the polar region, for example in changes in seawater temperature, sea-ice cover, deep-water formation, ecosystems, heat storage and carbon cycling. Yet, the relationship between the Arctic Ocean and global climate remains poorly understood due largely to limited orbital-scale paleoclimate records, the complicated nature of sea-ice response to climate and limited abundance of deep sea biological proxies. Here we reconstruct central Arctic Ocean bottom temperatures over the last 600 kyr using ostracode Mg/Ca ratios (genus Krithe) and benthic foraminiferal oxygen isotope ratios (δ18Obf - I. teretis, O. tener, P. bulloides, C. reniforme, C. wuellerstorfi) in six sediment cores recovered from the Mendeleev and Northwind Ridges (700- 2726 m water depth). We examined glacial-interglacial cycles in Arctic seawater temperatures and Arctic δ18Obf chronostratigraphy to reconcile effects of changing bottom water temperature, ice volume and regional hydrography on δ18Obf records. Results show lower ( 10-12 mmol/mol) interglacial and higher ( 16-23 mmol/mol) glacial Mg/Ca ratios, signifying intermediate depth ocean warming during glacials of up to 2 ºC. These temperature maxima are likely related to a deepening of the halocline and the corresponding deeper influence of warm Atlantic water. Glacial-interglacial δ18Obf ranges are smaller in the Arctic ( 0.8-1‰ VPDB) than in the global ocean ( 1.8 ‰). However, when the distinct glacial-interglacial temperature histories of the Arctic (glacial warming) and global ocean (glacial cooling) are accounted for, both Arctic and global ocean seawater δ18O values (δ18Osw) exhibit similar 1.2-1.3 ‰ glacial-interglacial ranges. Thus, Arctic δ18Obf confirms glacial Arctic warming inferred from ostracode Mg/Ca. This study will discuss the strengths and limitations of applying paired Mg/Ca and oxygen isotope proxies in reconstructing more robust paleoceanographic changes in the

  11. In vitro experiment for verification of the tandem shunt valve system: a novel method for treating hydrocephalus by flexibly controlling cerebrospinal fluid flow and intracranial pressure.

    Science.gov (United States)

    Aihara, Yasuo; Shoji, Ichiro; Okada, Yoshikazu

    2013-01-01

    The CSF shunt valve is a medical device whose main function is to regulate intracranial pressure and drain excess CSF. The authors have developed a new therapeutic method for treating hydrocephalus, namely the tandem shunt valve system, which has the potential of flexibly controlling the CSF flow rate and intracranial pressure in patients. The properties of the tandem system were verified by performing in vitro experiments. An in vitro system with a manometer was built to measure pressure and flow rates of water in open systems using the Codman Hakim Programmable Valve and the Strata adjustable pressure programmable valve. A single valve and 2 single shunt valves connected in series (the tandem shunt valve system) were connected to the manometer to check the final pressure. Conventional single shunt valve systems require valve pressures to be set higher to slow down the CSF flow rate, which inevitably results in a higher final pressure. On the other hand, the tandem shunt valve system uses the combination of 2 valves to slow the CSF flow rate without increasing the final pressure. The authors succeeded in experimentally demonstrating in vitro results of tandem systems and their effectiveness by applying a model to show that the valve with the higher pressure setting determined the final pressure of the entire system and the flow rate became slower than single shunt valve systems.

  12. Double orifice mitral valve: A case report

    Directory of Open Access Journals (Sweden)

    Musić Ljilja

    2016-01-01

    Full Text Available Introduction. Double orifice mitrol valve (DOMV is a very rare congenital heart defect. Case report. We reported 20-year-old male referred to our center due to evaluation of his cardiologic status. He was operated on shortly after birth for a tracheoesophageal fistula. Accidentally, echocardiography examination at the age of 4 years revealed double orifice mitral valve (DOMV without the presence of mitral regurgitation, as well as mitral stenosis, with normal dimensions of all cardiac chambers. The patient was asymptomatic, even more he was a kick boxer. His physical finding was normal. Electrocardiography showed regular sinus rhythm, incomplete right bundle branch block. Transthoracic echocardiography (TTE examination revealed the normal size of the left atrial, mitral leaflets were slightly more redundant. The left and right heart chambers, aorta, tricuspid valve and pulmonary artery valve were normal. During TTE examination on a short axis view two asymmetric mitral orifices were seen as a double mitral orifice through which we registered normal flow, without regurgitation and mitral stenosis. Transesophageal echocardiography (TEE examination from the transgastric view at the level of mitral valve, showed 2 single asymmetric mitral orifices separated by fibrous tissue, mitral leaflet with a separate insertion of hordes for each orifice. Conclusion. The presented patient with DOMV is the only one recognized in our country. The case is interesting because during 16-year a follow-up period there were no functional changes despite the fact that he performed very demanded sport activities. This is very important because there is no information in the literature about that.

  13. Mechanical Valve Replacement: Early Results

    Directory of Open Access Journals (Sweden)

    Habib Cakir

    2012-02-01

    Full Text Available Aim: Valve diseases in developing countries like Turkey which often occur as a complication of rheumatic fever are a serious disease. Surgical treatment of valve diseases should be done before irreversible damage to the myocardium occurred. In this study, we aimed to present the early results of mechanical valve replacement operations. Method: A hundred patients with mechanical valve replacement surgery were retrospectively evaluated in Seyhan Application Center attached to our clinic between July 2007 and August 2011. Results: Fifty patients were male and 50 were women. The mean age of patients was 47.88 (18-78. Isolated aortic valve replacement (AVR was performed to 23 patients, isolated mitral valve replacement (MVR was 32, double valve replacement (AVR + MVR was 12, MVR + aortic valve valvuloplasty was 1, AVR + mitral kommissurotomi was 1, AVR + coronary artery bypass graft surgery (CABG was 17, MVR + CABG was 8, MVR + atrial septal defect closure was 2 and Bentall procedure.was 4 patients. In addition, ablation procedure was performed to 5 patients intraoperatively because of preoperative atrial fibrillation. Two patients (2 % died in early postoperative period. Conclusion: Mechanical prosthetic valves are used for surgical treatment of valve disease with low mortality and morbidity in a large group of patients like women that not to think to get pregnant, non advanced age group and patients have less risky for anticoagulation drug in our clinic. [Cukurova Med J 2012; 37(1.000: 49-54

  14. Cyclonic valve test: preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Monteiro, Andre Sampaio; Moraes, Carlos Alberto C.; Marins, Luiz Philipe M.; Soares, Fabricio; Oliveira, Dennis; Lima, Fabio Soares de; Airao, Vinicius [Petroleo Brasileiro S.A. (PETROBRAS), Rio de Janeiro, RJ (Brazil); Ton, Tijmen [Twister BV, Rijswijk (Netherlands)

    2012-07-01

    For many years, the petroleum industry has been developing a valve that input less shear to the flow for a given required pressure drop and this can be done using the cyclonic concept. This paper presents a comparison between the performances of a cyclonic valve (low shear) and a conventional globe valve. The aim of this work is to show the advantages of using a cyclonic low shear valve instead of the commonly used in the primary separation process by PETROBRAS. Tests were performed at PETROBRAS Experimental Center (NUEX) in Aracaju/SE varying some parameters: water cut; pressure loss (from 4 kgf/cm2 to 10 kgf/cm2); flow rates (30 m3/h and 45 m3/h). Results indicates a better performance of the cyclonic valve, if compared with a conventional one, and also that the difference of the performance, is a function of several parameters (emulsion stability, water content free, and oil properties). The cyclonic valve tested can be applied as a choke valve, as a valve between separation stages (for pressure drop), or for controlling the level of vessels. We must emphasize the importance to avoid the high shear imposed by conventional valves, because once the emulsion is created, it becomes more difficult to break it. New tests are being planned to occur in 2012, but PETROBRAS is also analyzing real cases where the applications could increase the primary process efficiency. In the same way, the future installations are also being designed considering the cyclonic valve usage. (author)

  15. Transcatheter aortic valve implantation in failed bioprosthetic surgical valves

    DEFF Research Database (Denmark)

    Dvir, Danny; Webb, John G; Bleiziffer, Sabine

    2014-01-01

    IMPORTANCE: Owing to a considerable shift toward bioprosthesis implantation rather than mechanical valves, it is expected that patients will increasingly present with degenerated bioprostheses in the next few years. Transcatheter aortic valve-in-valve implantation is a less invasive approach......, stroke, and New York Heart Association functional class. RESULTS: Modes of bioprosthesis failure were stenosis (n = 181 [39.4%]), regurgitation (n = 139 [30.3%]), and combined (n = 139 [30.3%]). The stenosis group had a higher percentage of small valves (37% vs 20.9% and 26.6% in the regurgitation...... and combined groups, respectively; P = .005). Within 1 month following valve-in-valve implantation, 35 (7.6%) patients died, 8 (1.7%) had major stroke, and 313 (92.6%) of surviving patients had good functional status (New York Heart Association class I/II). The overall 1-year Kaplan-Meier survival rate was 83...

  16. Tricuspid Valve Replacement, Mechnical vs. Biological Valve, Which Is Better?

    Directory of Open Access Journals (Sweden)

    Haitham Akram Altaani

    2013-06-01

    Full Text Available Background: The initial trial in tricuspid surgery is repair; however, replacement is done whenever the valve is badly diseased. Tricuspid valve replacement comprises 1.7% of all tricuspid valve surgeries. Materials and Methods: The present retrospective study was performed using the medical records of 21 cases who underwent tricuspid valve replacement from January 2002 until the end of December 2010. The mean age of the participants was 52.3±8.8 years and 66.7% were females. In addition, tricuspid valve replacement was associated with mitral valve surgery, aortic valve surgery, and both in 14.3%, 4.8%, and 33.3% of the cases, respectively. Yet, isolated tricuspid valve replacement and redo surgery were performed in 10 cases (47.6% and 8 cases (38.1%, respectively. Besides, trial of repair was done in 14 cases (66.7%. Moreover, biological and mechanical valves were used in 76.2% and 23.8% of the patients, respectively. Results: According to the results, early mortality was 23.8% and one year survival was 66.7%. Moreover, early mortality was caused by right ventricular failure, multiorgan failure, medistinitis, and intracerbral bleeding in 42%, 28.6%, 14.3%, and 14.3% of the cases, respectively. In addition, 57.1% of the deaths had occurred in the cases where the biological valve was used, while 42.9% of the deaths had taken place where the mechanical one was utilized. Conclusions: The patients who require tricuspid valve replacement are usually high risk surgical candidates with early and long term mortality. The findings of the current study showed no significant hemodynamic difference between mechanical and biological valves.

  17. Marine ostracod turnover tracks orbitally forced palaeoenvironmental changes at the Lower-Middle Pleistocene transition: the case study of the Valle di Manche section (Calabria, southern Italy)

    Science.gov (United States)

    Rossi, Veronica; Scarponi, Daniele; Capraro, Luca; Ferretti, Patrizia; Macrì, Patrizia

    2017-04-01

    Ostracods, small crustaceans living in almost every aquatic depositional setting, are widely used in palaeoenvironmental reconstructions due to their well-known ecological sensitivity. A close connection between the composition of ostracod fauna and the Milankovitch climate-eustatic variability has been documented in several Plio-Pleistocene marine sections of the Central Mediterranean area. The Valle di Manche section (VdM; Calabria, southern Italy), one of the suitable candidates to host the Global Stratotype Section and Point (GSSP) of the Ionian Stage-Middle Pleistocene, represents an ideal venue where to investigate ostracod turnover in relation to orbitally forced palaeoenvironmental changes, being firmly constrained in time and well documented by a number of independent climatic proxy. A high-resolution, quantitative analysis of the ostracod fauna has been undertaken on the middle part of the VdM, ca. 30 m-thick and showing two T-R cycles developed at the Lower-Middle Pleistocene transition (late MIS 21 to early MIS 18). Within each cycle, a relatively thin, fining-upward transgressive muddy unit is overlain by gradually coarsening upward and more expanded regressive silty to sand packages. A total of 40 samples have been selected to characterise the whole spectrum of lithofacies and detect high-frequency palaeoenvironmental variations especially within homogeneous clayey stratigraphic intervals. Taxa typical of circalittoral (>70/100 m) depths (e.g., Bosquetina dentata, Cytherella vulgatella, Cytheropteron monoceros, Pterygocythereis ceratoptera and Krithe species), commonly accompanied by the lower circalittoral-bathyal species Henryhowella sarsii, occur within the fine-grained units developed during the full interglacials of MIS 21 and MIS 19. Furthermore, ostracod assemblages document that the oxygen availability at the sea floor changed during MIS 19. In contrast, a less-diversified ostracod fauna dominated by Aurila convexa, a species preferring

  18. Patents and heart valve surgery--I: mechanical valves.

    Science.gov (United States)

    Cheema, Faisal H; Hussain, Nasir; Kossar, Alexander P; Polvani, Gianluca

    2013-04-01

    Valvular heart disease, inherited or acquired, affects more than 5 million Americans yearly. Whereas medical treatment is beneficial in the initial stages of valvular heart disease, surgical correction provides symptomatic relief and long-term survival benefits. Surgical options include either repair or replacement using mechanical or bio-prosthetic valves. Patient age and the post-operative need for anticoagulation therapy are major determinants of the choice between use of mechanical or bio-prosthetic valves. Since the first mechanical valves were made available several decades ago, the incorporation of increasingly sophisticated materials and methodologies has led to substantial improvements in the valve design, and has catalyzed a parallel increase in the amount of patents issued for these emerging technologies. In this paper, we have chronologically reviewed such patents, briefly discussed various challenges that mechanical heart valve implementation is faced with and finally reviewed some of the strategies employed to overcome such obstacles. An ideal prosthetic heart valve would comprehensively mimic the natural hemodynamics and physiology of the native heart valve. Additionally, such a valve would be easily implantable, associated with a minimal risk of thrombosis and thus need for anti-coagulation, and with a proven long-term durability. With cutting edge technological advancements in the recent times, the ongoing innovative and collaborative efforts of physicians, scientists, and engineers will not seize until an ideal mechanical heart valve becomes a reality.

  19. Anterior Urethral Valves

    Directory of Open Access Journals (Sweden)

    Vidyadhar P. Mali

    2006-07-01

    Full Text Available We studied the clinical presentation and management of four patients with anterior urethral valves; a rare cause of urethral obstruction in male children. One patient presented antenatally with oligohydramnios, bilateral hydronephrosis and bladder thickening suggestive of an infravesical obstruction. Two other patients presented postnatally at 1 and 2 years of age, respectively, with poor stream of urine since birth. The fourth patient presented at 9 years with frequency and dysuria. Diagnosis was established on either micturating cystourethrogram (MCU (in 2 or on cystoscopy (in 2. All patients had cystoscopic ablation of the valves. One patient developed a postablation stricture that was resected with an end-to-end urethroplasty. He had an associated bilateral vesicoureteric junction (VUJ obstruction for which a bilateral ureteric reimplantation was done at the same time. On long-term follow-up, all patients demonstrated a good stream of urine. The renal function is normal. Patients are continent and free of urinary infections. Anterior urethral valves are rare obstructive lesions in male children. The degree of obstruction is variable, and so they may present with mild micturition difficulty or severe obstruction with hydroureteronephrosis and renal impairment. Hence, it is important to evaluate the anterior urethra in any male child with suspected infravesical obstruction. The diagnosis is established by MCU or cystoscopy and the treatment is always surgical, either a transurethral ablation or an open resection. The long-term prognosis is good.

  20. Posterior Urethral Valves

    Directory of Open Access Journals (Sweden)

    Steve J. Hodges

    2009-01-01

    Full Text Available The most common cause of lower urinary tract obstruction in male infants is posterior urethral valves. Although the incidence has remained stable, the neonatal mortality for this disorder has improved due to early diagnosis and intensive neonatal care, thanks in part to the widespread use of prenatal ultrasound evaluations. In fact, the most common reason for the diagnosis of posterior urethral valves presently is the evaluation of infants for prenatal hydronephrosis. Since these children are often diagnosed early, the urethral obstruction can be alleviated rapidly through catheter insertion and eventual surgery, and their metabolic derangements can be normalized without delay, avoiding preventable infant mortality. Of the children that survive, however, early diagnosis has not had much effect on their long-term prognosis, as 30% still develop renal insufficiency before adolescence. A better understanding of the exact cause of the congenital obstruction of the male posterior urethra, prevention of postnatal bladder and renal injury, and the development of safe methods to treat urethral obstruction prenatally (and thereby avoiding the bladder and renal damage due to obstructive uropathy are the goals for the care of children with posterior urethral valves[1].

  1. Early Outcomes of Sutureless Aortic Valves

    Directory of Open Access Journals (Sweden)

    Muhammet Onur Hanedan

    2016-06-01

    Full Text Available Background: In elderly high-risk surgical patients, sutureless aortic valve replacement (AVR should be an alternative to standard AVR. The potential advantages of sutureless aortic prostheses include reducing cross-clamping and cardiopulmonary bypass (CPB time and facilitating minimally invasive surgery and complex cardiac interventions, while maintaining satisfactory hemodynamic outcomes and low rates of paravalvular leakage. The current study reports our single-center experience regarding the early outcomes of sutureless aortic valve implantation. Methods: Between October 2012 and June 2015, 65 patients scheduled for surgical valve replacement with symptomatic aortic valve disease and New York Heart Association function of class II or higher were included to this study. Perceval S (Sorin Biomedica Cardio Srl, Sallugia, Italy and Edwards Intuity (Edwards Lifesciences, Irvine, CA, USA valves were used. Results: The mean age of the patients was 71.15±8.60 years. Forty-four patients (67.7% were female. The average preoperative left ventricular ejection fraction was 56.9±9.93. The CPB time was 96.51±41.27 minutes and the cross-clamping time was 60.85±27.08 minutes. The intubation time was 8.95±4.19 hours, and the intensive care unit and hospital stays were 2.89±1.42 days and 7.86±1.42 days, respectively. The mean quantity of drainage from chest tubes was 407.69±149.28 mL. The hospital mortality rate was 3.1%. A total of five patients (7.69% died during follow-up. The mean follow-up time was 687.24±24.76 days. The one-year survival rate was over 90%. Conclusion: In the last few years, several models of valvular sutureless bioprostheses have been developed. The present study evaluating the single-center early outcomes of sutureless aortic valve implantation presents the results of an innovative surgical technique, finding that it resulted in appropriate hemodynamic conditions with acceptable ischemic time.

  2. Steam Turbine Control Valve Stiction Effect on Power System Stability

    International Nuclear Information System (INIS)

    Halimi, B.

    2010-01-01

    One of the most important problems in power system dynamic stability is low frequency oscillations. This kind of oscillation has significant effects on the stability and security of the power system. In some previous papers, a fact was introduced that a steam pressure continuous fluctuation in turbine steam inlet pipeline may lead to a kind of low frequency oscillation of power systems. Generally, in a power generation plant, steam turbine system composes of some main components, i.e. a boiler or steam generator, stop valves, control valves and turbines that are connected by piping. In the conventional system, the turbine system is composed with a lot of stop and control valves. The steam is provided by a boiler or steam generator. In an abnormal case, the stop valve shuts of the steal flow to the turbine. The steam flow to the turbine is regulated by controlling the control valves. The control valves are provided to regulate the flow of steam to the turbine for starting, increasing or decreasing the power, and also maintaining speed control with the turbine governor system. Unfortunately, the control valve has inherent static friction (stiction) nonlinearity characteristics. Industrial surveys indicated that about 20-30% of all control loops oscillate due to valve problem caused by this nonlinear characteristic. In this paper, steam turbine control valve stiction effect on power system oscillation is presented. To analyze the stiction characteristic effect, firstly a model of control valve and its stiction characteristic are derived by using Newton's laws. A complete tandem steam prime mover, including a speed governing system, a four-stage steam turbine, and a shaft with up to for masses is adopted to analyze the performance of the steam turbine. The governor system consists of some important parts, i.e. a proportional controller, speed relay, control valve with its stiction characteristic, and stem lift position of control valve controller. The steam turbine has

  3. Automatic fire hydrant valve development

    International Nuclear Information System (INIS)

    Drumheller, K.

    1976-01-01

    The development of a remotely-controlled valve to operate a fire hydrant is described. Assembled from off-the-shelf components, the prototype illustrates that a valve light enough to be handled by one man is possible. However, it does not have the ruggedness or reliability needed for actual fire-fighting operations. Preliminary testing by City of Tacoma fire department personnel indicates that the valve may indeed contribute significantly to fire-fighting efficiency

  4. A micro control valve with integrated capacitive sensing for ambulant blood pressure waveform monitoring

    NARCIS (Netherlands)

    Groen, Maarten; Brookhuis, Robert Anton; van Houwelingen, M.J.; Brouwer, Dannis Michel; Lötters, Joost Conrad; Wiegerink, Remco J.

    2013-01-01

    We have designed and fabricated the first single-wafer proportional micro control valve with built-in capacitive dis-placement sensing. The displacement sensor can facilitate high-speed active proportional control of gas flow through the valve. This is an essential requirement for non-invasive blood

  5. Mitral Valve Prolapse in Pregnancy

    Directory of Open Access Journals (Sweden)

    Shi-Min Yuan

    Full Text Available Abstract Mitral valve prolapse is a benign condition. Mitral regurgitation is only complicated in patients with severe mitral valve prolapse. Women with mitral valve prolapse in the absence of other cardiovascular disorders tolerate pregnancy well and do not develop remarkable cardiac complications. Nevertheless, serious complications of mitral valve prolapse, including arrhythmia, infective endocarditis and cerebral ischemic events, can be present in pregnancy. Debates remain with regard to the use of prophylactic antibiotics and β-blockers in the pregnant women with mitral valve prolapse. The prognosis of the pregnant patients might be closely related to the pathological and (or functional changes of the mitral valve. Non-myxomatous mitral valve prolapse poses no or little obstetric risks in terms of pregnancy, labor and neonatal complications; whereas myxomatous mitral valve prolapse is a major etiology of valvular heart disease in women of childbearing age. In the pregnant patients with mitral valve prolapse progressing into major complications, surgical interventions are considered. Medicinal treatment of such patients with β-blockers should be a concern for the fetal safety.

  6. Latest design of gate valves

    Energy Technology Data Exchange (ETDEWEB)

    Kurzhofer, U.; Stolte, J.; Weyand, M.

    1996-12-01

    Babcock Sempell, one of the most important valve manufacturers in Europe, has delivered valves for the nuclear power industry since the beginning of the peaceful application of nuclear power in the 1960s. The latest innovation by Babcock Sempell is a gate valve that meets all recent technical requirements of the nuclear power technology. At the moment in the United States, Germany, Sweden, and many other countries, motor-operated gate and globe valves are judged very critically. Besides the absolute control of the so-called {open_quotes}trip failure,{close_quotes} the integrity of all valve parts submitted to operational forces must be maintained. In case of failure of the limit and torque switches, all valve designs have been tested with respect to the quality of guidance of the gate. The guidances (i.e., guides) shall avoid a tilting of the gate during the closing procedure. The gate valve newly designed by Babcock Sempell fulfills all these characteristic criteria. In addition, the valve has cobalt-free seat hardfacing, the suitability of which has been proven by friction tests as well as full-scale blowdown tests at the GAP of Siemens in Karlstein, West Germany. Babcock Sempell was to deliver more than 30 gate valves of this type for 5 Swedish nuclear power stations by autumn 1995. In the presentation, the author will report on the testing performed, qualifications, and sizing criteria which led to the new technical design.

  7. Ultrathin gate valve for high vacuum operation

    Science.gov (United States)

    Ugiansky, R. J.

    1971-01-01

    Thin, compact, high-vacuum gate valve used to join two vacuum systems together demonstrates multiple operation reliability. Valve measurements and non-protruding handle make valve usable in confined areas.

  8. 49 CFR 192.145 - Valves.

    Science.gov (United States)

    2010-10-01

    ... BY PIPELINE: MINIMUM FEDERAL SAFETY STANDARDS Design of Pipeline Components § 192.145 Valves. (a) Except for cast iron and plastic valves, each valve must meet the minimum requirements of API 6D...

  9. Transcatheter Tricuspid Valve-in-Valve Replacement with an Edwards Sapien 3 Valve

    Science.gov (United States)

    Loyalka, Pranav; Nascimbene, Angelo; Metz, Benjamin; Gregoric, Igor D.; Raman, Ajay Sundara

    2017-01-01

    A few case reports and case series have documented the outcomes in patients with tricuspid bioprosthetic valvular degeneration who underwent transcatheter implantation of the Medtronic Melody and the Edwards Sapien XT and Sapien 3 valves. In this report, we describe the case of a 49-year-old woman with severe bioprosthetic tricuspid valvular stenosis and multiple comorbidities who underwent transcatheter tricuspid valve replacement with a Sapien 3 valve. PMID:28761403

  10. Transcatheter Aortic Valve Replacement for Perceval Sutureless Aortic Valve Failure.

    Science.gov (United States)

    Kalra, Ankur; Reyes, Manuel; Yang, Eric Y; Little, Stephen H; Nabi, Faisal; Barker, Colin M; Ramchandani, Mahesh; Reul, Ross M; Reardon, Michael J; Kleiman, Neal S

    2017-06-01

    As experience with Perceval aortic prosthesis and valve-in-valve TAVR grows, it will be crucial to meticulously document short- and long-term follow-up for establishment of real-world safety and durability of these new technologies.

  11. Structural valve deterioration in the Mitroflow biological heart valve prosthesis

    DEFF Research Database (Denmark)

    Issa, Issa Farah; Poulsen, Steen Hvitfeldt; Waziri, Farhad

    2018-01-01

    OBJECTIVES: Concern has been raised regarding the long-term durability of the Mitroflow biological heart valve prosthesis. Our aim was to assess the incidence of structural valve degeneration (SVD) for the Mitroflow bioprosthesis in a nationwide study in Denmark including all patients alive in De...

  12. High Reliability Cryogenic Piezoelectric Valve Actuator Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Cryogenic fluid valves are subject to harsh exposure and actuators to drive these valves require robust performance and high reliability. DSM's piezoelectric...

  13. Spin valve sensor for biomolecular identification: Design, fabrication, and characterization

    Science.gov (United States)

    Li, Guanxiong

    Biomolecular identification, e.g., DNA recognition, has broad applications in biology and medicine such as gene expression analysis, disease diagnosis, and DNA fingerprinting. Therefore, we have been developing a magnetic biodetection technology based on giant magnetoresistive spin valve sensors and magnetic nanoparticle (developed for the magnetic nanoparticle detection, assuming the equivalent average field of magnetic nanoparticles and the coherent rotation of spin valve free layer magnetization. Micromagnetic simulations have also been performed for the spin valve sensors. The analytical model and micromagnetic simulations are found consistent with each other and are in good agreement with experiments. The prototype spin valve sensors have been fabricated at both micron and submicron scales. We demonstrated the detection of a single 2.8-mum magnetic microbead by micron-sized spin valve sensors. Based on polymer-mediated self-assembly and fine lithography, a bilayer lift-off process was developed to deposit magnetic nanoparticles onto the sensor surface in a controlled manner. With the lift-off deposition method, we have successfully demonstrated the room temperature detection of monodisperse 16-nm Fe3O 4 nanoparticles in a quantity from a few tens to several hundreds by submicron spin valve sensors, proving the feasibility of the nanoparticle detection. As desired for quantitative biodetection, a fairly linear dependence of sensor signal on the number of nanoparticles has been confirmed. The initial detection of DNA hybridization events labeled by magnetic nanoparticles further proved the magnetic biodetection concept.

  14. Mechanical Valve Replacement: Early Results

    Directory of Open Access Journals (Sweden)

    Habib Cakir

    2012-03-01

    Conclusion: Mechanical prosthetic valves are used for surgical treatment of valve disease with low mortality and morbidity in a large group of patients like women that not to think to get pregnant, non advanced age group and patients have less risky for anticoagulation drug in our clinic. [Cukurova Med J 2012; 37(1: 49-54

  15. Artificial aortic valves: an overview.

    Science.gov (United States)

    Morsi, Y S; Birchall, I E; Rosenfeldt, F L

    2004-06-01

    This review discusses strategies that may address some of the limitations associated with replacing diseased or dysfunctional aortic valves with mechanical or tissue valves. These limitations range from structural failure and thromboembolic complications associated with mechanical valves to a limited durability and calcification with tissue valves. In pediatric patients there is an issue with the inability of substitutes to grow with the recipient. The emerging science of tissue engineering potentially provides an attractive alternative by creating viable tissue structures based on a resorbable scaffold. Morphometrically precise, biodegradable polymer scaffolds may be fabricated from data obtained from scans of natural valves by rapid prototyping technologies such as fused deposition modelling. The scaffold provides a mechanical profile until seeded cells produce their own extra cellular matrix. The microstructure of the forming tissue may be aligned into predetermined spatial orientations via fluid transduction in a bioreactor. Although there are many technical obstacles that must be overcome before tissue engineered heart valves are introduced into routine surgical practice these valves have the potential to overcome many of the shortcomings of current heart valve substitutes.

  16. Experience with valves for PHWR reactors

    International Nuclear Information System (INIS)

    Narayan, K.; Mhetre, S.G.

    1977-01-01

    Material specifications and inspection and testing requirements of the valves meant for use in nuclear reactors are mentioned. In the heavy water systems (both primary and moderator) of a PHWR type reactor, the valves used are gate valves, globe valves, diaphragm valves, butterfly valves, check valves and relief valves. Their locations and functions they perform in the Rajasthan Atomic Power Station Unit-1 are described. Experience with them is given. The major problems encountered with them have been : (1) leakage from the stem seals and body bonnet joint, (2) leakage due to failure of diaphragm and/or washout of the packing and (3) malfunctioning. Measures taken to solve these are discussed. Finally a mention has been made of improved versions of valves, namely, metal diaphragm valve and inverted relief valve. (M.G.B.)

  17. Piezoelectric valve actuator for flexible diesel operation

    Science.gov (United States)

    MacLachlan, Brian J.; Elvin, Niell; Blaurock, Carl; Keegan, N. J.

    2004-07-01

    Mide Technology Corporation, under the supervision of the U.S. Army, is developing fast hydraulic valve technologies for fuel injection systems. Mide aims to address the Army's 21st Century Vehicle programs by providing the flexibility to achieve economic, environmentally friendly, and power dense diesel operation from a single platform. The technology couples a highly efficient gained piezoelectric actuator to a diesel unit injector's control valve spool. Piezoelectric actuation enables proportional authority over the injector's control valve, as opposed to traditional digital (on/off) operation. This authority allows the integrated device to provide electronically controlled fuel injection rate shaping capability. Each injection event profile may be independently shaped to govern diesel engine operation in one of three selectable modes: Lean, for fuel efficiency; Clean, for reduced emissions; Mean, for improved battlefield performance. To date, Mide has shown injection rate shaping capability in the laboratory using the industry standard "rate tube test" to measure injection profiles. Future development will focus on an engine demonstration of Lean, Clean, and Mean operating mode flexibility using rate shaping technology.

  18. Foraminiferal, ostracod, and calcareous nannofossil biostratigraphy of the latest Badenian - Sarmatian interval (Middle Miocene, Paratethys) from Poland, Romania and the Republic of Moldova

    Science.gov (United States)

    Dumitriu, Simina Dumitriţa; Loghin, Sergiu; Dubicka, Zofia; Melinte-Dobrinescu, Mihaela Carmen; Paruch-Kulczycka, Jolanta; Ionesi, Viorel

    2017-10-01

    This study presents detailed foraminiferal, ostracod, and calcareous nannofossil analyses of five Middle Miocene sections located in the Central Paratethyan realm, namely in Poland, Romania and the Republic of Moldova. Based on foraminiferal distribution, five biostratigraphically important assemblages (labelled A-E) are distinguished. Foraminifera data combined with ostracoda and nannofossil evidence allowed correlation between the studied sections, and a comparison with the deposits of similar age from the Transylvanian, Vienna and Pannonian basins, as well as with the Transcarpathian regions. The micropaleontological record across the Badenian-Sarmatian boundary interval is also presented.

  19. [Traumatic aortic valve insufficiency].

    Science.gov (United States)

    Nascimento, J; Lemos, C; Marques, A M; Antunes, M J; Gonsalves, A

    1996-02-01

    The traumatic aortic valvular insufficiency (TAVI), through less frequent after a non-penetrating thoracic traumatism, is a serious entity with a very reserved prognosis. So it must be suspected in every patients with signs or symptoms of de novo heart failure post-traumatism. The transthoracic echocardiography and eventually transesophageal echocardiography have a fundamental role in the confirmation of the diagnosis. The clinical picture of traumatic aortic regurgitation is quickly evolutionary and the non efficacy of medical therapy has placed the valvular substitution surgery as the best succeeded treatment. With the advent of the aortic valve repairing surgery some TAVI cases has been submitted to this procedure. Nevertheless, the development of residual aortic regurgitation in these situations, usually requiring later valvular replacement surgery, make the aortic valvuloplasty a controversial surgical technique. The AA describe a recent clinical case of aortic regurgitation after a non-penetrant thoracic traumatism, discussing the aspects connected with physiopathology, diagnosis and therapy. The singularity of this case was based on the fact that the initial clinical diagnosis had been prejudiced by the context of a polytraumatism and there had been a time free of symptoms between the traumatism and the beginning of the symptomatology of left ventricular failure. Even though the identification of the problem allowed an intensive treatment of this serious situation that ended with the replacement of the aortic valve by mechanical aortic prosthesis, with the patient's total recovery.

  20. Patents and heart valve surgery - II: tissue valves.

    Science.gov (United States)

    Cheema, Faisal H; Kossar, Alexander P; Rehman, Atiq; Younas, Fahad; Polvani, Gianluca

    2013-08-01

    Valvular heart disease affects millions of Americans yearly and currently requires surgical intervention to repair or replace the defective valves. Through a close-knit collaboration between physicians, scientists and biomedical engineers, a vast degree of research and development has been aimed towards the optimization of prosthetic heart valves. Although various methods have made fantastic strides in producing durable prostheses, the therapeutic efficacy of prosthetic valves is inherently limited by a dependency upon lifelong anticoagulant regimens for recipients - a difficult challenge for many in clinical setting. Thus, biological tissue valves have been developed to circumvent vascular and immunemediated complications by incorporating biological materials to mimic native valves while still maintaining a necessary level of structural integrity. Over the past decade, a multitude of patents pertaining to the refinement of designs as well as the advancement in methodologies and technologies associated with biological tissue valves have been issued. This review seeks to chronicle and characterize such patents in an effort to track the past, present, and future progress as well as project the trajectory of tissue valves in the years to come.

  1. Robotic mitral valve surgery.

    Science.gov (United States)

    Kypson, Alan P; Nifong, L Wiley; Chitwood, W Randolph

    2003-12-01

    A renaissance in cardiac surgery has begun. The early clinical experience with computer-enhanced telemanipulation systems outlines the limitations of this approach despite some procedural success. Technologic advancements, such as the use of nitinol U-clips (Coalescent Surgical Inc., Sunnyvale, CA) instead of sutures requiring manual knot tying, have been shown to decrease operative times significantly. It is expected that with further refinements and development of adjunct technologies, the technique of computer-enhanced endoscopic cardiac surgery will evolve and may prove to be beneficial for many patients. Robotic technology has provided benefits to cardiac surgery. With improved optics and instrumentation, incisions are smaller. The ergometric movements and simulated three-dimensional optics project hand-eye coordination for the surgeon. The placement of the wristlike articulations at the end of the instruments moves the pivoting action to the plane of the mitral annulus. This improves dexterity in tight spaces and allows for ambidextrous suture placement. Sutures can be placed more accurately because of tremor filtration and high-resolution video magnification. Furthermore, the robotic system may have potential as an educational tool. In the near future, surgical vision and training systems might be able to model most surgical procedures through immersive technology. Thus, a "flight simulator" concept emerges where surgeons may be able to practice and perform the operation without a patient. Already, effective curricula for training teams in robotic surgery exist. Nevertheless, certain constraints continue to limit the advancement to a totally endoscopic computer-enhanced mitral valve operation. The current size of the instruments, intrathoracic instrument collisions, and extrathoracic "elbow" conflicts still can limit dexterity. When smaller instruments are developed, these restraints may be resolved. Furthermore, a working port incision is still required for

  2. Aortic Valve Leaflet Perforation after Mitral Valve Repair

    Directory of Open Access Journals (Sweden)

    M. Aboelnasr

    2013-01-01

    Full Text Available  A 32-year-old patient with symptomatic severe aortic regurge, 6 weeks after mitral valve repair, was admitted for aortic valve surgery. No preoperative clinical data consistent with infective endocarditis could be detected. Preoperative transthoracic echocardiography showed aortic leaflet perforation affecting non coronary cusp. During operation, leaflet perforation was detected and closed completely with autologous pericardial patch. No vegetations or abscess could be seen during operation. Iatrogenic aetiology of leaflet perforation after mitral repair was suspected in  this case. Recognition of this complication will help in  avoiding it during mitral valve surgery and expecting it as a possible complication during intraoperative transesophageal echocardiography.

  3. Posterior urethral valves and Down syndrome | Lazarus | African ...

    African Journals Online (AJOL)

    The broad range of renal and urinary tract abnormalities associated with Down syndrome are not well known. We present two cases from a single institution of posterior urethral valves associated with Down syndrome. The cases illustrate the potential for delayed diagnosis and the management challenges. The literature is ...

  4. Valve arrangement for a nuclear plant residual heat removal system

    International Nuclear Information System (INIS)

    Fidler, G.L.; Hill, R.A.; Carrera, J.P.

    1978-01-01

    Disclosed is an improved valve arrangement for a two-train Residual Heat Removal System (RHRS) of a nuclear reactor plant which ensures operational integrity of the system under single failure circumstances including loss of one of two electrical power sources

  5. Antithrombotic therapy after bioprosthetic aortic valve implantation

    DEFF Research Database (Denmark)

    Rafiq, Sulman; Steinbrüchel, Daniel Andreas; Lilleør, Nikolaj Bang

    2017-01-01

    Background The optimal medical strategy for prevention of thromboembolic events after surgical bioprosthetic aortic valve replacement (BAVR) is still debated. The objective of this study was to compare warfarin therapy (target INR of 2.0 to 3.0) with aspirin 150 mg daily as antithrombotic therapy...... for the first three months after BAVR with or without concomitant coronary artery bypass grafting (CABG). The aim was to evaluate thromboembolic complications, major bleeding complications and death. Materials and methods Prospective, single-centre, open-label, randomized controlled trial. 370 patients were...

  6. A computational model of aging and calcification in the aortic heart valve.

    Directory of Open Access Journals (Sweden)

    Eli J Weinberg

    Full Text Available The aortic heart valve undergoes geometric and mechanical changes over time. The cusps of a normal, healthy valve thicken and become less extensible over time. In the disease calcific aortic stenosis (CAS, calcified nodules progressively stiffen the cusps. The local mechanical changes in the cusps, due to either normal aging or pathological processes, affect overall function of the valve. In this paper, we propose a computational model for the aging aortic valve that connects local changes to overall valve function. We extend a previous model for the healthy valve to describe aging. To model normal/uncomplicated aging, leaflet thickness and extensibility are varied versus age according to experimental data. To model calcification, initial sites are defined and a simple growth law is assumed. The nodules then grow over time, so that the area of calcification increases from one model to the next model representing greater age. Overall valve function is recorded for each individual model to yield a single simulation of valve function over time. This simulation is the first theoretical tool to describe the temporal behavior of aortic valve calcification. The ability to better understand and predict disease progression will aid in design and timing of patient treatments for CAS.

  7. Developments in mechanical heart valve prosthesis

    Indian Academy of Sciences (India)

    Most commonly used for replacement are mechanical heart valves and biological valves. This paper briefly outlines the evolution, designs employed, materials being used,. and important factors that affect the performance of mechanical heart valves. The clinical performance of mechanical heart valves is also addressed.

  8. Shuttle valves and system for fluid control

    Energy Technology Data Exchange (ETDEWEB)

    Caralli, M. J.; Friedline, G. W.

    1985-04-23

    An apparatus system for drying gases to provide a reverse flow to and from a pair of absorbent beds is automatically solely controlled by a unitary inlet logic shuttle valve unit and by a unitary outlet logic shuttle valve unit. Each valve unit employs positive acting slide valve elements that operate in a smooth and effective manner.

  9. Developments in mechanical heart valve prosthesis

    Indian Academy of Sciences (India)

    Artificial heart valves are engineered devices used for replacing diseased or damaged natural valves of the heart. Most commonly used for replacement are mechanical heart valves and biological valves. This paper briefly outlines the evolution, designs employed, materials being used,. and important factors that affect the ...

  10. Developments in mechanical heart valve prosthesis

    Indian Academy of Sciences (India)

    M. Senthilkumar (Newgen Imaging) 1461 1996 Oct 15 13:05:22

    Mechanical heart valves; biological valves; valve design; valve performance. 1. Introduction. The human heart can be considered a twin positive displacement pump working in tandem for supporting the systemic and pulmonary circulation of blood. Each pump comprises of a receiving chamber called atrium and a pumping ...

  11. Shuttle valves and system for fluid control

    International Nuclear Information System (INIS)

    Caralli, M. J.; Friedline, G. W.

    1985-01-01

    An apparatus system for drying gases to provide a reverse flow to and from a pair of absorbent beds is automatically solely controlled by a unitary inlet logic shuttle valve unit and by a unitary outlet logic shuttle valve unit. Each valve unit employs positive acting slide valve elements that operate in a smooth and effective manner

  12. Performance of stented biological valves for right ventricular outflow tract reconstruction.

    Science.gov (United States)

    Buchholz, Christian; Mayr, Andreas; Purbojo, Ariawan; Glöckler, Martin; Toka, Okan; Cesnjevar, Robert A; Rüffer, André

    2016-12-01

    This retrospective single-centre review presents mid- and long-term results of stented biological valves (SBVs) in the pulmonary position. Fifty-two SBVs (17 Carpentier-Edwards Supraannular; 13 Carpentier-Edwards Perimount; 12 St. Jude Medical Trifecta; 4 Sorin Mitroflow; 4 Sorin Soprano; 2 Sorin More) were implanted between 2000 and 2015. The median valve size, patient age and weight were 23 mm (range 19-27), 22.8 years (range 5-77) and 62.0 kg (range 14-110), respectively. The main cardiac diagnosis was tetralogy of Fallot in 26 patients (50%). Forty-four patients (85%) had previous cardiac surgery; 12 patients (23%) had previous conduit or biological valve replacement. Valve degeneration was defined as a valvular peak pressure gradient >50 mmHg or pulmonary valve regurgitation more than moderate. The mean follow-up was 7.9 ± 5.5 years. Two patients died after 5.8 and 6.1 years of causes not related to SBVs. Eleven SBVs (21%) had to be replaced surgically (n = 6) or interventionally (n = 5) after 9.0 ± 4.1 years due to valve degeneration (n = 8), endocarditis (n = 2) or right ventricular dysfunction (n = 1). The rates of freedom from valve replacement were 100%, 92% [95% confidence interval (CI) 79-97], 81% (CI 64-91) and 60% (CI 40-78) after 1, 5, 10 and 15 years, respectively. Successful interventional valve-in-valve implantation resulted in 100% freedom from surgical valve replacement in all patients older than 19.1 years. Multivariate analysis identified patient age valve degeneration. SBVs in the pulmonary position showed encouraging long-term results in mature patients. The design of SBVs enables interventional valve implantation, postponing the need for reoperation. © The Author 2016. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  13. The Application of Bileaflet Mechanical Heart Valves in the Polish Ventricular Assist Device: Physical and Numerical Study and First Clinical Usage.

    Science.gov (United States)

    Malota, Zbigniew; Sadowski, Wojciech; Krzyskow, Marek; Stolarzewicz, Bogdan

    2016-03-01

    The Polish ventricular assist device (Polvad) has been used successfully in clinical contexts for many years. The device contains two single-disc valves, one at the inlet and one at the outlet connector of the pneumatic pump. Unfortunately, in recent years, a problem has occurred with the availability of single-disc valves. This article presents the possibility of using bileaflet mechanical heart valve prostheses in the Polvad to avoid a discontinuity in clinical use. The study is based on experimental and numerical simulations and comparison of the distribution of flow, pressure, and stress (wall, shear, and turbulent) inside the Polvad chamber and the inlet/outlet connectors fitted with Sorin Monodisc and Sorin Bicarbon Fitline valves. The type and orientation of the inlet valve affects valve performance and flow distribution inside the chamber. Near-wall flow is observed for single-disc valves. In the case of bileaflet valves, the main jet is directed more centrally, with lower shear stress but higher turbulent stress in comparison with single-disc valves. For clinical usage, a 45° orientation of the bileaflet inlet valve was chosen, as this achieves good washing of the inlet area near the membrane paste surface. The Polvad with bileaflet valves has now been used successfully in our clinic for over a year and will continue to be used until new assist devices for heart support are developed. Copyright © 2015 International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.

  14. Cavitation guide for control valves

    International Nuclear Information System (INIS)

    Tullis, J.P.

    1993-04-01

    This guide teaches the basic fundamentals of cavitation to provide the reader with an understanding of what causes cavitation, when it occurs, and the potential problems cavitation can cause to a valve and piping system. The document provides guidelines for understanding how to reduce the cavitation and/or select control valves for a cavitating system. The guide provides a method for predicting the cavitation intensity of control valves, and how the effect of cavitation on a system will vary with valve type, valve function, valve size, operating pressure, duration of operation and details of the piping installation. The guide defines six cavitation limits identifying cavitation intensities ranging from inception to the maximum intensity possible. The intensity of the cavitation at each limit Is described, including a brief discussion of how each level of cavitation influences the valve and system. Examples are included to demonstrate how to apply the method, including making both size and pressure scale effects corrections. Methods of controlling cavitation are discussed providing information on various techniques which can be used to design a new system or modify an existing one so it can operate at a desired level of cavitation

  15. Cavitation guide for control valves

    Energy Technology Data Exchange (ETDEWEB)

    Tullis, J.P. [Tullis Engineering Consultants, Logan, UT (United States)

    1993-04-01

    This guide teaches the basic fundamentals of cavitation to provide the reader with an understanding of what causes cavitation, when it occurs, and the potential problems cavitation can cause to a valve and piping system. The document provides guidelines for understanding how to reduce the cavitation and/or select control valves for a cavitating system. The guide provides a method for predicting the cavitation intensity of control valves, and how the effect of cavitation on a system will vary with valve type, valve function, valve size, operating pressure, duration of operation and details of the piping installation. The guide defines six cavitation limits identifying cavitation intensities ranging from inception to the maximum intensity possible. The intensity of the cavitation at each limit Is described, including a brief discussion of how each level of cavitation influences the valve and system. Examples are included to demonstrate how to apply the method, including making both size and pressure scale effects corrections. Methods of controlling cavitation are discussed providing information on various techniques which can be used to design a new system or modify an existing one so it can operate at a desired level of cavitation.

  16. Characteristic analysis of servo valve

    International Nuclear Information System (INIS)

    Ko, J. H.; Ryu, D. R.; Lee, J. H.; Kim, Y. S.; Na, J. C.; Kim, D. S.

    2008-01-01

    Electro-pneumatic servo valve is an electro-mechanical device which converts electric signals into a proper pneumatic flow rate or pressure. In order to improve the overall performance of pneumatic servo systems, electro-pneumatic servo valves are required, which have fast dynamic characteristics, no air leakage at a null point, and can be fabricated at a low-cost. The first objective of this research is to design and to fabricate a new electro-pneumatic servo valve which satisfies the above-mentioned requirements. In order to design the mechanism of the servo valve optimally, the flow inside the valve depending upon the position of spool was analyzed variously, and on the basis of such analysis results, the valve mechanism, which was formed by combination of the spool and the sleeve, was designed and manufactured. And a tester for conducting an overall performance test was designed and manufactured, and as a result of conducting the flow rate test, the pressure test and the frequency test on the developed pneumatic servo valve

  17. Innovations in tricuspid valve intervention.

    Science.gov (United States)

    El-Eshmawi, Ahmed; Tang, Gilbert H L; Verma, Subodh; Yanagawa, Bobby; Ruel, Marc; Adams, David H

    2017-03-01

    Tricuspid valve disease has received much less attention in terms of intervention. The main reason for this is the widely held belief that treatment of left-sided valve disease leads to resolution of functional tricuspid regurgitation. Recent data show that tricuspid regurgitation is not benign and that many patients will benefit from intervention at the time of left-sided valve surgery, or in isolated tricuspid disease. This review describes the latest surgical and interventional options and strategies. Latest valve guidelines now recommend a more aggressive surgical approach to the treatment of moderate or severe tricuspid regurgitation, with annuloplasty being the preferred technique. Guidelines now also promote treatment of isolated significant tricuspid dilatation even without significant regurgitation, as a prophylactic strategy to prevent disease progression. This renewed interest in surgical repair has been accompanied by development of newer tricuspid annuloplasty rings. For patients in whom surgery would be high risk, transcatheter therapies are emerging as a promising alternative. Various repair devices have reported early experience. Recent surgical and transcatheter innovations in the treatment of tricuspid valve disease are promising and have the potential of removing the stigma of the tricuspid valve as the 'forgotten valve'.

  18. Butterfly valve torque prediction methodology

    International Nuclear Information System (INIS)

    Eldiwany, B.H.; Sharma, V.; Kalsi, M.S.; Wolfe, K.

    1994-01-01

    As part of the Motor-Operated Valve (MOV) Performance Prediction Program, the Electric Power Research Institute has sponsored the development of methodologies for predicting thrust and torque requirements of gate, globe, and butterfly MOVs. This paper presents the methodology that will be used by utilities to calculate the dynamic torque requirements for butterfly valves. The total dynamic torque at any disc position is the sum of the hydrodynamic torque, bearing torque (which is induced by the hydrodynamic force), as well as other small torque components (such as packing torque). The hydrodynamic torque on the valve disc, caused by the fluid flow through the valve, depends on the disc angle, flow velocity, upstream flow disturbances, disc shape, and the disc aspect ratio. The butterfly valve model provides sets of nondimensional flow and torque coefficients that can be used to predict flow rate and hydrodynamic torque throughout the disc stroke and to calculate the required actuation torque and the maximum transmitted torque throughout the opening and closing stroke. The scope of the model includes symmetric and nonsymmetric discs of different shapes and aspects ratios in compressible and incompressible fluid applications under both choked and nonchoked flow conditions. The model features were validated against test data from a comprehensive flowloop and in situ test program. These tests were designed to systematically address the effect of the following parameters on the required torque: valve size, disc shapes and disc aspect ratios, upstream elbow orientation and its proximity, and flow conditions. The applicability of the nondimensional coefficients to valves of different sizes was validated by performing tests on 42-in. valve and a precisely scaled 6-in. model. The butterfly valve model torque predictions were found to bound test data from the flow-loop and in situ testing, as shown in the examples provided in this paper

  19. The scalographic pattern of Morlet continuous wavelet transform can differentiate bileaflet valve function.

    Science.gov (United States)

    Sugiki, Hiroshi; Sugiki, Kenji

    2018-03-06

    The authors have discussed the significance of the Morlet continuous wavelet transform of bileaflet mechanical heart valve (BLMHV) sound for detecting its malfunction: consecutive single patterns on the scalogram alway suggested its malfunction, whereas the tandem pattern with two steepled figures was demonstrated in both normal and malfunctioning valves. Therefore, authors have tried to distinguish this pattern between them by manually calculated multiple scalographic parameters. Although only the sum of wavelet coefficients (SWC) is supposed to be closer to valve sound property than other parameters, its calculation was not available in the original wavelet application. Therefore, the application was customized in the current study to semi-automatically calculate the SWC ratio between two figures for classifying the scalographic pattern of malfunctioning valves, and its efficacy to distinguish valve function was compared to other parameters. Among 155 BLMHVs, 6 valves with consecutive single patterns (type-I) and other 6 with two similar needle-like narrow figures (type-II) were confirmed to be a malfunction by fluoroscopic examination, whereas 14 malfunctioning valves with the tandem pattern which showed a great difference between two figure sizes (type-III) were distinguished from 129 normal valves by the cutoff point of the SWC ratio < 0.482 with the highest AUC (0.960) compared to other parameters by the ROC analysis.

  20. Ferroelectric Fluid Flow Control Valve

    Science.gov (United States)

    Jalink, Antony, Jr. (Inventor); Hellbaum, Richard F. (Inventor); Rohrbach, Wayne W. (Inventor)

    1999-01-01

    An active valve is controlled and driven by external electrical actuation of a ferroelectric actuator to provide for improved passage of the fluid during certain time periods and to provide positive closure of the valve during other time periods. The valve provides improved passage in the direction of flow and positive closure in the direction against the flow. The actuator is a dome shaped internally prestressed ferroelectric actuator having a curvature, said dome shaped actuator having a rim and an apex. and a dome height measured from a plane through said rim said apex that varies with an electric voltage applied between an inside and an outside surface of said dome shaped actuator.

  1. Thermostatic Radiator Valve Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Dentz, J. [Advanced Residential Integrated Energy Solutions Collaborative (ARIES), New York, NY (United States); Ansanelli, E. [Advanced Residential Integrated Energy Solutions Collaborative (ARIES), New York, NY (United States)

    2015-01-01

    A large stock of multifamily buildings in the Northeast and Midwest are heated by steam distribution systems. Losses from these systems are typically high and a significant number of apartments are overheated much of the time. Thermostatically controlled radiator valves (TRVs) are one potential strategy to combat this problem, but have not been widely accepted by the residential retrofit market. In this project, the ARIES team sought to better understand the current usage of TRVs by key market players in steam and hot water heating and to conduct limited experiments on the effectiveness of new and old TRVs as a means of controlling space temperatures and reducing heating fuel consumption. The project included a survey of industry professionals, a field experiment comparing old and new TRVs, and cost-benefit modeling analysis using BEopt™ (Building Energy Optimization software).

  2. Safety Testing of Left Ventricular Vent Valves

    OpenAIRE

    Gavin, Caroline; Coblentz, John; Acsell, Jeffrey R.; Shackelford, Anthony G.; Sistino, Joseph J.

    2015-01-01

    Vent vacuum relief valves (VRVs) are used to limit the negative pressure at the ventricular vent catheter tip as well as prevent reversal of blood flow and prevention of air embolism. The purpose of this study was to evaluate the performance of three commercially available ventricular vent valves. The negative pressure at which the vent valve opened was measured at the valve inlet using high-fidelity pressure transducers. Also, the flow rate at which air entrainment occurred due to valve open...

  3. Central Arctic Ocean paleoceanography from ˜ 50 ka to present, on the basis of ostracode faunal assemblages from the SWERUS 2014 expedition

    Science.gov (United States)

    Gemery, Laura; Cronin, Thomas M.; Poirier, Robert K.; Pearce, Christof; Barrientos, Natalia; O'Regan, Matt; Johansson, Carina; Koshurnikov, Andrey; Jakobsson, Martin

    2017-11-01

    Late Quaternary paleoceanographic changes at the Lomonosov Ridge, central Arctic Ocean, were reconstructed from a multicore and gravity core recovered during the 2014 SWERUS-C3 Expedition. Ostracode assemblages dated by accelerator mass spectrometry (AMS) indicate changing sea-ice conditions and warm Atlantic Water (AW) inflow to the Arctic Ocean from ˜ 50 ka to present. Key taxa used as environmental indicators include Acetabulastoma arcticum (perennial sea ice), Polycope spp. (variable sea-ice margins, high surface productivity), Krithe hunti (Arctic Ocean deep water), and Rabilimis mirabilis (water mass change/AW inflow). Results indicate periodic seasonally sea-ice-free conditions during Marine Isotope Stage (MIS) 3 ( ˜ 57-29 ka), rapid deglacial changes in water mass conditions (15-11 ka), seasonally sea-ice-free conditions during the early Holocene ( ˜ 10-7 ka) and perennial sea ice during the late Holocene. Comparisons with faunal records from other cores from the Mendeleev and Lomonosov ridges suggest generally similar patterns, although sea-ice cover during the Last Glacial Maximum may have been less extensive at the new Lomonosov Ridge core site ( ˜ 85.15° N, 152° E) than farther north and towards Greenland. The new data provide evidence for abrupt, large-scale shifts in ostracode species depth and geographical distributions during rapid climatic transitions.

  4. Central Arctic Ocean paleoceanography from  ∼50 ka to present, on the basis of ostracode faunal assemblages from the SWERUS 2014 expedition

    Science.gov (United States)

    Gemery, Laura; Cronin, Thomas M.; Poirier, Robert K.; Pearce, Christof; Barrientos, Natalia; O'Regan, Matt; Johansson, Carina; Koshurnikov, Andrey; Jakobsson, Martin

    2017-01-01

    Late Quaternary paleoceanographic changes at the Lomonosov Ridge, central Arctic Ocean, were reconstructed from a multicore and gravity core recovered during the 2014 SWERUS-C3 Expedition. Ostracode assemblages dated by accelerator mass spectrometry (AMS) indicate changing sea-ice conditions and warm Atlantic Water (AW)inflow to the Arctic Ocean from ∼50 ka to present. Key taxa used as environmental indicators include Acetabulastoma arcticum (perennial sea ice), Polycopes pp. (variable sea-ice margins, high surface productivity), Krithe hunti (Arctic Ocean deep water), and Rabilimis mirabilis (water mass change/AW inflow). Results indicate periodic seasonally sea-ice-free conditions during Marine Isotope Stage (MIS) 3 (∼57-29 ka), rapid deglacial changes in water mass conditions (15-11 ka), seasonally sea-ice-free conditions during the early Holocene (∼10-7 ka) and perennial sea ice during the late Holocene. Comparisons with faunal records from other cores from the Mendeleev and Lomonosov ridges suggest generally similar patterns, although sea-ice cover during the Last Glacial Maximum may have been less extensive at the new Lomonosov Ridge core site (∼85.15° N, 152° E) than farther north and towards Greenland. The new data provide evidence for abrupt, large-scale shifts in ostracode species depth and geographical distributions during rapid climatic transitions.

  5. Central Arctic Ocean paleoceanography from  ∼  50 ka to present, on the basis of ostracode faunal assemblages from the SWERUS 2014 expedition

    Directory of Open Access Journals (Sweden)

    L. Gemery

    2017-11-01

    Full Text Available Late Quaternary paleoceanographic changes at the Lomonosov Ridge, central Arctic Ocean, were reconstructed from a multicore and gravity core recovered during the 2014 SWERUS-C3 Expedition. Ostracode assemblages dated by accelerator mass spectrometry (AMS indicate changing sea-ice conditions and warm Atlantic Water (AW inflow to the Arctic Ocean from  ∼  50 ka to present. Key taxa used as environmental indicators include Acetabulastoma arcticum (perennial sea ice, Polycope spp. (variable sea-ice margins, high surface productivity, Krithe hunti (Arctic Ocean deep water, and Rabilimis mirabilis (water mass change/AW inflow. Results indicate periodic seasonally sea-ice-free conditions during Marine Isotope Stage (MIS 3 ( ∼  57–29 ka, rapid deglacial changes in water mass conditions (15–11 ka, seasonally sea-ice-free conditions during the early Holocene ( ∼  10–7 ka and perennial sea ice during the late Holocene. Comparisons with faunal records from other cores from the Mendeleev and Lomonosov ridges suggest generally similar patterns, although sea-ice cover during the Last Glacial Maximum may have been less extensive at the new Lomonosov Ridge core site ( ∼  85.15° N, 152° E than farther north and towards Greenland. The new data provide evidence for abrupt, large-scale shifts in ostracode species depth and geographical distributions during rapid climatic transitions.

  6. Human tissue valves in aortic position: determinants of reoperation and valve regurgitation

    NARCIS (Netherlands)

    T.P. Willems (Tineke); E.W. Steyerberg (Ewout); V.E. Kleyburg-Linkers; E. Bos (Egbert); L.A. van Herwerden (Lex); J.R.T.C. Roelandt (Jos); J.J.M. Takkenberg (Hanneke)

    2001-01-01

    textabstractBACKGROUND: Human tissue valves for aortic valve replacement have a limited durability that is influenced by interrelated determinants. Hierarchical linear modeling was used to analyze the relation between these determinants of durability and valve

  7. 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 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...

  8. Aortic valve surgery - minimally invasive

    Science.gov (United States)

    ... valve surgery. Techniques include min-thoracotomy, min-sternotomy, robot-assisted surgery, and percutaneous surgery. To perform the ... M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health ...

  9. Mitral Valve Prolapse (For Parents)

    Science.gov (United States)

    ... that affect the body's connective tissues, such as Marfan syndrome . Some research has shown that kids with MVP ... EKG (Video) Your Heart & Circulatory System Heart Murmurs Marfan Syndrome Mitral Valve Prolapse EKG (Video) Arrhythmias Marfan Syndrome ...

  10. Tissue-engineered heart valves

    Czech Academy of Sciences Publication Activity Database

    Filová, Elena; Straka, František; Miřejovský, T.; Mašín, J.; Bačáková, Lucie

    2009-01-01

    Roč. 58, Suppl.2 (2009), S141-S158 ISSN 0862-8408 R&D Projects: GA MŠk(CZ) 1M0510; GA AV ČR(CZ) 1QS500110564 Institutional research plan: CEZ:AV0Z50110509 Keywords : bioarteficial heart valve * valve interstitial cells * pulse flow bioreactor Subject RIV: EI - Biotechnology ; Bionics Impact factor: 1.430, year: 2009

  11. Kytococcus schroeteri prosthetic valve endocarditis

    OpenAIRE

    Yousri, Taher; Hawari, Mohammad; Saad, Rasheed; Langley, Steve

    2010-01-01

    We report the case of a 64-year-old male patient with a prosthetic aortic valve who presented with clinical features of endocarditis confirmed by transoesophageal echocardiography. His blood cultures were positive for a very rare and newly described organism—Kytococcus schroeteri. The patient underwent aortic valve replacement and a 6-week course of intravenous antibiotics. This is the fifth reported case of endocarditis associated with this organism.

  12. Kytococcus schroeteri prosthetic valve endocarditis.

    Science.gov (United States)

    Yousri, Taher; Hawari, Mohammad; Saad, Rasheed; Langley, Steve

    2010-09-29

    We report the case of a 64-year-old male patient with a prosthetic aortic valve who presented with clinical features of endocarditis confirmed by transoesophageal echocardiography. His blood cultures were positive for a very rare and newly described organism-Kytococcus schroeteri. The patient underwent aortic valve replacement and a 6-week course of intravenous antibiotics. This is the fifth reported case of endocarditis associated with this organism.

  13. Small sodium valve design and operating experience

    International Nuclear Information System (INIS)

    Abramson, R.; Elie, X.; Vercasson, M.; Nedelec, J.

    1974-01-01

    Conventionally, valves for sodium pipes smaller than 125 mm in diameter are called ''small sodium valves''. However, this limit should rather be considered as the lower limit o ''large sodium valves''. In fact, both the largest sizes of small valves and the smallest of large valves can be found in the range of 125-300 mm in diameter. Thus what is said about small valves also applies, for a few valve types, above the 125 mm limit. Sodium valves are described here in a general manner, with no manufacturing details except when necessary for understanding valve behavior. Operating experience is pointed out wherever possible. Finally, some information is given about ongoing or proposed development plans. (U.S.)

  14. Noninvasive valve monitor using alternating electromagnetic field

    Science.gov (United States)

    Eissenberg, David M.; Haynes, Howard D.; Casada, Donald A.

    1993-01-01

    One or more electrical coils are carefully located on the outside of a valve body. An alternating current passing through the coil(s) results in an alternating electromagnetic field being transmitted into the valve body and valve internals. The electromagnetic field varies in intensity and polarity in the valve. As the position of a valve internal part is changed, the electromagnetic field throughout the valve body and its internals is altered. A passive receiver coil carefully located on the outside of the valve body detects the intensity of the electromagnetic field at that location as an induced electrical voltage in the coil. With the change in position of the valve internal part, there is a corresponding change in the induced voltage as a result of the alteration in the alternating electromagnetic field at that location. Changes in the voltage provide an indication of the position and motion of valve internals.

  15. Development of an effective valve packing program

    Energy Technology Data Exchange (ETDEWEB)

    Hart, K.A.

    1996-12-01

    Current data now shows that graphite valve packing installed within the guidance of a controlled program produces not only reliable stem sealing but predictable running loads. By utilizing recent technological developments in valve performance monitoring for both MOV`s and AOV`s, valve packing performance can be enhanced while reducing maintenance costs. Once known, values are established for acceptable valve packing loads, the measurement of actual valve running loads via the current MOV/AOV diagnostic techniques can provide indication of future valve stem sealing problems, improper valve packing installation or identify the opportunity for valve packing program improvements. At times the full benefit of these advances in material and predictive technology remain under utilized due to simple past misconceptions associated with valve packing. This paper will explore the basis for these misconceptions, provide general insight into the current understanding of valve packing and demonstrate how with this new understanding and current valve diagnostic equipment the key aspects required to develop an effective, quality valve packing program fit together. The cost and operational benefits provided by this approach can be significant impact by the: elimination of periodic valve repacking, reduction of maintenance costs, benefits of leak-free valve operation, justification for reduced Post Maintenance Test Requirements, reduced radiation exposure, improved plant appearance.

  16. Development of an effective valve packing program

    International Nuclear Information System (INIS)

    Hart, K.A.

    1996-01-01

    Current data now shows that graphite valve packing installed within the guidance of a controlled program produces not only reliable stem sealing but predictable running loads. By utilizing recent technological developments in valve performance monitoring for both MOV's and AOV's, valve packing performance can be enhanced while reducing maintenance costs. Once known, values are established for acceptable valve packing loads, the measurement of actual valve running loads via the current MOV/AOV diagnostic techniques can provide indication of future valve stem sealing problems, improper valve packing installation or identify the opportunity for valve packing program improvements. At times the full benefit of these advances in material and predictive technology remain under utilized due to simple past misconceptions associated with valve packing. This paper will explore the basis for these misconceptions, provide general insight into the current understanding of valve packing and demonstrate how with this new understanding and current valve diagnostic equipment the key aspects required to develop an effective, quality valve packing program fit together. The cost and operational benefits provided by this approach can be significant impact by the: elimination of periodic valve repacking, reduction of maintenance costs, benefits of leak-free valve operation, justification for reduced Post Maintenance Test Requirements, reduced radiation exposure, improved plant appearance

  17. Long-term Follow-up After Transcatheter Aortic Valve Implantation for Severe Aortic Stenosis.

    Science.gov (United States)

    Salinas, Pablo; Moreno, Raúl; Calvo, Luis; Sánchez-Recalde, Ángel; Jiménez-Valero, Santiago; Galeote, Guillermo; López-Fernández, Teresa; Ramírez, Ulises; Riera, Luis; Plaza, Ignacio; Moreno, Isidro; Mesa, José María; López-Sendón, José Luis

    2016-01-01

    Transcatheter aortic valve implantation is used as an alternative to surgical valve replacement in patients with severe aortic stenosis who are considered high-surgical-risk or inoperable. Two of the main areas of uncertainty in this field are valve durability and long-term survival. This prospective single-center registry study from a tertiary hospital included all consecutive patients who underwent percutaneous aortic valve implantation between 2008 and 2012. Clinical follow-up lasted a minimum of 2.5 years and a maximum of 6.5 years. Valve Academic Research Consortium-2 definitions were used. Seventy-nine patients were included, with an immediate success rate of 94.9%. The median survival was 47.6 months (95% confidence intervals, 37.4-57.9 months), ie, 4 years. One quarter of deaths occurred in the first month, and most were of cardiovascular cause. After the first month, most deaths were due to noncardiovascular causes. The mean values of valve gradients did not increase during follow-up. The cumulative rate of prosthetic valve dysfunction was 15.3%, with no cases of repeat valve replacement. Half of the patients with aortic stenosis who underwent transcatheter aortic valve implantation were alive 4 years after the procedure. There was a 15.3% prosthetic valve dysfunction rate in cumulative follow-up, with no cases of repeat valve replacement. Copyright © 2015 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

  18. LOFT pressurizer safety: relief valve reliability

    Energy Technology Data Exchange (ETDEWEB)

    Brown, E.S.

    1978-01-18

    The LOFT pressurizer self-actuating safety-relief valves are constructed to the present state-of-the-art and should have reliability equivalent to the valves in use on PWR plants in the U.S. There have been no NRC incident reports on valve failures to lift that would challenge the Technical Specification Safety Limit. Fourteen valves have been reported as lifting a few percentage points outside the +-1% Tech. Spec. surveillance tolerance (9 valves tested over and 5 valves tested under specification). There have been no incident reports on failures to reseat. The LOFT surveillance program for assuring reliability is equivalent to nuclear industry practice.

  19. LOFT pressurizer safety: relief valve reliability

    International Nuclear Information System (INIS)

    Brown, E.S.

    1978-01-01

    The LOFT pressurizer self-actuating safety-relief valves are constructed to the present state-of-the-art and should have reliability equivalent to the valves in use on PWR plants in the U.S. There have been no NRC incident reports on valve failures to lift that would challenge the Technical Specification Safety Limit. Fourteen valves have been reported as lifting a few percentage points outside the +-1% Tech. Spec. surveillance tolerance (9 valves tested over and 5 valves tested under specification). There have been no incident reports on failures to reseat. The LOFT surveillance program for assuring reliability is equivalent to nuclear industry practice

  20. Emergency Valve-in-Valve Transcatheter Aortic Valve Implantation for the Treatment of Acute Stentless Bioprosthetic Aortic Insufficiency and Cardiogenic Shock

    Directory of Open Access Journals (Sweden)

    Ivan D. Hanson

    2018-01-01

    Full Text Available Bioprosthetic aortic valve degeneration may present as acute, severe aortic regurgitation and cardiogenic shock. Such patients may be unsuitable for emergency valve replacement surgery due to excessive risk of operative mortality but could be treatable with transfemoral valve-in-valve transcatheter aortic valve implantation (TAVI. There is a paucity of data regarding the feasibility of valve-in-valve TAVI in patients presenting with cardiogenic shock due to acute aortic insufficiency from stentless bioprosthetic valve degeneration. We present one such case, highlighting the unique aspects of valve-in-valve TAVI for this challenging patient subset.

  1. 77 FR 5472 - Pipeline Safety: Expanding the Use of Excess Flow Valves in Gas Distribution Systems to...

    Science.gov (United States)

    2012-02-03

    ...: Expanding the Use of Excess Flow Valves in Gas Distribution Systems to Applications Other Than Single-Family... Safety: Expanding the Use of Excess Flow Valves (EFVs) in Gas Distribution Systems to Applications Other... the use of EFVs in gas distribution systems. On January 10, 2012, PHMSA received a request to extend...

  2. Low intake valve lift in a port fuel-injected engine

    Energy Technology Data Exchange (ETDEWEB)

    Begg, S.M.; Hindle, M.P.; Cowell, T.; Heikal, M.R. [The Sir Harry Ricardo Laboratories, Centre for Automotive Engineering, Cockcroft Building, University of Brighton, Lewes Road, Brighton, East Sussex, BN2 4GJ (United Kingdom)

    2009-12-15

    A phenomenological study of the airflow and fuel spray interaction in a variable valve gasoline engine is presented. Experiments were performed in a steady-state flow rig fitted with a modified production cylinder head. The intake valve lift was varied manually. The mass flow rates of air and fuel through the test rig were adjusted to match typical engine operating conditions. Particle Image Velocimetry (PIV) and Laser Doppler Anemometry (LDA) measurements of the airflow showed the breakdown of a single, forward tumbling vortex-like structure into a pair of high-speed, turbulent jets at low valve lifts. Two transitional phases in the flow at the valve gap were identified for valve lifts less than 1.5 mm and greater than 3 mm. At the lower limit, a jet flapping instability was recorded. A port fuel injector (PFI) spray was characterised in a quiescent, chamber and within the test rig. High Speed Photography (HSP) and Phase Doppler Anemometry (PDA) were used to measure the effects of varying valve lift upon the fuel droplet characteristics. The in-cylinder measurements showed a reduction in mean droplet diameter of up to 50%, close to the valve gap, for peak valve lifts of less than 3 mm. (author)

  3. Differences in performance of five types of aortic valve prostheses: haemodynamic assessment by dobutamine stress echocardiography.

    Science.gov (United States)

    Khoo, Jeffrey P; Davies, Joan E; Ang, Keng Leong; Galiñanes, Manuel; Chin, Derek T

    2013-01-01

    In patients being considered for aortic valve replacement, there remains controversy over which design or tissue offers the best performance. We aimed to evaluate in a single study the haemodynamic performances of five different widely used aortic valve prostheses: stentless porcine xenograft (Elan), stentless bovine pericardium (Pericarbon Freedom), stented porcine xenograft (Aspire), stented bovine pericardium (More) and mechanical (Ultracor). We also compared them with normal aortic valves and stenosed valves of variable severity. Preoperative echocardiography and dobutamine stress echocardiography at 1 year postoperatively were undertaken in 106 patients (n=18-24 from each group). Stentless bioprostheses, whether porcine or bovine, displayed superior haemodynamics across nearly all echocardiographic parameters: lower gradients, larger effective orifice area, higher dimensionless severity index (DSI) and lower resistance, when compared with stented or mechanical prostheses. Comparing both stented designs, bovine tissue performed the worst at rest, but with stress, there was no difference. The stress performances of the stentless bioprostheses were similar to the mildly stenosed native aortic valve, whereas the performances of the stented and mechanical prostheses resembled that of native valves with mild-to-moderate stenoses. Haemodynamic differences, however, did not translate into differences in left ventricular mass reduction at 1 year. Stentless bioprostheses displayed haemodynamics superior to stented or mechanical prostheses and had the closest performance to a normal, native aortic valve. Stress DSI data, least reliant on variable annulus/valve sizes and flow rates, provided the best haemodynamic discrimination.

  4. Valve-less microdispenser

    Science.gov (United States)

    Tan, Ming Kwang; Xin, Wang; Lee, Weng Kent

    2015-11-01

    We demonstrate the concept of valve-less microdispenser to control of the liquid flow through the nozzle, by incorporating Leidenfrost effect into the nozzle design. When the nozzle is heated above the Leidenfrost point, a thin vapor layer is formed between the heated substrate and the liquid above it. The vapor pressure due to the presence of the vapor layer, together with the effect of surface tension of the liquid, exerted on the liquid-vapor interface, preventing the flow of the liquid through the nozzle. The experimental results shown that nozzles of diameter 400 micrometer and below, the nozzle temperature of 150 degree Celsius is sufficient to prevent the continuous flowing of the liquid, whereas for nozzles of diameter between 400 to 500 micrometer, the nozzle temperature needs to increase to 160 degree Celsius in order to prevent the continuous flowing of the liquid. When nozzle temperature below 160 degree Celsius, intermittent ejection of microdroplets, whose size is a function of nozzle temperature, is observed.

  5. Ostracod assemblages as a tool for documenting dynamics in marginal semi-closed marine environments: a case study from Late Quaternary sediments of Saronikos Gulf (Attica, central Greece)

    Science.gov (United States)

    Daioglou, Konstantinos; Tsourou, Theodora; Drinia, Hara; Antonarakou, Assimina; Anastasakis, George

    2017-04-01

    The Saronikos Gulf is a semi-enclosed embayment situated in the west-central region of the Aegean Sea in the eastern Mediterranean, and covers a total surface area of 1,117 km2. It is a neotectonic basin, divided by a very shallow north-south-oriented platform into a western and an eastern part. The western basin has depths exceeding 400 m, the eastern basin depths around 100 and 200 m. Furthermore, Elefsis Bay, situated to the north, is separated from the gulf by two shallow sills. This complex bottom morphology greatly influences the regional water circulation pattern. The Saronikos Gulf draws the attention of marine science because it constitutes the natural marine gateway of the city of Athens and the Piraeus harbor and receives the treated wastes of ˜4 million people. A sedimentary record spanning more than 16935+50 calyr BP was recovered at N 37.52'23.38" E 23.15'40", water depth 140 m, in the western basin of the gulf. A total of 50 samples from a 260 cm core were quantitatively and qualitatively analyzed for micropalaeontological study in order to reconstruct palaeoenvironmental conditions. In the framework of this study, ostracod assemblages were used to trace changes in the depositional environment of the investigated core. Two main ostracod assemblages alternate along the core, indicating a gradual transition from a shallow marine infralittoral to an outer infralittoral-inner -circalittoral environment. A mesohaline shallow marine assemblage, mainly with Leptocythere lagunae, Leptocythere rara, and Callistocythere sp., is dominant for the largest part of the core (from 260 to about 50cm). At the upper part a deeper marine assemblage prevails, mainly with Callistocythere crispata, Acanthocythereis hystrix, Pterygocythereis jonesii and Bairdia sp. The pattern of the environmental change that took place in Saronikos Gulf during Late Quaternary is comparable with the one established by Tsourou et al. (2015) for Southern Evoikos Gulf, suggesting that similar

  6. In Vitro Validation of a Numerical Simulation of Leaflet Kinematics in a Polymeric Aortic Valve Under Physiological Conditions.

    Science.gov (United States)

    Gharaie, Saleh Hassanzadeh; Mosadegh, Bobak; Morsi, Yosry

    2018-03-01

    This paper describes a computational method to simulate the non-linear structural deformation of a polymeric aortic valve under physiological conditions. Arbitrary Lagrangian-Eulerian method is incorporated in the fluid-structure interaction simulation, and then validated by comparing the predicted kinematics of the valve's leaflets to in vitro measurements on a custom-made polymeric aortic valve. The predicted kinematics of the valve's leaflets was in good agreement with the experimental results with a maximum error of 15% in a single cardiac cycle. The fluid-structure interaction model presented in this study can simulate structural behaviour of a stented valve with flexible leaflets, providing insight into the haemodynamic performance of a polymeric aortic valve.

  7. Analysis of Complex Valve and Feed Systems

    Science.gov (United States)

    Ahuja, Vineet; Hosangadi, Ashvin; Shipman, Jeremy; Cavallo, Peter; Dash, Sanford

    2007-01-01

    A numerical framework for analysis of complex valve systems supports testing of propulsive systems by simulating key valve and control system components in the test loop. In particular, it is designed to enhance the analysis capability in terms of identifying system transients and quantifying the valve response to these transients. This system has analysis capability for simulating valve motion in complex systems operating in diverse flow regimes ranging from compressible gases to cryogenic liquids. A key feature is the hybrid, unstructured framework with sub-models for grid movement and phase change including cryogenic cavitations. The multi-element unstructured framework offers improved predictions of valve performance characteristics under steady conditions for structurally complex valves such as pressure regulator valve. Unsteady simulations of valve motion using this computational approach have been carried out for various valves in operation at Stennis Space Center such as the split-body valve and the 10-in. (approx.25.4-cm) LOX (liquid oxygen) valve and the 4-in. (approx.10 cm) Y-pattern valve (liquid nitrogen). Such simulations make use of variable grid topologies, thereby permitting solution accuracy and resolving important flow physics in the seat region of the moving valve. An advantage to this software includes possible reduction in testing costs incurred due to disruptions relating to unexpected flow transients or functioning of valve/flow control systems. Prediction of the flow anomalies leading to system vibrations, flow resonance, and valve stall can help in valve scheduling and significantly reduce the need for activation tests. This framework has been evaluated for its ability to predict performance metrics like flow coefficient for cavitating venturis and valve coefficient curves, and could be a valuable tool in predicting and understanding anomalous behavior of system components at rocket propulsion testing and design sites.

  8. Mechanical heart valve cavitation in patients with bileaflet valves.

    Science.gov (United States)

    Johansen, Peter; Andersen, Tina S; Hasenkam, J Michael; Nygaard, Hans; Paulsen, Peter K

    2014-01-01

    Today, the quality of mechanical heart valves is quite high, and implantation has become a routine clinical procedure with a low operative mortality (mechanism found to be a possible contributor to these adverse effects is cavitation. In vitro, cavitation has been directly demonstrated by visualization and indirectly in vivo by registering of high frequency pressure fluctuations (HFPF). Tilting disc valves are thought of having higher cavitation potential than bileaflet valves due to higher closing velocities. However, the thromboembolic potential seems to be the same. Further studies are therefore needed to investigate the cavitation potential of bileaflet valves in vivo. The post processing of HFPF have shown difficulties when applied on bileaflet vavles due to asynchronous closure of the two leaflets. The aim of this study was therefore to isolate the pressure signature from each leaflet closure and perform cavitation analyses on each component. Six patients were included in the study (St. Jude Medical (n=3) and CarboMedics (n=3); all aortic bileaflet mechanical heart valves). HFPFs were recorded intraoperatively through a hydrophone at the aortic root. The pressure signature relating to the first and second leaflet closure was isolated and cavitation parameters were calculated (RMS after 50 kHz highpass filtering and signal energy). Data were averaged over 30 heart cycles. For all patients both the RMS value and signal energy of the second leaflet closure were higher than for the first leaflet closure. This indicates that the second leaflet closure is most prone to cause cavitation. Therefore, quantifying cavitation based on the HFPF related to the second leaflet closure may suggest that the cavitation potential for bileaflet valves in vivo may be higher than previous studies have suggested.

  9. Development of mechanical heart valves - an inspiring tale

    Directory of Open Access Journals (Sweden)

    P Rajashekar

    2015-01-01

    Full Text Available The historical evolution of the prosthetic heart valves from the first attempts with the Hufnagel′s valve in the treatment of the aortic insufficiency to the Starr-Edwards′ ball valve and later the tilting disc valves (Bjork-Shiley etc., and finally the bileaflet valves (St. Jude are discussed. The Indian contribution with Chitra valve is also described.

  10. Current Challenges in Translating Tissue-Engineered Heart Valves

    NARCIS (Netherlands)

    Stassen, O M J A; Muylaert, D E P; Bouten, Carlijn V. C.; Hjortnaes, J; Hjortnaes, J

    OPINION STATEMENT: Heart valve disease is a major health burden, treated by either valve repair or valve replacement, depending on the affected valve. Nearly 300,000 valve replacements are performed worldwide per year. Valve replacement is lifesaving, but not without complications. The in situ

  11. A retrospective analysis of mitral valve pathology in the setting of bicuspid aortic valves

    Science.gov (United States)

    van Rensburg, Annari; Doubell, Anton

    2017-01-01

    The therapeutic implications of bicuspid aortic valve associations have come under scrutiny in the transcatheter aortic valve implantation era. We evaluate the spectrum of mitral valve disease in patients with bicuspid aortic valves to determine the need for closer echocardiographic scrutiny/follow-up of the mitral valve. A retrospective analysis of echocardiograms done at a referral hospital over five years was conducted in patients with bicuspid aortic valves with special attention to congenital abnormalities of the mitral valve. One hundred and forty patients with a bicuspid aortic valve were included. A congenital mitral valve abnormality was present in eight (5.7%, P = 0.01) with a parachute mitral valve in four (2.8%), an accessory mitral valve leaflet in one (0.7%), mitral valve prolapse in one, a cleft in one and the novel finding of a trileaflet mitral valve in one. Minor abnormalities included an elongated anterior mitral valve leaflet (P abnormal papillary muscles (P = 0.002) and an additional chord or tendon in the left ventricle cavity (P = 0.007). Mitral valve abnormalities occur more commonly in patients with bicuspid aortic valves than matched healthy individuals. The study confirms that abnormalities in these patients extend beyond the aorta. These abnormalities did not have a significant functional effect. PMID:28515127

  12. Intro to Valve Guide Reconditioning. Automotive Mechanics. Valves. Instructor's Guide [and] Student Guide.

    Science.gov (United States)

    Horner, W.

    This instructional package, one in a series of individualized instructional units on tools and techniques for repairing worn valve guides in motor vehicles, provides practical experience for students in working on cylinder heads. Covered in the module are reaming valve guides that are oversized to match a new oversized valve, reaming valve guides…

  13. 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...

  14. The nordic aortic valve intervention (NOTION) trial comparing transcatheter versus surgical valve implantation

    DEFF Research Database (Denmark)

    Thyregod, Hans Gustav; Søndergaard, Lars; Ihlemann, Nikolaj

    2013-01-01

    Degenerative aortic valve (AV) stenosis is the most prevalent heart valve disease in the western world. Surgical aortic valve replacement (SAVR) has until recently been the standard of treatment for patients with severe AV stenosis. Whether transcatheter aortic valve implantation (TAVI) can...

  15. Early clinical outcome of aortic transcatheter valve-in-valve implantation in the Nordic countries

    DEFF Research Database (Denmark)

    Ihlberg, Leo; Nissen, Henrik Hoffmann; Nielsen, Niels Erik

    2013-01-01

    Transcatheter valve-in-valve implantation has emerged as an option, in addition to reoperative surgical aortic valve replacement, to treat failed biologic heart valve substitutes. However, the clinical experience with this approach is still limited. We report the comprehensive experience...

  16. Infective Endocarditis of the Aortic Valve with Anterior Mitral Valve Leaflet Aneurysm

    NARCIS (Netherlands)

    Tomsic, Anton; Li, Wilson W. L.; van Paridon, Marieke; Bindraban, Navin R.; de Mol, Bas A. J. M.

    2016-01-01

    Mitral valve leaflet aneurysm is a rare and potentially devastating complication of aortic valve endocarditis. We report the case of a 48-year-old man who had endocarditis of the native aortic valve and a concomitant aneurysm of the anterior mitral valve leaflet. Severe mitral regurgitation occurred

  17. Surgical treatment of aortic valve endocarditis: a 26-year experience

    Directory of Open Access Journals (Sweden)

    Taylan Adademir

    2014-03-01

    Full Text Available Objective: We have retrospectively analyzed the results of the operations made for aortic valve endocarditis in a single center in 26 years. Methods: From June 1985 to January 2011, 174 patients were operated for aortic valve endocarditis. One hundred and thirty-eight (79.3% patients were male and the mean age was 39.3±14.4 (9-77 years. Twenty-seven (15.5% patients had prosthetic valve endocarditis. The mean duration of follow-up was 7.3±4.2 years (0.1-18.2 adding up to a total of 1030.8 patient/years. Results: Two hundred and eighty-two procedures were performed. The most frequently performed procedure was aortic valve replacement with mechanical prosthesis (81.6%. In-hospital mortality occurred in 27 (15.5% cases. Postoperatively, 25 (14.4% patients had low cardiac output and 17 (9.8% heart block. The actuarial survival rates for 10 and 15 years were 74.6±3.7% and 61.1±10.3%, respectively. In-hospital mortality was found to be associated with female gender, emergency operation, postoperative renal failure and low cardiac output. The long term mortality was significantly associated with mitral valve involvement. Male gender was found to be a significant risk factor for recurrence in the follow-up. Conclusion: Surgery for aortic valve endocarditis has significant mortality. Emergency operation, female gender, postoperative renal failure and low cardiac output are significant risk factors. Risk for recurrence and need for reoperation is low.

  18. Two new bairdiid ostracod species from the early Barremian-Hauterivian of the northern and central North Sea to the Atlantic margin off Norway

    Science.gov (United States)

    Ayress, Michael; Gould, Tom

    2018-01-01

    Two new species of bairdiid Ostracoda are described from the lower Barremian - Hauterivian interval of the Valhall and Åsgard formations in the northern and central North Sea and Atlantic margin off Norway. The new species are Pontocyprella valhalla (lsid:zoobank.org:act:CA6B273F-CFF6-4C38-B9F4-18188225A711, 18 January 2018) and Bairdia asgarda (lsid:zoobank.org:act:4A4DC817-A028-45FB-9287-ABF3794F2FCB, 18 January 2018). These species dominate the ostracod assemblage that occurs abundantly in early Barremian-Hauterivian deep marine sediments of the northern and central North Sea and Haltenbanken area off Norway. Pontocyprella valhalla is restricted to this interval and because of its large size and distinct shape is a useful stratigraphic marker species, its last appearance being within the early Barremian.

  19. Bistable fluidic valve is electrically switched

    Science.gov (United States)

    Fiet, O.; Salvinski, R. J.

    1970-01-01

    Bistable control valve is selectively switched by direct application of an electrical field to divert fluid from one output channel to another. Valve is inexpensive, has no moving parts, and operates on fluids which are relatively poor electrical conductors.

  20. 49 CFR 195.260 - Valves: Location.

    Science.gov (United States)

    2010-10-01

    ... PIPELINE Construction § 195.260 Valves: Location. A valve must be installed at each of the following... that is more than 100 feet (30 meters) wide from high-water mark to high-water mark unless the...

  1. Passive Airbag Vent Control Valve Study

    National Research Council Canada - National Science Library

    Rosato, Nicholas

    1999-01-01

    .... The venting candidates studied consisted of two different linear spring check valve designs, a magnetostatic check valve design, along with two precision release blowout vents configured using a four...

  2. Stem clutch for motor driven valve

    Science.gov (United States)

    Blum, D. E.; Wiltens, J. F.

    1972-01-01

    Development of mechanical device to reduce possibility of damage to motor driven needle valve is discussed. Mechanical clutch is employed to allow slippage when needle valve reaches limit of travel. Operation of system for various conditions is described.

  3. Cells for tissue engineering of cardiac valves.

    Science.gov (United States)

    Jana, Soumen; Tranquillo, Robert T; Lerman, Amir

    2016-10-01

    Heart valve tissue engineering is a promising alternative to prostheses for the replacement of diseased or damaged heart valves, because tissue-engineered valves have the ability to remodel, regenerate and grow. To engineer heart valves, cells are harvested, seeded onto or into a three-dimensional (3D) matrix platform to generate a tissue-engineered construct in vitro, and then implanted into a patient's body. Successful engineering of heart valves requires a thorough understanding of the different types of cells that can be used to obtain the essential phenotypes that are expressed in native heart valves. This article reviews different cell types that have been used in heart valve engineering, cell sources for harvesting, phenotypic expression in constructs and suitability in heart valve tissue engineering. Natural and synthetic biomaterials that have been applied as scaffold systems or cell-delivery platforms are discussed with each cell type. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  4. Comparative study between CardiaMed valves (freely floating valve leaflets versus St. Jude Medical (fixed valve leaflets in mitral valve replacement surgery

    Directory of Open Access Journals (Sweden)

    Mostafa Ahmed

    2017-09-01

    Conclusions: CardiaMed freely floating leaflet prostheses showed good hemodynamic characteristics. The prosthesis adequately corrects hemodynamics and is safe and no worse than the St. Jude Medical valve in the mitral valve position.

  5. The response of benthic foraminifer, ostracod and mollusc assemblages to environmental conditions: a case study from the Camalti Saltpan (Izmir-Western Turkey

    Directory of Open Access Journals (Sweden)

    E. MERIC

    2010-03-01

    Full Text Available The subject of this report is benthic foraminifer populations preserved in the saltpan of Camalti in the Province of Izmir. High salinity in certain habitats of Ammonia tepida Cushman may be the primary cause of the high rate of twins and triplets as well as other morphological abnormalities recorded within this species (50 % as compared to an anomaly rate of 1 % in normal marine waters. Thicker cyst membrane developing in extremely saline environments may encourage twins and other morphological deformities by denying free movement of the offspring. Ecological factors such as heavy metal contamination of ambient waters as well as contamination by other wastes are also not ruled out as leading to such developmental anomalies. Of the 27 collected samples, Number 5 (that is closest to the sea includes the typical marine foraminifers. Nonion depressulum (Walker & Jacob, Ammonia tepida Cushman and Porosononion subgronosum(Egger are the dominant species in other samples. A total of 63 abnormal individuals (8 triplets, 24 twins, and 31 morphological anomalies was found within seven of the 27 samples collected. Ten samples contained freshwater ostracods: Darwinula stevensoni(Brady and Robertson, Leptocythere lacertosa Hirschmann, Cyprideis torasa (Jones, Cyprideis (C. anatolica Bassiouni, and Loxochoncha elliptica Brady. Among these samples (some of which contained only a few species of ostracods - and those limited in number of offspring, one had an unusually high ratio of healthy foraminifers vs those with anomalies. Worthy of note in another sample was a high abundance of molluscs. Among pelecypods, were found Ostrea edulis Linné, Lucinella divaricata (Linné, Pseudocama gryphina Lamarck,Cerastoderma edule (Linné, and Scrobicularia plana da Costa; and among gastropods were identified Hydrobi (Hydrobia acuta(Draparnaud, Rissoa labiosa (Montagu, R. parva (da Costa, R. violacea Desmarest, Pirenella conica (Blainville, Bittium desayesi(Cerulli and

  6. Promising results after percutaneous mitral valve repair

    DEFF Research Database (Denmark)

    Ihlemann, Nikolaj; Franzen, Olaf; Jørgensen, Erik

    2011-01-01

    Mitral valve regurgitation (MR) is the secondmost frequent valve disease in Europe. Untreated MR causes considerable morbidity and mortality. In the elderly, as many as half of these patients are denied surgery because of an estimated high surgical risk. Percutaneous mitral valve repair with the ...... with the MitraClip system resembles the Alfieristitch where a clip is used to connect the tip of the mitral valve leaflets....

  7. Infective endocarditis following percutaneous pulmonary valve replacement

    DEFF Research Database (Denmark)

    Cheung, Gary; Vejlstrup, Niels; Ihlemann, Nikolaj

    2013-01-01

    Infective endocarditis (IE) following percutaneous pulmonary valve replacement (PPVR) with the Melody valve is rarely reported. Furthermore, there are challenges in this diagnosis; especially echocardiographic evidence of vegetation within the prosthesis may be difficult.......Infective endocarditis (IE) following percutaneous pulmonary valve replacement (PPVR) with the Melody valve is rarely reported. Furthermore, there are challenges in this diagnosis; especially echocardiographic evidence of vegetation within the prosthesis may be difficult....

  8. Safety Testing of Left Ventricular Vent Valves.

    Science.gov (United States)

    Gavin, Caroline; Coblentz, John; Acsell, Jeffrey R; Shackelford, Anthony G; Sistino, Joseph J

    2015-03-01

    Vent vacuum relief valves (VRVs) are used to limit the negative pressure at the ventricular vent catheter tip as well as prevent reversal of blood flow and prevention of air embolism. The purpose of this study was to evaluate the performance of three commercially available ventricular vent valves. The negative pressure at which the vent valve opened was measured at the valve inlet using high-fidelity pressure transducers. Also, the flow rate at which air entrainment occurred due to valve opening was recorded. Using a 51.5 cm column of saline, the resistance for each valve was calculated. The mean ± SD opening negative pressures were -231.3 ± 35.2 mmHg for the Quest Medical valve, -219.8 mmHg ± 17.2 for the Sorin valve, and -329.6 · 38.0 mmHg for the Terumo valve. The red Quest Medical valve opened at a lower flow (1.44 ± .03 L/min) than the dark blue Sorin valve (2.93 ± .01 L/min) and light blue LH130 Terumo valve (2.36 ± .02 L/min). The Sorin valve had the least resistance of 34.1 dyn-s/cm, followed by the Terumo LH130 valve resistance of 58.1 dyn·s/cm5, and the Quest Medical VRV-II valve with a resistance of 66.5 dyn·s/cm. We found that the valves are significantly different in the negative pressure generated. Understanding the limitations of these devices is important to reduce the occurrence of adverse events associated with venting and to select the best device for a specific clinical application.

  9. Pregnancy-induced remodeling of heart valves.

    Science.gov (United States)

    Pierlot, Caitlin M; Moeller, Andrew D; Lee, J Michael; Wells, Sarah M

    2015-11-01

    Recent studies have demonstrated remodeling of aortic and mitral valves leaflets under the volume loading and cardiac expansion of pregnancy. Those valves' leaflets enlarge with altered collagen fiber architecture, content, and cross-linking and biphasic changes (decreases, then increases) in extensibility during gestation. This study extends our analyses to right-sided valves, with additional compositional measurements for all valves. Valve leaflets were harvested from nonpregnant heifers and pregnant cows. Leaflet structure was characterized by leaflet dimensions, and ECM composition was determined using standard biochemical assays. Histological studies assessed changes in cellular and ECM components. Leaflet mechanical properties were assessed using equibiaxial mechanical testing. Collagen thermal stability and cross-linking were assessed using denaturation and hydrothermal isometric tension tests. Pulmonary and tricuspid leaflet areas increased during pregnancy by 35 and 55%, respectively. Leaflet thickness increased by 20% only in the pulmonary valve and largely in the fibrosa (30% thickening). Collagen crimp length was reduced in both the tricuspid (61%) and pulmonary (42%) valves, with loss of crimped area in the pulmonary valve. Thermomechanics showed decreased collagen thermal stability with surprisingly maintained cross-link maturity. The pulmonary leaflet exhibited the biphasic change in extensibility seen in left side valves, whereas the tricuspid leaflet mechanics remained largely unchanged throughout pregnancy. The tricuspid valve exhibits a remodeling response during pregnancy that is significantly diminished from the other three valves. All valves of the heart remodel in pregnancy in a manner distinct from cardiac pathology, with much similarity valve to valve, but with interesting valve-specific responses in the aortic and tricuspid valves. Copyright © 2015 the American Physiological Society.

  10. Statins for aortic valve stenosis.

    Science.gov (United States)

    Thiago, Luciana; Tsuji, Selma Rumiko; Nyong, Jonathan; Puga, Maria Eduarda Dos Santos; Góis, Aécio Flávio Teixeira de; Macedo, Cristiane Rufino; Valente, Orsine; Atallah, Álvaro Nagib

    2016-01-01

    Aortic valve stenosis is the most common type of valvular heart disease in the USA and Europe. Aortic valve stenosis is considered similar to atherosclerotic disease. Some studies have evaluated statins for aortic valve stenosis. To evaluate the effectiveness and safety of statins in aortic valve stenosis. Search methods: We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, LILACS - IBECS, Web of Science and CINAHL Plus. These databases were searched from their inception to 24 November 2015. We also searched trials in registers for ongoing trials. We used no language restrictions.Selection criteria: Randomized controlled clinical trials (RCTs) comparing statins alone or in association with other systemic drugs to reduce cholesterol levels versus placebo or usual care. Data collection and analysis: Primary outcomes were severity of aortic valve stenosis (evaluated by echocardiographic criteria: mean pressure gradient, valve area and aortic jet velocity), freedom from valve replacement and death from cardiovascular cause. Secondary outcomes were hospitalization for any reason, overall mortality, adverse events and patient quality of life.Two review authors independently selected trials for inclusion, extracted data and assessed the risk of bias. The GRADE methodology was employed to assess the quality of result findings and the GRADE profiler (GRADEPRO) was used to import data from Review Manager 5.3 to create a 'Summary of findings' table. We included four RCTs with 2360 participants comparing statins (1185 participants) with placebo (1175 participants). We found low-quality evidence for our primary outcome of severity of aortic valve stenosis, evaluated by mean pressure gradient (mean difference (MD) -0.54, 95% confidence interval (CI) -1.88 to 0.80; participants = 1935; studies = 2), valve area (MD -0.07, 95% CI -0.28 to 0.14; participants = 127; studies = 2), and aortic jet velocity (MD -0.06, 95% CI -0.26 to 0

  11. Active combustion flow modulation valve

    Science.gov (United States)

    Hensel, John Peter; Black, Nathaniel; Thorton, Jimmy Dean; Vipperman, Jeffrey Stuart; Lambeth, David N; Clark, William W

    2013-09-24

    A flow modulation valve has a slidably translating hollow armature with at least one energizable coil wound around and fixably attached to the hollow armature. The energizable coil or coils are influenced by at least one permanent magnet surrounding the hollow armature and supported by an outer casing. Lorentz forces on the energizable coils which are translated to the hollow armature, increase or decrease the flow area to provide flow throttling action. The extent of hollow armature translation depends on the value of current supplied and the direction of translation depends on the direction of current flow. The compact nature of the flow modulation valve combined with the high forces afforded by the actuator design provide a flow modulation valve which is highly responsive to high-rate input control signals.

  12. Transcatheter tricuspid valve-in-valve in patients with transvalvular device leads.

    Science.gov (United States)

    Eleid, Mackram F; Asirvatham, Samuel J; Cabalka, Allison K; Hagler, Donald J; Noseworthy, Peter A; Taggart, Nathaniel W; Rihal, Charanjit S

    2016-03-01

    To describe the effects of percutaneously implanted valve-in-valve in the tricuspid position for patients with pre-existing transvalvular device leads. In this case series, we describe implantation of the Melody valve and SAPIEN XT valve within dysfunctional bioprosthetic tricuspid valves in three patients with transvalvular device leads. In all cases, the valve was successfully deployed and device lead function remained unchanged. In 1/3 cases with 6-month follow-up, device lead parameters remain unchanged and transcatheter valve-in-valve function remains satisfactory. Transcatheter tricuspid valve-in-valve is feasible in patients with pre-existing transvalvular devices leads. Further study is required to determine the long-term clinical implications of this treatment approach. © 2015 Wiley Periodicals, Inc.

  13. Associations between valve repair and reduced operative mortality in 21,056 mitral/tricuspid double valve procedures.

    Science.gov (United States)

    Rankin, J Scott; Thourani, Vinod H; Suri, Rakesh M; He, Xia; O'Brien, Sean M; Vassileva, Christina M; Shah, Ashish S; Williams, Matthew

    2013-09-01

    Repair of either the mitral (M) or tricuspid (T) valve in single valve surgery is associated with reduced operative mortality. It is unclear, however, how valve repair influences mortality in combined MT procedures. This topic was evaluated in the Society of Thoracic Surgeons database. From 1993 through 2007, 21 056 patients underwent concomitant MT valve surgery. Group I had M&T replacement (n = 1130), Group II had M repair and T replacement (n = 216), Group III had M replacement and T repair (n = 11 448) and Group IV had both M&T repair (n = 8262). Unadjusted operative mortalities (UOMs) and morbidities of Groups I-IV were assessed, and logistic regression analysis adjusted for differences in baseline patient profiles. Surgical outcomes were expressed as UOMs, and also adjusted odds ratios (ORs) for mortality. Group IV was older with more coronary artery bypass grafting and generally less comorbidity, and Group I had more endocarditis, mitral stenosis and reoperation. UOM values were: Group I = 16.8, Group II = 10.2, Group III = 10.3 and Group IV = 8.0%. In the multivariable model, factors influencing mortality included: age (per 5-year increase, OR = 1.15), renal failure with dialysis (OR = 3.22), emergency status (OR = 3.14), second or more reoperations (OR = 1.92) and later surgical date (OR = 0.63). Both M and T repair were independently associated with lower operative mortalities vs prosthetic valve replacement (OR = 0.83 and 0.60, respectively, P replacement and, when feasible, multiple valve repair should be considered the optimal treatment. Within the limitations of observational analysis, these data support continued efforts to increase M&T repair rates.

  14. 49 CFR 229.109 - Safety valves.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Safety valves. 229.109 Section 229.109..., DEPARTMENT OF TRANSPORTATION RAILROAD LOCOMOTIVE SAFETY STANDARDS Safety Requirements Steam Generators § 229.109 Safety valves. Every steam generator shall be equipped with at least two safety valves that have a...

  15. 49 CFR 195.420 - Valve maintenance.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Valve maintenance. 195.420 Section 195.420 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY... PIPELINE Operation and Maintenance § 195.420 Valve maintenance. (a) Each operator shall maintain each valve...

  16. Valve-sparing aortic root replacement†

    NARCIS (Netherlands)

    Koolbergen, David R.; Manshanden, Johan S. J.; Bouma, Berto J.; Blom, Nico A.; Mulder, Barbara J. M.; de Mol, Bas A. J. M.; Hazekamp, Mark G.

    2015-01-01

    To evaluate our results of valve-sparing aortic root replacement and associated (multiple) valve repair. From September 2003 to September 2013, 97 patients had valve-sparing aortic root replacement procedures. Patient records and preoperative, postoperative and recent echocardiograms were reviewed.

  17. 46 CFR 64.67 - Shutoff valve.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Shutoff valve. 64.67 Section 64.67 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.67 Shutoff valve. A shutoff valve...

  18. Valve Corporation: Strategy Tipping Points and Thresholds

    Directory of Open Access Journals (Sweden)

    Teppo Felin

    2015-06-01

    Full Text Available Valve Corporation represents an intriguing case study of flat structure and self organization (Puranam & Håkonsson, 2015; Valve, 2012.  The structures and practices of Valve of course are not new. But the company provides an interesting experiment and illustration that powerfully highlights how organizational design can impact individual and collective behavior, strategy and performance.

  19. Solving the problem of valve stem leakage

    International Nuclear Information System (INIS)

    Dixon, D.F.

    1976-01-01

    Engineering solutions to valve stem leakage, in systems carrying expensive heavy water under pressure, have progressed from changing packing brands (failure) to leak collection (partial success) to elimination of small packed valves and an improved valve packing strategy involving stable packing materials, live Belleville spring-loading of packing, and issuance of a detailed stuffing box specification (success). (E.C.B.)

  20. 49 CFR 195.116 - Valves.

    Science.gov (United States)

    2010-10-01

    ... PIPELINE Design Requirements § 195.116 Valves. Each valve installed in a pipeline system must comply with the following: (a) The valve must be of a sound engineering design. (b) Materials subject to the... at least the requirements set forth in Section 11 of API Standard 6D (incorporated by reference, see...

  1. Tricuspid valve interventions: surgical techniques and outcomes.

    Science.gov (United States)

    Starck, Christoph T; Kempfert, Jörg; Falk, Volkmar

    2015-09-01

    The surgical treatment of isolated and concomitant tricuspid valve disease, especially functional tricuspid valve regurgitation, remains controversial. Functional tricuspid regurgitation may be classified into defined stages, and surgical treatment may be tailored to the extent of the disease. This report describes current surgical techniques for tricuspid valve surgery and their results.

  2. Valve-sparing root replacement in children

    NARCIS (Netherlands)

    Kluin, Jolanda; Koolbergen, David R.; Sojak, Vladimir; Hazekamp, Mark G.

    2016-01-01

    In children, words of caution have been raised about valve-sparing procedures especially regarding the valve-remodelling technique. This study reviewed our experience with the valve-sparing reimplantation technique in children. All consecutive paediatric ( <18 years) patients who underwent

  3. The Carpentier-Edwards Perimount Magna mitral valve bioprosthesis: intermediate-term efficacy and durability.

    Science.gov (United States)

    Loor, Gabriel; Schuster, Andres; Cruz, Vincent; Rafael, Aldo; Stewart, William J; Diaz, James; McCurry, Kenneth

    2016-01-27

    The Carpentier-Edwards Perimount Magna mitral valve bioprosthesis (Edwards Lifesciences, Irvine, CA) is a low-profile version of the earlier Perimount valve that uses the ThermaFix process for enhanced calcium removal. The Magna valve has been in use since 2008, yet no publication, until now, has verified its intermediate-term safety and efficacy. From 2008 through 2011 (our 4-year study period), 70 Magna valves were implanted in the mitral position at a single institution (the Cleveland Clinic). Echocardiograms were prospectively interpreted. For this study, we reviewed patients' charts; endpoints included hemodynamic measurements, in-hospital morbidity and mortality, valve-related events, resource utilization, and 5-year survival rates. The mean patient age was 68 years; 43 % of the patients had New York Heart Association (NYHA) class III or IV disease, and 51.4 % had moderately severe, or worse, mitral regurgitation (MR). For 43 % of the patients, the Magna valve implantation was a reoperation. For 83 %, the Magna valve implantation also included a concomitant cardiac procedure. The median survival rate was 4.7 years and 90 % of patients were free from significant structural valve degeneration at 5 years. Preoperative atrial fibrillation, ischemic MR, intraaortic balloon pump placement, cardiogenic shock, cardiac arrest, and renal failure were associated with increased mortality. Right ventricular systolic pressure decreased from 50 mmHg preoperatively to 40 mmHg postoperatively, according to our matched-pair analysis (P = 0.003). Per their final echocardiogram during our study period, 98 % of surviving patients had trivial or no MR, one patient had mild MR, and one patient had severe MR. Our 5-year experience indicates that the Magna valve offers excellent intermediate-term durability and substantial echocardiographic improvement; its low-profile design make it ideal for reoperations and for concomitant cardiac procedures, including valve replacement.

  4. Aortic valve insufficiency in the teenager and young adult: the role of prosthetic valve replacement.

    Science.gov (United States)

    Bradley, Scott M

    2013-10-01

    The contents of this article were presented in the session "Aortic insufficiency in the teenager" at the congenital parallel symposium of the 2013 Society of Thoracic Surgeons (STS) annual meeting. The accompanying articles detail the approaches of aortic valve repair and the Ross procedure.(1,2) The current article focuses on prosthetic valve replacement. For many young patients requiring aortic valve surgery, either aortic valve repair or a Ross procedure provides a good option. The advantages include avoidance of anticoagulation and potential for growth. In other patients, a prosthetic valve is an appropriate alternative. This article discusses the current state of knowledge regarding mechanical and bioprosthetic valve prostheses and their specific advantages relative to valve repair or a Ross procedure. In current practice, young patients requiring aortic valve surgery frequently undergo valve replacement with a prosthetic valve. In STS adult cardiac database, among patients ≤30 years of age undergoing aortic valve surgery, 34% had placement of a mechanical valve, 51% had placement of a bioprosthetic valve, 9% had aortic valve repair, and 2% had a Ross procedure. In the STS congenital database, among patients 12 to 30 years of age undergoing aortic valve surgery, 21% had placement of a mechanical valve, 18% had placement of a bioprosthetic valve, 30% had aortic valve repair, and 24% had a Ross procedure. In the future, the balance among these options may be altered by design improvements in prosthetic valves, alternatives to warfarin, the development of new patch materials for valve repair, and techniques to avoid Ross autograft failure.

  5. Supra-annular valve strategy for an early degenerated transcatheter balloon-expandable heart valve.

    Science.gov (United States)

    Kamioka, Norihiko; Caughron, Hope; Corrigan, Frank; Block, Peter; Babaliaros, Vasilis

    2018-01-23

    Currently, there are no recommendations regarding the selection of valve type for a transcatheter heart valve (THV)-in-THV procedure. A supra-annular valve design may be superior in that it results in a larger effective orifice area and may have a lower chance of valve thrombosis after THV-in-THV. In this report, we describe the use of a supra-annular valve strategy for an early degenerated THV. © 2018 Wiley Periodicals, Inc.

  6. [The Starr-Edwards heart valve: one of the oldest mechanical heart valves still functioning today].

    Science.gov (United States)

    Schoenaker, Michiel H; van Wetten, Herbert B; Morshuis, Wim J

    2015-01-01

    In the 1960s, the Starr-Edwards valve was the first artificial heart valve to be successfully implanted in humans. This valve has now been in use for decades with outstanding results: patients whose life expectancy had previously been short acquired a good prognosis with this development. Nowadays the Starr-Edwards valve is not used anymore, but patients are being described today in whom these valves are still functioning well after more than 40 years.

  7. Single-source dual-energy CT angiography with reduced iodine load in patients referred for aortoiliofemoral evaluation before transcatheter aortic valve implantation: impact on image quality and radiation dose

    Energy Technology Data Exchange (ETDEWEB)

    Dubourg, Benjamin; Caudron, Jerome; Lefebvre, Valentin; Dacher, Jean-Nicolas [Rouen University Hospital, Department of Radiology, Rouen (France); UFR Medecine Pharmacie, INSERM U1096, Rouen (France); Lestrat, Jean-Pierre [Rouen University Hospital, Department of Radiology, Rouen (France); Bubenheim, Michael [Rouen University Hospital, Department of Biostatistics, Rouen (France); Godin, Matthieu; Tron, Christophe [Rouen University Hospital, Department of Cardiology, Rouen (France); Eltchaninoff, Helene; Bauer, Fabrice [Rouen University Hospital, Department of Cardiology, Rouen (France); UFR Medecine Pharmacie, INSERM U1096, Rouen (France)

    2014-11-15

    To compare image quality and radiation dose of pre-transcatheter aortic valve implantation (TAVI) aortoiliofemoral CT angiography (AICTA) provided by standard vs. dual-energy mode with reduced iodine load protocols. One hundred and sixty-one patients underwent a two-step CTA protocol before TAVI including cardiac CTA with injection of 65 mL of iodinated contrast agent (ICA), immediately followed by AICTA. From this second acquisition, the following three different patient groups were identified: Group 1: 52 patients with standard AICTA (60 mL ICA, 100 kVp, mA automodulation); Group 2: 48 patients with dual-energy AICTA with 50 % iodine load reduction (30 mL ICA, fast kVp switching, 600 mA); Group 3: 61 patients with an identical protocol to Group 2, but exposed to 375 mA. The qualitative/subjective image quality (13-point score) and quantitative/objective image quality (contrast attenuation and image noise) were evaluated. The radiation dose was recorded. There was no significant difference in non-diagnostic images between the three protocols. Contrast attenuation, signal-to-noise ratio and contrast-to-noise ratio were significantly higher, whereas noise was significantly lower in the standard protocol (all P < 0.05). The radiation dose was lower in the dual-energy protocol at 375 mA (P < 0.05). Dual-energy AICTA before TAVI results in a reduction of iodine load while maintaining sufficient diagnostic information despite increased noise. (orig.)

  8. Sequential transcatheter aortic valve implantation due to valve dislodgement

    DEFF Research Database (Denmark)

    Campante Teles, Rui; Costa, Cátia; Almeida, Manuel

    2017-01-01

    Transcatheter aortic valve implantation (TAVI) has become an important treatment in high surgical risk patients with severe aortic stenosis (AS), whose complications need to be managed promptly. The authors report the case of an 86-year-old woman presenting with severe symptomatic AS, rejected fo...

  9. Multifunctional four-port directional control valve constructed from logic valves

    International Nuclear Information System (INIS)

    Lisowski, E.; Czyżycki, W.; Rajda, J.

    2014-01-01

    Highlights: • Directional valve with standard ISO 440-08 has been constructed from logic valves. • Only one innovative valve may replace whole family of the standard valves. • CFD analysis and bench tests of the innovative valve has been carried. • Parameters of the innovative valve are equaling or surpassing the standard ones. • The innovative valve has additional possibilities of pressure and flow control. - Abstract: The paper refers to four-port solenoid pilot operated valves, which are subplate mounted in a hydraulic system in accordance with the ISO 4401 standard. Their widespread use in many machines and devices causes a continuing interest in the development of their design by both the scientific centers and the industry. This paper presents an innovative directional control valve based on the use of logic valves and a methodology followed for the design of it by using Solid Edge CAD and ANSYS/Fluent CFD software. The valve design methodology takes into account the need to seek solutions that minimize flow resistance through the valve. For this purpose, the flow paths are prepared by means of CAD software and pressure-flow curves are determined as a result of CFD analysis. The obtained curves are compared with the curves available in the catalogs of spool type directional control valves. The new solution allows to replace the whole family of spool type four-port directional control valves by one valve built of logic valves. In addition, the innovative directional control valve provides leak-proof shutting the flow paths off and also it can control flow rate and even pressure of working liquid. A prototype of the valve designed by the presented method has been made and tested on the test bench. The results quoted in the paper confirm that the developed logic type directional control valve is able to meet all designed connection configurations, and the obtained pressure-flow curves show very good conformity with the results of CFD analysis

  10. Valve assembly having remotely replaceable bearings

    International Nuclear Information System (INIS)

    Johnson, E.R.; Tanner, D.E.

    1980-01-01

    A valve assembly having remotely replaceable bearings is disclosed wherein a valve disc is supported within a flow duct for rotation about a pair of axially aligned bearings, one of which is carried by a spindle received within a diametral bore in the valve disc, and the other of which is carried by a bearing support block releasably mounted on the duct circumferentially of an annular collar on the valve disc coaxial with its diametrical bore. The spindle and bearing support block are adapted for remote removal to facilitate servicing or replacement of the valve disc support bearings

  11. Extending the Performance of Net Shape Molded Fiber Reinforced Polymer Composite Valves for Use in Internal Combustion Engines

    National Research Council Canada - National Science Library

    Buckley, Richard T

    2007-01-01

    .... Previous work has both shown structural and thermal limitations. A net-shape resin transfer molded intake valve has been developed, using a single-piece carbon fiber preform and the high temperature polymer PETI-RFI...

  12. Endothelial progenitor cells as a sole source for ex vivo seeding of tissue-engineered heart valves.

    Science.gov (United States)

    Sales, Virna L; Mettler, Bret A; Engelmayr, George C; Aikawa, Elena; Bischoff, Joyce; Martin, David P; Exarhopoulos, Alexis; Moses, Marsha A; Schoen, Frederick J; Sacks, Michael S; Mayer, John E

    2010-01-01

    We investigated whether circulating endothelial progenitor cells (EPCs) can be used as a cell source for the creation of a tissue-engineered heart valve (TEHV). Trileaflet valved conduits were fabricated using nonwoven polyglycolic acid/poly-4-hydroxybutyrate polymer. Ovine peripheral blood EPCs were dynamically seeded onto a valved conduit and incubated for 7, 14, and 21 days. Before seeding, EPCs were shown to express CD31(+), eNOS(+), and VE-Cadherin(+) but not alpha-smooth muscle actin. Histological analysis demonstrated relatively homogenous cellular ingrowth throughout the valved conduit. TEHV constructs revealed the presence of endothelial cell (EC) markers and alpha-smooth muscle actin(+) cells comparable with native valves. Protein levels were comparable with native valves and exceeded those in unseeded controls. EPC-TEHV demonstrated a temporal pattern of matrix metalloproteinases-2/9 expression and tissue inhibitors of metalloproteinase activities comparable to that of native valves. Mechanical properties of EPC-TEHV demonstrated significantly greater stiffness than that of the unseeded scaffolds and native valves. Circulating EPC appears to have the potential to provide both interstitial and endothelial functions and could potentially serve as a single-cell source for construction of autologous heart valves.

  13. Long-term results of mechanical and biological heart valves in dialysis and non-dialysis patients.

    Science.gov (United States)

    Böning, A; Boedeker, R H; Rosendahl, U P; Niemann, B; Haberer, S; Roth, P; Ennker, J A C

    2011-12-01

    We wanted to answer the question whether biological heart valves are inferior compared to mechanical heart valves in end-stage renal disease (ESRD) patients. Between 01/1996 und 12/2006, 44 of 3293 patients undergoing aortic valve replacement (AVR) in a single institution suffered from dialysis-dependent ESRD and underwent a follow-up investigation after 1.9 years (median). Twelve (28.9 %) of these patients received a biological, 32 (71.1 %) of these patients a mechanical aortic valve prosthesis. To evaluate a possible influence of the valve type (biological/mechanical) on survival, uni- and multivariate logistic regression was used. ESRD patients after AVR had a relatively poor short-term (30-day mortality: 22.7 %) and long-term survival (median survival time: 24.7 months; 95 % CI: 0.2-47.7 months), irrespective of the type of heart valve prosthesis (hazard ratio for mortality depending on heart valve type in dialysis patients: 1.31, P = 0.400). Dialysis-dependent patients were not reoperated due to valve-related reasons. The long-term survival of dialysis-dependent patients after AVR is low (5-year survival: 29.5 %) irrespective of the type of heart valve prosthesis. Therefore, the use of biological AVR is not contraindicated in this group of patients. © Georg Thieme Verlag KG Stuttgart · New York.

  14. Echocardiography of congenital mitral valve disorders: echocardiographic-morphological comparisons.

    Science.gov (United States)

    Silverman, Norman H

    2014-12-01

    I surveyed our echocardiographic database of the years between 1998 and 2012 for congenital abnormalities of the mitral valve in patients over 14 years. A total of 249 patients with mitral valve abnormalities were identified. Abnormalities included clefts in the mitral valve in 58 patients, double orifice of the mitral valve in 19, mitral stenosis with two papillary muscles in 72, and mitral stenosis with one papillary muscle in 51 patients. Supravalvar rings were found in 35 patients with a single papillary muscle, and mitral stenoses with two papillary muscles were found in 22 patients. Mitral prolapse occurred in 44 patients and mitral valvar straddle in five patients. The patients were evaluated by all modalities of ultrasound available over the course of time. Although some lesions were isolated, there were many lesions in which more than one mitral deformity presented in the same patient. The patients are presented showing anatomical correlation with autopsy specimens, some of which came from the patients in this series, and others matched to show correlative anatomy. These lesions remain rare as a group and continue to have high morbidity and mortality.

  15. Use of Main Loop Isolating Valves (GZZS) in WWER 440

    International Nuclear Information System (INIS)

    Stefanova, A.E.; Gencheva, R.V.; Groudev, P.P.

    2002-01-01

    This paper discusses the usage of Main Loop Isolation Valves in case of Steam Generator Tube Rupture accident in WWER440/V230. A double-ended single pipe break in SG-6 was chosen as representative. In the paper are investigated two cases. In the first one the operator isolates the affected loop by Main Loop Isolation Valves closing and after primary depressurization re-opens them to cooldown the damaged Steam Generator. The second case treats the situation, where Main Loop Isolation Valves fail to close with the necessary operator actions for managing plant recovery. RELAP5/MOD3.2 computer code has been used to simulate the Steam Generator Tube Rupture accident in WWER440 NPP model. This model was developed and validated at Institute for Nuclear Research and Nuclear Energy - Bulgarian Academy of Sciences. The results of analyses presented in this report demonstrate that in the both cases (with or without Main Loop Isolation Valves usage) the operator could bring the plant to stable and safety conditions (Authors)

  16. Isolated tricuspid valve infective endocarditis

    African Journals Online (AJOL)

    1990-07-07

    Jul 7, 1990 ... Case 2. Initial chest radiograph showing rounded shadows with cavitation. Fig. 2. Case 2. Chest radiograph showing progression to effusion. nuc/eacum was Isolated from repeated blood cultures. Two- dimensional echocardiography revealed vegetations on the tricuspid valve (Fig. 3). The patient was now ...

  17. Isolated tricuspid valve infective endocarditis

    African Journals Online (AJOL)

    1990-07-07

    Jul 7, 1990 ... A report of 6 cases. D. P. NAIDOO,. I. P. NAICKER,. S. NAICKER, S. VYTHYLlNGUM,. M. A. K. OMAR, A. S. MITHA. F. HASSEN,. Summary. Six cases of isolated tricuspid valve endocarditis in young women are described. Preceding ... friction rub, became hypotensive and died. At autopsy vegetations were ...

  18. Valve device for handling materials

    International Nuclear Information System (INIS)

    Macleod, Hugh; Webster, A.W.

    1986-01-01

    A valve device employs a flexibly deformable sleeve mounted in a support body and encircled by a ring which is rotatable about a diametral axis so that it can be turned into a position in which it pinches the sleeve at spaced positions along the length of the sleeve and thereby cuts off flow of material through the sleeve. (author)

  19. Hemodynamics driven cardiac valve morphogenesis.

    Science.gov (United States)

    Steed, Emily; Boselli, Francesco; Vermot, Julien

    2016-07-01

    Mechanical forces are instrumental to cardiovascular development and physiology. The heart beats approximately 2.6 billion times in a human lifetime and heart valves ensure that these contractions result in an efficient, unidirectional flow of the blood. Composed of endocardial cells (EdCs) and extracellular matrix (ECM), cardiac valves are among the most mechanically challenged structures of the body both during and after their development. Understanding how hemodynamic forces modulate cardiovascular function and morphogenesis is key to unraveling the relationship between normal and pathological cardiovascular development and physiology. Most valve diseases have their origins in embryogenesis, either as signs of abnormal developmental processes or the aberrant re-expression of fetal gene programs normally quiescent in adulthood. Here we review recent discoveries in the mechanobiology of cardiac valve development and introduce the latest technologies being developed in the zebrafish, including live cell imaging and optical technologies, as well as modeling approaches that are currently transforming this field. This article is part of a Special Issue entitled: Cardiomyocyte Biology: Integration of Developmental and Environmental Cues in the Heart edited by Marcus Schaub and Hughes Abriel. Copyright © 2015. Published by Elsevier B.V.

  20. A detailed fluid mechanics study of tilting disk mechanical heart valve closure and the implications to blood damage.

    Science.gov (United States)

    Manning, Keefe B; Herbertson, Luke H; Fontaine, Arnold A; Deutsch, Steven

    2008-08-01

    Hemolysis and thrombosis are among the most detrimental effects associated with mechanical heart valves. The strength and structure of the flows generated by the closure of mechanical heart valves can be correlated with the extent of blood damage. In this in vitro study, a tilting disk mechanical heart valve has been modified to measure the flow created within the valve housing during the closing phase. This is the first study to focus on the region just upstream of the mitral valve occluder during this part of the cardiac cycle, where cavitation is known to occur and blood damage is most severe. Closure of the tilting disk valve was studied in a "single shot" chamber driven by a pneumatic pump. Laser Doppler velocimetry was used to measure all three velocity components over a 30 ms period encompassing the initial valve impact and rebound. An acrylic window placed in the housing enabled us to make flow measurements as close as 200 microm away from the closed occluder. Velocity profiles reveal the development of an atrial vortex on the major orifice side of the valve shed off the tip of the leaflet. The vortex strength makes this region susceptible to cavitation. Mean and maximum axial velocities as high as 7 ms and 20 ms were recorded, respectively. At closure, peak wall shear rates of 80,000 s(-1) were calculated close to the valve tip. The region of the flow examined here has been identified as a likely location of hemolysis and thrombosis in tilting disk valves. The results of this first comprehensive study measuring the flow within the housing of a tilting disk valve may be helpful in minimizing the extent of blood damage through the combined efforts of experimental and computational fluid dynamics to improve mechanical heart valve designs.

  1. Valve for closing a steam line

    International Nuclear Information System (INIS)

    Meyer, W.; Potrykus, G.

    1976-01-01

    Instead of several control elements, the quick-closing valve, especially in the main-steam line between steam generator and turbine of a power station has the valve cone itself as the only movable part, acting with its inner surface as a piston within a second cylinder space. The valve shaft is at the same time a piston rod with a stepped piston at the upper end. This piston is loaded in a cylinder at the upspace below the valve cover on one hand by a spring, on the other hand by its own medium. Two non-return valves, one of it in a bore of the valve cone, connect the first-mentioned cylinder space with the steam-loaded inlet resp. outlet side of the valve. For controlling the valve, a magnet valve is sufficient. By automatic control of the valve cone coupled with several pistons several control lines can be omitted. There are also no pressurized control lines outside the valve which could be damaged by exterior influences. (ERA) [de

  2. Mechanical and surgical bioprosthetic valve thrombosis.

    Science.gov (United States)

    Lim, Wei Yao; Lloyd, Guy; Bhattacharyya, Sanjeev

    2017-12-01

    Valve thrombosis can occur in mechanical prosthetic valves and is increasingly recognised in transcatheter and surgically implanted bioprosthetic valves. The risk of thrombosis of mechanical valves is higher in the mitral position compared with aortic position and in older generation valves (ball and cage valves). There is a wide spectrum of presentation from the asymptomatic patient to those with embolic complications or cardiogenic shock. A combination of transthoracic and transesophageal echocardiography is required to assess the haemodynamic effect of thrombosis (valve gradients and area), leaflet motion and thrombus size. CT or cinefluoroscopy may be useful in selected cases to assess leaflet motion or help identify the aetiology of valve obstruction where echocardiography is inconclusive. Exclusion of pannus or vegetation is important. Management of non-obstructive thrombus is primarily optimisation of anti-coagulation. Treatment of obstructive thrombus requires a decision between slow, low-dose fibrinolysis or valve surgery. Factors which need to be considered include thrombus size, New York Heart Association Class, presence of concomitant coronary artery disease or other valve dysfunction, surgical risk and contraindication to fibrinolysis. This review examines the incidence, aetiology, clinical features, imaging algorithms and management of prosthetic valve thrombosis. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  3. Mechanical versus bioprosthetic aortic valve replacement.

    Science.gov (United States)

    Head, Stuart J; Çelik, Mevlüt; Kappetein, A Pieter

    2017-07-21

    Mechanical valves used for aortic valve replacement (AVR) continue to be associated with bleeding risks because of anticoagulation therapy, while bioprosthetic valves are at risk of structural valve deterioration requiring reoperation. This risk/benefit ratio of mechanical and bioprosthetic valves has led American and European guidelines on valvular heart disease to be consistent in recommending the use of mechanical prostheses in patients younger than 60 years of age. Despite these recommendations, the use of bioprosthetic valves has significantly increased over the last decades in all age groups. A systematic review of manuscripts applying propensity-matching or multivariable analysis to compare the usage of mechanical vs. bioprosthetic valves found either similar outcomes between the two types of valves or favourable outcomes with mechanical prostheses, particularly in younger patients. The risk/benefit ratio and choice of valves will be impacted by developments in valve designs, anticoagulation therapy, reducing the required international normalized ratio, and transcatheter and minimally invasive procedures. However, there is currently no evidence to support lowering the age threshold for implanting a bioprosthesis. Physicians in the Heart Team and patients should be cautious in pursuing more bioprosthetic valve use until its benefit is clearly proven in middle-aged patients. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2017. For permissions, please email: journals.permissions@oup.com.

  4. [Tricuspid valve regurgitation : Indications and operative techniques].

    Science.gov (United States)

    Lange, R; Piazza, N; Günther, T

    2017-11-01

    Functional tricuspid valve (TV) regurgitation secondary to left heart disease (e.g. mitral insufficiency and stenosis) is observed in 75% of the patients with TV regurgitation and is thus the most common etiology; therefore, the majority of patients who require TV surgery, undergo concomitant mitral and/or aortic valve surgery. Uncorrected moderate and severe TV regurgitation may persist or even worsen after mitral valve surgery, leading to progressive heart failure and death. Patients with moderate to severe TV regurgitation show a 3-year survival rate of 40%. Surgery is indicated in patients with severe TV regurgitation undergoing left-sided valve surgery and in patients with severe isolated primary regurgitation without severe right ventricular (RV) dysfunction. For patients requiring mitral valve surgery, tricuspid valve annuloplasty should be considered even in the absence of significant regurgitation, when severe annular dilatation (≥40 mm or >21 mm/m 2 ) is present. Functional TV regurgitation is primarily treated with valve reconstruction which carries a lower perioperative risk than valve replacement. Valve replacement is rarely required. Tricuspid valve repair with ring annuloplasty is associated with better survival and a lower reoperation rate than suture annuloplasty. Long-term results are not available. The severity of the heart insufficiency and comorbidities (e.g. renal failure and liver dysfunction) are the essential determinants of operative mortality and long-term survival. Tricuspid valve reoperations are rarely necessary and associated with a considerable mortality.

  5. Intraluminal valves: development, function and disease

    Science.gov (United States)

    Geng, Xin; Cha, Boksik; Mahamud, Md. Riaj

    2017-01-01

    ABSTRACT The circulatory system consists of the heart, blood vessels and lymphatic vessels, which function in parallel to provide nutrients and remove waste from the body. Vascular function depends on valves, which regulate unidirectional fluid flow against gravitational and pressure gradients. Severe valve disorders can cause mortality and some are associated with severe morbidity. Although cardiac valve defects can be treated by valve replacement surgery, no treatment is currently available for valve disorders of the veins and lymphatics. Thus, a better understanding of valves, their development and the progression of valve disease is warranted. In the past decade, molecules that are important for vascular function in humans have been identified, with mouse studies also providing new insights into valve formation and function. Intriguing similarities have recently emerged between the different types of valves concerning their molecular identity, architecture and development. Shear stress generated by fluid flow has also been shown to regulate endothelial cell identity in valves. Here, we review our current understanding of valve development with an emphasis on its mechanobiology and significance to human health, and highlight unanswered questions and translational opportunities. PMID:29125824

  6. Mitral Valve Repair: The Chordae Tendineae

    Directory of Open Access Journals (Sweden)

    Carlos-A Mestres

    2015-10-01

    Full Text Available Repair of the mitral valve is the treatment of choice for mitral valve regurgitation when the anatomy is favorable. It is well known that mitral valve repair enjoys better clinical and functional results than any other type of valve substitute. This fact is beyond doubt regardless of the etiology of the valve lesion and is of particular importance in degenerative diseases.This review analyzes the most important advances in the knowledge of the anatomy, pathophysiology, and chordal function of the mitral valve as well as the different alternatives in the surgical repair and clinical results of the most prevalent diseases of the mitral valve. An attempt has been made to organize the acquired information available in a practical way.

  7. Shape of the dilated aorta in children with bicuspid aortic valve

    International Nuclear Information System (INIS)

    Mart, Christopher R; McNerny, Bryn E

    2013-01-01

    The dilated aorta in adults with bicuspid aortic valve has been shown to have different shapes, but it is not known if this occurs in children. This observational study was performed to determine if there are different shapes of the dilated aorta in children with bicuspid aortic valve and their association with age, gender, hemodynamic alterations, and degree of aortic enlargement. One hundred and eighty-seven echocardiograms done on pediatric patients (0 – 18 years) for bicuspid aortic valve, during 2008, were reviewed. Aortic valve morphology, shape/size of the aorta, and pertinent hemodynamic alterations were documented. Aortic dilation was felt to be present when at least one aortic segment had a z-score > 2.0; global aortic enlargement was determined by summing the aortic segment z-scores. The aortic shape was assessed by age, gender, valve morphology, and hemodynamic alterations. Aortic dilation was present in 104/187 patients. The aorta had six different shapes designated from S1 through S6. There was no association between the aortic shape and gender, aortic valve morphology, or hemodynamic abnormalities. S3 was the most common after the age of six years and was associated with the most significant degree of global aortic enlargement. The shape of the dilated aorta in children with bicuspid aortic valve does not occur in a uniform manner and multiple shapes are seen. S2 and S3 are most commonly seen. As aortic dilation becomes more significant, a single shape (S3) becomes the dominant pattern

  8. Transient analysis for a system with a tilted disc check valve

    International Nuclear Information System (INIS)

    Jeung, Jaesik; Lee, Kyukwang; Cho, Daegwan

    2014-01-01

    Check valves are used to prevent reverse flow conditions in a variety of systems in nuclear power plants. When a check valve is closed by a reverse flow, the transient load can jeopardize the structural integrity on the piping system and its supports. It may also damage intended function of the in-line components even though the severity of the load differs and depends strongly on types of the check valves. To incorporate the transient load in the piping system, it is very important to properly predict the system response to transients such as a check valve closure accompanied by pump trip and to evaluate the system transient. The one-dimensional transient simulation codes such as the RELAP5/MOD3.3 and TRACE were used. There has not been a single model that integrates the two codes to handle the behavior of a tilted disc check valve, which is designed to mitigate check valve slams by shorting the travel of the disc. In this paper a model is presented to predict the dynamic motion of a tilted disc check valve in the transient simulation using the RELAP5/MOD3.3 code and the model is incorporated in a system transient analysis using control variables of the code. In addition, transient analysis for Essential Service Water (ESW) system is performed using the proposed model and the associated load is evaluated for the system. (author)

  9. 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....

  10. How to Make a Heart Valve: From Embryonic Development to Bioengineering of Living Valve Substitutes

    Science.gov (United States)

    MacGrogan, Donal; Luxán, Guillermo; Driessen-Mol, Anita; Bouten, Carlijn; Baaijens, Frank; de la Pompa, José Luis

    2014-01-01

    Cardiac valve disease is a significant cause of ill health and death worldwide, and valve replacement remains one of the most common cardiac interventions in high-income economies. Despite major advances in surgical treatment, long-term therapy remains inadequate because none of the current valve substitutes have the potential for remodeling, regeneration, and growth of native structures. Valve development is coordinated by a complex interplay of signaling pathways and environmental cues that cause disease when perturbed. Cardiac valves develop from endocardial cushions that become populated by valve precursor mesenchyme formed by an epithelial–mesenchymal transition (EMT). The mesenchymal precursors, subsequently, undergo directed growth, characterized by cellular compartmentalization and layering of a structured extracellular matrix (ECM). Knowledge gained from research into the development of cardiac valves is driving exploration into valve biomechanics and tissue engineering directed at creating novel valve substitutes endowed with native form and function. PMID:25368013

  11. A new genus and species of entocytherid ostracod (Ostracoda: Entocytheridae) from the John Day River Basin of Oregon, U.S.A., with a key to genera of the subfamily Entocytherinae.

    Science.gov (United States)

    Weaver, Patricia G; Williams, Bronwyn W

    2017-06-07

    Targeted sampling efforts by the authors for the signal crayfish, Pacifastacus leniusculus, from its native range in the John Day River Basin, Oregon, U.S.A. yielded entocytherid ostracods with a male copulatory complex so clearly different from other entocytherines that a new genus, Aurumcythere gen. nov. is proposed to receive them. This newly proposed, apparently nonsclerotized, genus with hook and spur-like prominences of the posteroventral end of the peniferum is the first new genus of the subfamily Entocytherinae named since Hobbs & Peters described Aphelocythere (= Waltoncythere) in 1977. Aurumcythere gen. nov. represents only the second genus of entocytherid known from the Pacific Northwest. Lack of sclerotization in Aurumcythere gen. nov. provides new insight into poorly understood mating behaviors of entocytherid ostracods.

  12. Automated valve fault detection based on acoustic emission parameters and support vector machine

    Directory of Open Access Journals (Sweden)

    Salah M. Ali

    2018-03-01

    Full Text Available Reciprocating compressors are one of the most used types of compressors with wide applications in industry. The most common failure in reciprocating compressors is always related to the valves. Therefore, a reliable condition monitoring method is required to avoid the unplanned shutdown in this category of machines. Acoustic emission (AE technique is one of the effective recent methods in the field of valve condition monitoring. However, a major challenge is related to the analysis of AE signal which perhaps only depends on the experience and knowledge of technicians. This paper proposes automated fault detection method using support vector machine (SVM and AE parameters in an attempt to reduce human intervention in the process. Experiments were conducted on a single stage reciprocating air compressor by combining healthy and faulty valve conditions to acquire the AE signals. Valve functioning was identified through AE waveform analysis. SVM faults detection model was subsequently devised and validated based on training and testing samples respectively. The results demonstrated automatic valve fault detection model with accuracy exceeding 98%. It is believed that valve faults can be detected efficiently without human intervention by employing the proposed model for a single stage reciprocating compressor. Keywords: Condition monitoring, Faults detection, Signal analysis, Acoustic emission, Support vector machine

  13. Comparative Transcriptomic Profiling and Gene Expression for Myxomatous Mitral Valve Disease in the Dog and Human.

    Science.gov (United States)

    Markby, Greg R; Summers, Kim M; MacRae, Vicky E; Corcoran, Brendan M

    2017-07-17

    Myxomatous mitral valve disease is the single most important mitral valve disease in both dogs and humans. In the case of the dog it is ubiquitous, such that all aged dogs will have some evidence of the disease, and for humans it is known as Barlow's disease and affects up to 3% of the population, with an expected increase in prevalence as the population ages. Disease in the two species show many similarities and while both have the classic myxomatous degeneration only in humans is there extensive fibrosis. This dual pathology of the human disease markedly affects the valve transcriptome and the difference between the dog and human is dominated by changes in genes associated with fibrosis. This review will briefly examine the comparative valve pathology and then, in more detail, the transcriptomic profiling and gene expression reported so far for both species.

  14. A New Hemostasis Valve for Neuroendovascular Procedures

    Science.gov (United States)

    Namba, K.; Song, J.K.; Niimi, Y.; Heran, N.S.; Berenstein, A.

    2007-01-01

    Summary A hemostasis valve is routinely used in neuroendovascular procedures to decrease the risk of thromboembolism1,2. Recently, a new hemostasis valve that is designed to minimize blood loss has been introduced. We report our initial experience in using this new hemostasis valve. In neuroendovascular procedures, a hemostasis valve is commonly used for continuous irrigation of guide and microcatheters to decrease the risk of thromboembolism1,2,3. A conventional hemostasis valve has a rotating seal at the end, which is turned open or closed each time a wire or microcatheter/guidewire is introduced or extracted. Often this results in significant back bleeding. When a rotating seal is adjusted suboptimally during a wire or microcatheter manipulation, leakage of pressurized saline from the end of a hemostasis valve results in stagnation of blood within a guiding catheter, which becomes a potential source of emboli during a procedure. The Guardian Haemostasis Valve (Zerusa Limited, Galway, Ireland) is a new hemostasis valve that is designed to minimize blood loss during interventional procedures by minimizing the opening time of the valve during wire or microcatheter insertion. A continuous sealing mechanism during wire or microcatheter positioning minimizes blood loss and stagnation of blood within the guide catheter. We report our initial experience with the Guardian hemostasis valve. PMID:20566129

  15. Transcatheter aortic valve-in-valve implantation of a CoreValve in a JenaValve prosthesis: a case report.

    Science.gov (United States)

    Lotfi, Shahram; Becker, Michael; Moza, Ajay; Autschbach, Rüdiger; Marx, Nikolaus; Schröder, Jörg

    2017-09-10

    Transcatheter aortic valve implantation has become an accepted treatment modality for inoperable or high-risk surgical patients with symptomatic severe aortic stenosis. We report the case of a 70-year-old white man who was treated for severe symptomatic aortic regurgitation using transcatheter aortic valve implantation from the apical approach. Because of recurrent cardiac decompensation 4 weeks after implantation he underwent the implantation of a left ventricular assist device system. A year later echocardiography showed a severe transvalvular central insufficiency. Our heart team decided to choose a valve-in-valve approach while reducing the flow rate of left ventricular assist device to minimum and pacing with a frequency of 140 beats/minute. There was an excellent result and our patient is doing well with no relevant insufficiency of the aortic valve at 12-month follow-up. This is the first report about a successful treatment of a stenotic JenaValve using a CoreValve Evolut R; the use of a CoreValve Evolut R prosthesis may be an optimal option for valve-in-valve procedures.

  16. Traumatic Mitral Valve and Pericardial Injury

    Directory of Open Access Journals (Sweden)

    Nissar Shaikh

    2013-01-01

    Full Text Available Cardiac injury after blunt trauma is common but underreported. Common cardiac trauma after the blunt chest injury (BCI is cardiac contusion; it is very rare to have cardiac valve injury. The mitral valve injury during chest trauma occurs when extreme pressure is applied at early systole during the isovolumic contraction between the closure of the mitral valve and the opening of the aortic valve. Traumatic mitral valve injury can involve valve leaflet, chordae tendineae, or papillary muscles. For the diagnosis of mitral valve injury, a high index of suspicion is required, as in polytrauma patients, other obvious severe injuries will divert the attention of the treating physician. Clinical picture of patients with mitral valve injury may vary from none to cardiogenic shock. The echocardiogram is the main diagnostic modality of mitral valve injuries. Patient’s clinical condition will dictate the timing and type of surgery or medical therapy. We report a case of mitral valve and pericardial injury in a polytrauma patient, successfully treated in our intensive care unit.

  17. Bioprosthetic heart valves of the future.

    Science.gov (United States)

    Manji, Rizwan A; Ekser, Burcin; Menkis, Alan H; Cooper, David K C

    2014-01-01

    Glutaraldehyde-fixed bioprosthetic heart valves (GBHVs), derived from pigs or cows, undergo structural valve deterioration (SVD) over time, with calcification and eventual failure. It is generally accepted that SVD is due to chemical processes between glutaraldehyde and free calcium ions in the blood. Valve companies have made significant progress in decreasing SVD from calcification through various valve chemical treatments. However, there are still groups of patients (e.g., children and young adults) that have accelerated SVD of GBHV. Unfortunately, these patients are not ideal patients for valve replacement with mechanical heart valve prostheses as they are at high long-term risk from complications of the mandatory anticoagulation that is required. Thus, there is no "ideal" heart valve replacement for children and young adults. GBHVs represent a form of xenotransplantation, and there is increasing evidence that SVD seen in these valves is at least in part associated with xenograft rejection. We review the evidence that suggests that xenograft rejection of GBHVs is occurring, and that calcification of the valve may be related to this rejection. Furthermore, we review recent research into the transplantation of live porcine organs in non-human primates that may be applicable to GBHVs and consider the potential use of genetically modified pigs as sources of bioprosthetic heart valves. © 2014 John Wiley & Sons A/S.

  18. Bioengineered self-seeding heart valves.

    Science.gov (United States)

    Jordan, James E; Williams, J Koudy; Lee, Sang-Jin; Raghavan, Devanathan; Atala, Anthony; Yoo, James J

    2012-01-01

    Mechanical and biological prostheses are used to replace damaged heart valves but are associated with significant morbidities. Although there is increased interest in bioengineering cell-seeded heart valve scaffolds, it is a time-consuming and technically difficult process. The goal of this project was to engineer self-seeding heart valves that mature quickly in vivo and have a shorter preparation time. Porcine pulmonary valves were decellularized using detergent methods and then either (1) left untreated (unconjugated, n = 6), (2) reseeded with autologous endothelial progenitor cell-derived endothelial cells (cell-seeded, n = 4), or (3) conjugated with CD133 antibodies (conjugated, n = 8). The valve constructs were transplanted into the pulmonary position of sheep using standard surgical techniques. After 1 or 3 months, the implants were removed and assessed for cell and matrix content as well as biomechanical properties. Endothelial cells expressing von Willebrand factor lined the entire length of both ventricular and arterial surfaces of conjugated valves by 1 month after implantation. Interstitial cell and structural protein content of conjugated valves increased from 1 month to 3 months with interstitial expression of metalloproteinase-9 and new collagen formation. In contrast, there were few endothelial or interstitial cells associated with unconjugated, or cell-seeded valves at any time point. No calcification or thrombi were noted on any of the valves. Young's modulus and tensile strength was greater in the conjugated valves versus unconjugated or cell-seeded valves. Results indicate that tissue-engineered heart valve replacement constructs can be made quickly and therefore may be a clinically relevant option for patients needing heart valve surgery in a timely fashion. Copyright © 2012 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

  19. Quantitative assessment of an aortic and pulmonary valve function according to valve fenestration

    International Nuclear Information System (INIS)

    Mirkhani, S.H.; Golestani, M.G.; Hosini, M.; Kazemian, A.

    1999-01-01

    There are some reasons for malfunction of aortic and pulmonary valve like fibrosis, calcification, and atheroma. Although, in some papers fenestration were known as a pathologic sign, but it is not generally accepted, while this matter is important in choosing suitable Homograft Heart Valve. In this paper fenestrations and its size, numbers and situation effect was studied. We collected 98 hearts, the donors died because of accident, we excluded valves with atheroma, calcification, fibrosis and unequal cusps, 91 aortic and 93 pulmonary valves were given further consideration. We classified valves according to situation, number and size of fenestration. Each valve was tested with 104 cm of non-nal saline column pressure which is equal to 76 mm Hg. Valve efficacy was detected by fluid flow assay. With study of 184 valves, 95 had no fenestration, 64 had less than 2 fenestration and 25 had more than 2 fenestration. Valve efficacy in condition of less than 2 fenestration was more than others (p <0.01). Malfunction effects of fenestration increased in larger valve and it will be decreased if their situation would be marginal (free margin of cusp). In the comparison of aortic and pulmonary valve we saw that malfunction effect of fenestration in pulmonary valve was more than aortic valve. Our experience in Immam Khomeini Homograft Valve Bank has shown that a great deal of valves is fenestrated. It seems that fenestration must be considered as a quality criterion in homograft valve preparation, especially in pulmonary and large aortic valves; but complementary studies is necessary

  20. Mitral valve replacement in patients under 65 years of age: mechanical or biological valves?

    Science.gov (United States)

    Reineke, David C; Heinisch, Paul Philipp; Winkler, Bernhard; Englberger, Lars; Carrel, Thierry P

    2015-03-01

    There is controversy regarding the optimal choice of prosthetic valves in patients less than 65 years of age requiring mitral valve replacement (MVR). Recently, trends for valve replacement are moving towards biological prosthesis also in younger patients, which is justified by the fact that a later valve-in-valve procedure is feasible in the case of degeneration of the tissue valve. This strategy is increasingly recommended in aortic valve surgery but is questionable for MVR. The purpose of this review is to evaluate current guidelines and analyse evidence for biological MVR in patients under 65 years. There are differences between guidelines of the American Heart Association and those of the European Society of Cardiology concerning the choice of prostheses in patients undergoing MVR. Although the European Society of Cardiology recommends a mechanical mitral valve in patients under 65 years of age, the American Heart Association does not provide detailed advice for these patients. Mitral valve replacement with biological valves in patients under 65 years is associated with higher rates of reoperation due to structural valve deterioration. In addition, several studies showed a decreased survival after biological MVR. Evidence for biological MVR in patients less than 65 years without comorbidities or contraindication for oral anticoagulation does not exist. Recommendations for patients less than 65 years of age should not be blurred by current 'en-vogue' methods for promising but not yet proven valve-in-valve strategies.

  1. Control valve friction operational experience at Darlington NGD

    International Nuclear Information System (INIS)

    Speer, B.

    1995-01-01

    Proper installation of valve packing is an important part of ensuring that control valves operate as intended. Darlington NGD has developed a Valve Packing Program. This program combined with valve diagnostics has enabled the station to ensure that the operability of control valves is maintained after repacking. This paper outlines the process that is used for this. (author)

  2. 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...

  3. Mechanical valves in the pulmonary position : An international retrospective analysis

    NARCIS (Netherlands)

    Pragt, Hanna; van Melle, Joost P.; Javadikasgari, Hoda; Seo, Dong Man; Stulak, John M.; Knez, Igor; Hoerer, Juergen; Munoz-Guijosa, Christian; Dehaki, Mahyar G.; Shin, Hong Ju; Dearani, Joseph A.; Dehaki, Maziar G.; Pieper, Petronella G.; Eulenburg, Christine; Dos, Laura; Ebels, Tjark

    2017-01-01

    Objective: Life expectancy of patients with congenital heart disease has improved over the past decades, increasing the need for a durable pulmonary prosthetic valve. Biological valves in various forms have become the valve of choice for pulmonary valve replacement (PVR), but structural valve

  4. THE SECTION OF TORRE PICCHIO (TERNI, UMBRIA, CENTRAL ITALY:A VILLAFRANCHIAN SITE RICH IN VERTEBRATES, MOLLUSCS,OSTRACODS AND PLANTS

    Directory of Open Access Journals (Sweden)

    ODOARDO GIROTTI

    2003-03-01

    Full Text Available Fluvial deposits of the S. Maria di Ciciliano Formation crop out near Montecastrilli (Terni, in the southwestern branch of the Tiberino Basin.  Many specimens of plants ("mummified" woods, fruits and seeds, freshwater molluscs, ostracods, vertebrate bones and coprolites were collected at Torre Picchio. This small outcrop contains a fairly rich record of fruits and seeds, among which about 50 species were identified; the most frequent invariably belong to submerged, floating and emergent aquatic herbs, possibly because these were buried not far from their place of growth, thus representing the ancient local vegetation.  The fruits and seeds of woody plants, including several exotic elements, were transported from neighbouring areas and indicate a paleoclimate similar to the present day, though slightly wetter.  Among molluscs, three distinct assemblages were found, indicating fluvial, swampy and lacustrine environment, respectively.  They contain taxa of biochronological interest, most of them typical of Early Pleistocene deposits (late Villafranchian, but making their first appearance in the Late Pliocene (Middle Villafranchian. One species, Margarifera (Pseudunio auricularia, represents the oldest record everywhere, since it was known, so far, only from the Middle Pleistocene upwards.  As palaeoenvironmental indicators, the ostracods complete the information given by molluscs.  Vetrebrates are represented by large and small mammals, rare birds, reptiles, amphibians and some fishes.  A great number of coprolites was collected as well.  The mammal assemblage shows affinities with the Costa S. Giacomo and Olivola F. U. (Middle and Late Villafranchian, Late Pliocene. Mimomys medasensis, an Iberoccitane element, is signaled for the first time in Italy.  From the geological point of view, the S. Maria di Ciciliano Fm. is interfingering with the marine Chiani-Tevere Fm., which is mostly Santernian in age and lies unconformably on the Middle

  5. Mid- to late Holocene climate-driven regime shifts inferred from diatom, ostracod and stable isotope records from Lake Son Kol (Central Tian Shan, Kyrgyzstan)

    Science.gov (United States)

    Schwarz, Anja; Turner, Falko; Lauterbach, Stefan; Plessen, Birgit; Krahn, Kim J.; Glodniok, Sven; Mischke, Steffen; Stebich, Martina; Witt, Roman; Mingram, Jens; Schwalb, Antje

    2017-12-01

    Arid Central Asia represents a key region for understanding climate variability and interactions in the Northern Hemisphere. Patterns and mechanisms of Holocene climate change in arid Central Asia are, however, only partially understood. Multi-proxy data combining diatom, ostracod, sedimentological, geochemical and stable isotope analyses from a ca. 6000-year-old lake sediment core from Son Kol (Central Kyrgyzstan) show distinct and repeated changes in species assemblages. Diatom- and ostracod-inferred conductivity shifts between meso-euhaline and freshwater conditions suggest water balance and regime shifts. Organism-derived data are corroborated by stable isotope, mineralogical and geochemical records, underlining that Son Kol was affected by strong lake level fluctuations of several meters. The δ13Ccarb/δ18Ocarb correlation shows repeated switchovers from a closed to an open lake system. From 6000 to 3800 and 3250 to 1950 cal. yr BP, Son Kol was a closed basin lake with higher conductivities, increased nutrient availability and a water level located below the modern outflow. Son Kol became again a hydrologically open lake at 3800 and 1950 cal. yr BP. Comparisons to other local and regional paleoclimate records indicate that these regime shifts were largely controlled by changing intensity and position of the Westerlies and the Siberian Anticyclone that triggered changes in the amount of winter precipitation. A strong influence of the Westerlies ca. 5000-4400, 3800-3250 and since 1950 cal. yr BP enhanced the amount of precipitation during spring, autumn and winter, whereas cold and dry winters prevailed during phases with a strong Siberian Anticyclone and southward shifted Westerlies at ca. 6000-5000, 4400-3800 and 3250-1950 cal. yr BP. Similarities between variations in winter precipitation at Son Kol and records of the predominant NAO-mode further suggest a teleconnection between wet (dry) winter climate in Central Asia and a positive (negative) NAO

  6. SU-C-18C-02: Specifcation of X-Ray Projection Angles Which Are Aligned with the Aortic Valve Plane From a Planar Image of a Valvuloplasty Balloon Inflated Across the Aortic Valve

    International Nuclear Information System (INIS)

    Fetterly, K; Mathew, V

    2014-01-01

    Purpose: Transcatheter aortic valve replacement (TAVR) procedures provide a method to implant a prosthetic aortic valve via a minimallyinvasive, catheter-based procedure. TAVR procedures require use of interventional fluoroscopy c-arm projection angles which are aligned with the aortic valve plane to minimize prosthetic valve positioning error due to x-ray imaging parallax. The purpose of this work is to calculate the continuous range of interventional fluoroscopy c-arm projection angles which are aligned with the aortic valve plane from a single planar image of a valvuloplasty balloon inflated across the aortic valve. Methods: Computational methods to measure the 3D angular orientation of the aortic valve were developed. Required inputs include a planar x-ray image of a known valvuloplasty balloon inflated across the aortic valve and specifications of x-ray imaging geometry from the DICOM header of the image. A-priori knowledge of the species-specific typical range of aortic orientation is required to specify the sign of the angle of the long axis of the balloon with respect to the x-ray beam. The methods were validated ex-vivo and in a live pig. Results: Ex-vivo experiments demonstrated that the angular orientation of a stationary inflated valvuloplasty balloon can be measured with precision less than 1 degree. In-vivo pig experiments demonstrated that cardiac motion contributed to measurement variability, with precision less than 3 degrees. Error in specification of x-ray geometry directly influences measurement accuracy. Conclusion: This work demonstrates that the 3D angular orientation of the aortic valve can be calculated precisely from a planar image of a valvuloplasty balloon inflated across the aortic valve and known x-ray geometry. This method could be used to determine appropriate c-arm angular projections during TAVR procedures to minimize x-ray imaging parallax and thereby minimize prosthetic valve positioning errors

  7. SU-C-18C-02: Specifcation of X-Ray Projection Angles Which Are Aligned with the Aortic Valve Plane From a Planar Image of a Valvuloplasty Balloon Inflated Across the Aortic Valve

    Energy Technology Data Exchange (ETDEWEB)

    Fetterly, K; Mathew, V [Mayo Clinic, Rochester, MN (United States)

    2014-06-01

    Purpose: Transcatheter aortic valve replacement (TAVR) procedures provide a method to implant a prosthetic aortic valve via a minimallyinvasive, catheter-based procedure. TAVR procedures require use of interventional fluoroscopy c-arm projection angles which are aligned with the aortic valve plane to minimize prosthetic valve positioning error due to x-ray imaging parallax. The purpose of this work is to calculate the continuous range of interventional fluoroscopy c-arm projection angles which are aligned with the aortic valve plane from a single planar image of a valvuloplasty balloon inflated across the aortic valve. Methods: Computational methods to measure the 3D angular orientation of the aortic valve were developed. Required inputs include a planar x-ray image of a known valvuloplasty balloon inflated across the aortic valve and specifications of x-ray imaging geometry from the DICOM header of the image. A-priori knowledge of the species-specific typical range of aortic orientation is required to specify the sign of the angle of the long axis of the balloon with respect to the x-ray beam. The methods were validated ex-vivo and in a live pig. Results: Ex-vivo experiments demonstrated that the angular orientation of a stationary inflated valvuloplasty balloon can be measured with precision less than 1 degree. In-vivo pig experiments demonstrated that cardiac motion contributed to measurement variability, with precision less than 3 degrees. Error in specification of x-ray geometry directly influences measurement accuracy. Conclusion: This work demonstrates that the 3D angular orientation of the aortic valve can be calculated precisely from a planar image of a valvuloplasty balloon inflated across the aortic valve and known x-ray geometry. This method could be used to determine appropriate c-arm angular projections during TAVR procedures to minimize x-ray imaging parallax and thereby minimize prosthetic valve positioning errors.

  8. Liquid crystal light valve structures

    Science.gov (United States)

    Koda, N. J. (Inventor)

    1985-01-01

    An improved photosensor film and liquid crystal light valves embodying said film is provided. The photosensor film and liquid crystal light valve is characterized by a significant lower image retention time while maintaining acceptable photosensitivity. The photosensor film is produced by sputter depositing CdS onto an ITO substrate in an atmosphere of argon/H2S gas while maintaining the substrate at a temperature in the range of about 130 C to about 200 C and while introducing nitrogen gas into the system to the extent of not more than about 1% of plasma mixture. Following sputter deposition of the CdS, the film is annealed in an inert gas at temperatures ranging from about 300 C to about 425 C.

  9. Tricuspid valve interventions in 2015.

    Science.gov (United States)

    Lauten, Alexander; Figulla, Hans R

    2015-09-01

    When the incidence of tricuspid regurgitation is taken into account, along with its impact on functional status and long-term survival, tricuspid regurgitation is currently undertreated. Today, though transcatheter therapy of aortic, mitral- and pulmonic valve disease is well established, interventional treatment of tricuspid valve disease is still in its early stages. Currently, various promising devices are in different stages of development, but it is still too early to clarify which interventional approach in the future might result in functional and clinical success. Similarly, it is yet unclear which type of patient subpopulation will benefit from this type of treatment. Seen in the current context of the overall evolution in the adoption of catheter-based treatments for other types of structural heart disease, the need for and interest in effective interventional treatments for tricuspid regurgitation is growing.

  10. Bistable diverter valve in microfluidics

    Czech Academy of Sciences Publication Activity Database

    Tesař, Václav; Bandulasena, H.C.H.

    2011-01-01

    Roč. 50, č. 5 (2011), s. 1225-1233 ISSN 0723-4864 R&D Projects: GA ČR GA101/07/1499; GA AV ČR IAA200760705 Institutional research plan: CEZ:AV0Z20760514 Keywords : fluidics * bistable diverter valves * pressure-driven microfluidics Subject RIV: BK - Fluid Dynamics Impact factor: 1.735, year: 2011 http://www.springerlink.com/content/x4907p1908151522/

  11. Magnetic non-return valve

    International Nuclear Information System (INIS)

    Uecker, D.F.

    1974-01-01

    The valve possesses a conical chamber containing a ball, and a magnet is placed outside the chamber to attract the ball upwards and close the opening at the top of the chamber. When a probe is introduced it pushes the ball downwards and sideways towards the outside so that it can descend through the chamber. This system can be used for the closing of tubes, dry wells or containers when a detection probe is withdrawn, in a nuclear reactor vessel for example [fr

  12. Echocardiography of the tricuspid valve

    Science.gov (United States)

    Bassin, Levi; D’Ambra, Michael

    2017-01-01

    The tricuspid valve (TV), although occasionally considered “neglected” is the subject of renewed and increasing interest. Factors include an awareness that tricuspid value dysfunction is influential in patient outcomes, an improving understanding of valve anatomy and function and evolving techniques available to address tricuspid regurgitation. Tricuspid regurgitation (TR) can be classified as being due to primary diseases of the valve or functional in nature, with the majority being functional. Whilst it was previously believed that such functional TR, resulting from left sided disease, would resolve after correction of the underlying pathology this is now known not to be true. In fact, annular dilatation, TR and right ventricular dysfunction may all continue to progress after successful surgery on the aortic or mitral valve. Although there are many modalities with which to image the TV, this lecture will focus on echocardiography, primarily transesophageal echocardiography (TEE). In every patient undergoing cardiac surgery with TEE, a thorough and systematic examination of the TV structure and function should be performed, utilizing quantitative and qualitative measures with both 2D and 3D echocardiography. As the appearance of TR can be significantly influenced by hemodynamic factors, it is essential that echocardiography to investigate TR also be performed in the resting conscious state. Ideally, deciding whether the TV warrants operative attention at the time of planned cardiac surgery should be determined preoperatively based on a high quality transthoracic echocardiography (TTE) and relevant patient and surgical factors. This lecture aims to give an overview of the echocardiographic assessment of the TV, parameters available to grade the severity of TR, and how these may be utilized to assist the surgeon considering intervention. Whilst the surgical management at the extremes of TR (mild or severe) is relatively clear, the ideal intervention in

  13. Two-Year Outcomes in Patients With Severe Aortic Valve Stenosis Randomized to Transcatheter Versus Surgical Aortic Valve Replacement

    DEFF Research Database (Denmark)

    Søndergaard, Lars; Steinbrüchel, Daniel Andreas; Ihlemann, Nikolaj

    2016-01-01

    BACKGROUND: The Nordic Aortic Valve Intervention (NOTION) trial was the first to randomize all-comers with severe native aortic valve stenosis to either transcatheter aortic valve replacement (TAVR) with the CoreValve self-expanding bioprosthesis or surgical aortic valve replacement (SAVR...

  14. Scaffolds for tissue engineering of cardiac valves.

    Science.gov (United States)

    Jana, S; Tefft, B J; Spoon, D B; Simari, R D

    2014-07-01

    Tissue engineered heart valves offer a promising alternative for the replacement of diseased heart valves avoiding the limitations faced with currently available bioprosthetic and mechanical heart valves. In the paradigm of tissue engineering, a three-dimensional platform - the so-called scaffold - is essential for cell proliferation, growth and differentiation, as well as the ultimate generation of a functional tissue. A foundation for success in heart valve tissue engineering is a recapitulation of the complex design and diverse mechanical properties of a native valve. This article reviews technological details of the scaffolds that have been applied to date in heart valve tissue engineering research. Copyright © 2014 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.

  15. The radiology of prosthetic heart valves

    International Nuclear Information System (INIS)

    Steiner, R.M.; Flicker, S.

    1985-01-01

    The development of prosthetic heart valves in the late 1950s ushered in a new era in the treatment of heart disease. The radiologist has an important role to play preoperatively in the diagnosis of valvular heart disease. Radiology is valuable in identification of the implanted prosthetic valve and recognition of complications associated with valve implantation. Radiologists must be familiar with the imaging techniques best suited to evaluate the function of the valve prosthesis in question. In this chapter the authors discuss the radiographic approach to the evaluation of the status of patients for valve replacement and the imaging problems peculiar to the types of valves in current use. The relative value of plain-film radiography, fluoroscopy, videorecording and cinerecording, and aortography is addressed, as well as the potential value of magnetic resonance imaging and subsecond dynamic computed tomography

  16. Reliability estimation for check valves and other components

    International Nuclear Information System (INIS)

    McElhaney, K.L.; Staunton, R.H.

    1996-01-01

    For years the nuclear industry has depended upon component operational reliability information compiled from reliability handbooks and other generic sources as well as private databases generated by recognized experts both within and outside the nuclear industry. Regrettably, these technical bases lacked the benefit of large-scale operational data and comprehensive data verification, and did not take into account the parameters and combinations of parameters that affect the determination of failure rates. This paper briefly examines the historic use of generic component reliability data, its sources, and its limitations. The concept of using a single failure rate for a particular component type is also examined. Particular emphasis is placed on check valves due to the information available on those components. The Appendix presents some of the results of the extensive analyses done by Oak Ridge National Laboratory (ORNL) on check valve performance

  17. Trans-apical aortic valve implantation in a patient with stentless valve degeneration.

    Science.gov (United States)

    Kapetanakis, Emmanouil I; MacCarthy, Philip; Monaghan, Mark; Wendler, Olaf

    2011-06-01

    Trans-apical valve-in-valve trans-catheter aortic valve implantation (TAVI) has successfully been performed in selected, high-risk patients, who suffered prosthetic degeneration after aortic valve replacement using stented xenografts. We report the case of a 79-year-old male patient who underwent one of the first successful TAVIs in a failing stentless bioprosthesis. Copyright © 2010 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.

  18. Bistable (latching) solenoid actuated propellant isolation valve

    Science.gov (United States)

    Wichmann, H.; Deboi, H. H.

    1979-01-01

    The design, fabrication, assembly and test of a development configuration bistable (latching) solenoid actuated propellant isolation valve suitable for the control hydrazine and liquid fluorine to an 800 pound thrust rocket engine is described. The valve features a balanced poppet, utilizing metal bellows, a hard poppet/seat interface and a flexure support system for the internal moving components. This support system eliminates sliding surfaces, thereby rendering the valve free of self generated particles.

  19. Low-Pressure-Drop Shutoff Valve

    Science.gov (United States)

    Thornborrow, John

    1994-01-01

    Flapper valve remains open under normal flow conditions but closes upon sudden increases to high rate of flow and remains closed until reset. Valve is fluid/mechanical analog of electrical fuse or circuit breaker. Low-pressure-drop shutoff valve contains flapper machined from cylindrical surface. During normal flow conditions, flapper presents small cross section to flow. (Useful in stopping loss of fluid through leaks in cooling systems.)

  20. Unusual presentation of isolated tricuspid valve disease

    Directory of Open Access Journals (Sweden)

    Anil Sharma

    2014-01-01

    Full Text Available Here we present a case 20 year old boy with isolated calcific tricuspid stenosis (TS and tricuspid regurgitation (TR underwent TV replacement with bioprosthetic valve. After 3 months patient was presented in our emergency with sudden cyanosis, dyspnea at rest, TS and the large patent foramen ovale with large right to left shunt. Patient was re-operated, bioprothetic valve was explanted and mechanical valve was implanted. Patient developed acquired dysfibrogenemia in early post-op period with valvular dysfunction.

  1. Maximizing prosthetic valve size with the Top Hat supra-annular aortic valve

    DEFF Research Database (Denmark)

    Aagaard, Jan; Geha, Alexander S.

    2007-01-01

    BACKGROUND AND AIM OF THE STUDY: The CarboMedics Top Hat supra-annular aortic valve allows a one-size (and often two-size) increase over the standard intra-annular valve. This advantage should minimize the risk of patient-prosthesis mismatch, where the effective prosthetic valve orifice area...

  2. Transapical JenaValve in a patient with mechanical mitral valve prosthesis.

    LENUS (Irish Health Repository)

    O' Sullivan, Katie E

    2014-01-29

    We report the first case of transcatheter aortic valve replacement implantation using JenaValve™ in a patient with mechanical mitral valve prosthesis. We believe that the design features of this valve may be particularly suited for use in this setting. © 2014 Wiley Periodicals, Inc.

  3. Impact of bicuspid aortic valve on complications and death in infective endocarditis of native aortic valves.

    Science.gov (United States)

    Kahveci, Gokhan; Bayrak, Fatih; Pala, Selcuk; Mutlu, Bulent

    2009-01-01

    We retrospectively investigated the impact of bicuspid aortic valve on the prognosis of patients who had definite infective endocarditis of the native aortic valve.Of 51 patients, a bicuspid aortic valve was present in 22 (43%); the other 29 had tricuspid aortic valves. On average, the patients who had bicuspid valves were younger than those who had tricuspid valves. Patients with a tricuspid valve had larger left atrial diameters and were more likely to have severe mitral regurgitation.Periannular complications, which we detected in 19 patients (37%), were much more common in the patients who had a bicuspid valve (64% vs 17%, P = 0.001). The presence of a bicuspid valve was the only significant independent predictor of periannular complications. The in-hospital mortality rate in the bicuspid group was lower than that in the tricuspid group; however, this figure did not reach statistical significance (9% vs 24%, P = 0.15). In multivariate analysis, left atrial diameter was the only independent predictor associated with an increased risk of death (hazard ratio, 2.19; 95% confidence interval, 1.1-4.5; P = 0.031).In our study, patients with infective endocarditis in a bicuspid aortic valve were younger and had a higher incidence of periannular complications. Although a worse prognosis has been reported previously, we found that infective endocarditis in a native bicuspid aortic valve is not likely to increase the risk of death in comparison with infective endocarditis in native tricuspid aortic valves.

  4. Aortic valve regurgitation and the congenitally bicuspid aortic valve: a clinico-pathological correlation

    NARCIS (Netherlands)

    Sadee, A. S.; Becker, A. E.; Verheul, H. A.; Bouma, B.; Hoedemaker, G.

    1992-01-01

    To investigate the morphology of congenitally bicuspid aortic valves causing pure valve regurgitation. A case series collected over five years. An academic hospital. One hundred and forty eight excised congenitally bicuspid aortic valves. The morphological findings were correlated with sex, age,

  5. Explosive actuated valve

    International Nuclear Information System (INIS)

    Byrne, K.G.

    1983-01-01

    1. A device of the character described comprising the combination of a housing having an elongate bore and including a shoulder extending inwardly into said bore, a single elongate movable plunger disposed in said bore including an outwardly extending flange adjacent one end thereof overlying said shoulder, normally open conduit means having an inlet and an outlet perpendicularly piercing said housing intermediate said shoulder and said flange and including an intermediate portion intersecting and normally openly communicating with said bore at said shoulder, normally closed conduit means piercing said housing and intersecting said bore at a location spaced from said normally open conduit means, said elongate plunger including a shearing edge adjacent the other end thereof normally disposed intermediate both of said conduit means and overlying a portion of said normally closed conduit means, a deformable member carried by said plunger intermediate said flange and said shoulder and normally spaced from and overlying the intermediate portion of said normally open conduit means, and means on the housing communicating with the bore to retain an explosive actuator for moving said plunger to force the deformable member against the shoulder and extrude a portion of the deformable member out of said bore into portions of the normally open conduit means for plugging the same and to effect the opening of said normally closed conduit means by the plunger shearing edge substantially concomitantly with the plugging of the normally open conduit means

  6. Additively Manufactured Main Fuel Valve Housing

    Science.gov (United States)

    Eddleman, David; Richard, Jim

    2015-01-01

    Selective Laser Melting (SLM) was utilized to fabricate a liquid hydrogen valve housing typical of those found in rocket engines and main propulsion systems. The SLM process allowed for a valve geometry that would be difficult, if not impossible to fabricate by traditional means. Several valve bodies were built by different SLM suppliers and assembled with valve internals. The assemblies were then tested with liquid nitrogen and operated as desired. One unit was also burst tested and sectioned for materials analysis. The design, test results, and planned testing are presented herein.

  7. A new commensal ostracod Asterositus ohtsukai n. g., n. sp. (Paradoxostomatidae) on the sea star Sclerasterias euplecta (Fisher) (Asteriidae) and its feeding habits.

    Science.gov (United States)

    Tanaka, Hayato; Arai, Mikihito

    2017-02-01

    A new commensal ostracod Asterositus ohtsukai n. g., n. sp. (Podocopida: Cytheroidea: Paradoxostomatidae) is described. This new taxon occurs on the ambulacral grooves and wreath of pedicellariae around superomarginal spines of the sea star Sclerasterias euplecta (Fisher) (Asteroidea: Forcipulatida: Asteriidae). Although the family Paradoxostomatidae Brady & Norman, 1889 contains four ectoparasitic or commensal genera, the association with asteroideans has never hitherto been reported. Morphological observations suggested that A. ohtsukai n. g., n. sp. is closely associated with the host sea star as it typically has distal hooks on the antenna and fifth to seventh limbs, and specialised mandibula and maxillula structures that are considered adaptations to a commensal life-style. In addition, this study discussed the feeding habits of A. ohtsukai n. g., n. sp. based on comparison with previous works. The extremely reduced palp and endites of maxillula of A. ohtsukai n. g., n. sp. imply that they have unique feeding habits that are not based on the feeding function of maxillula. From morphological comparisons with siphonostomatoid copepods, we suggest that A. ohtsukai n. g., n. sp. may feed on the body of host sea star by injuring them with styliform needle-like mandibular coxa and sucking the tissues, body fluid, or mucus with the suctorial disc on the oral cone.

  8. Injetor multicanal com válvulas de estrangulamento para análise em fluxo Pinch valve injector for flow analysis

    Directory of Open Access Journals (Sweden)

    Fabiano S. Palgrossi

    2001-10-01

    Full Text Available An important component for the automation of flow injection analysis (FIA systems is the sample injection valve. A simple and inexpensive commutator with 16 pinch valves (8 normally open and 8 closed was developed and configured as a multichannel injection valve. It is activated by a single solenoid of 3 Kgf, powered by a pulsed driver circuit, controlled by a microcomputer or a switch. FIA with spectrophometric detection of potassium dichromate solution was used for the evaluation of the new injection valve and its comparison with other valves, for sample loops of 50, 100, 200, 300 and 500 muL. The repeatability was favorable (RSD 1.0% for 15 injections at each loop volume compared to a manual injector, an electropneumatic injector and an injector configured with three mini solenoid valves (RSD 1.1, 1.3 and 1.0%, respectively, for15 injections at each loop volume.

  9. Thirty-day Outcome Following CoreValve Evolut R Transcatheter Aortic Valve Implantation: An All-comers Prospective Study.

    Science.gov (United States)

    Perrin, Nils; Roffi, Marco; Frei, Angela; Hachulla, Anne-Lise; Ellenberger, Christoph; Müller, Hajo; Cikirikcioglu, Mustafa; Licker, Marc; Noble, Stephane

    2017-09-01

    There are scarce clinical outcomes data on the new generation recapturable and repositionable CoreValve Evolut R. Data on all-comer patients undergoing transcatheter aortic valve implantation (TAVI) with the Evolut R for severe symptomatic aortic stenosis at a single center were prospectively collected between February 2015 and April 2016. Clinical endpoints were independently adjudicated according to the Valve Academic Research Consortium-2 criteria. Primary outcomes consisted of early safety composite endpoints and 30-day device success. The incidence of new permanent pacemaker implantation was recorded. Among the 83 patients undergoing TAVI during this period, 71 (85.5% of the population; median age, 83.0 [interquartile range, 80.0-87.0] years; Society of Thoracic Surgeons scores, 4.8±3.5%) were suitable for Evolut R implantation and were included in the analysis. Repositioning was performed in 26.8% of the procedures. The early safety composite endpoint was observed in 11.3% of patients at 30 days, with 2.8% all-cause mortality. Device success was documented in 90.1% of patients. Paravalvular leakage was less than grade II in 98.4% of patients. The mean transvalvular aortic gradient was reduced from 42.5±14.5mmHg at baseline to 7.7±4.0mmHg at discharge (P<.0001 vs baseline). New permanent pacemaker implantation was required in 23.9% of patients. The new generation Evolut R is suitable for most patients and shows high device success and acceptable mortality in an unbiased, consecutive, all-comer population at a single center performing TAVI exclusively with Medtronic valves. Copyright © 2016 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

  10. High Reliability Cryogenic Piezoelectric Valve Actuator, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — Cryogenic fluid valves are subject to harsh exposure and actuators to drive these valves require robust performance and high reliability. DSM's piezoelectric...

  11. Solution to valve failures at Braidwood induced by service water cavitation

    International Nuclear Information System (INIS)

    Ozol, J.; Schipiour, B.K.; Wix, J.E.

    1994-01-01

    Control valves throttle fluid from a high pressure to a lower pressure. On water systems, this throttling process may be accompanied by cavitation, which induces valve noise, vibration, and material damage. Extensive and significant caviation erosion has been experienced the last 10 years in most service water control valve bodies, downstream flanges, and reducers at Braidwood Station. There have been 40 different and distinct cavitation-induced failures in the service water system at Braidwood Station. These failures have created significant costs and continue to be a lingering source of operational maintenance costs to the Commonwealth Edison Company, which is incurring significant financial losses. It should be noted that almost all service water control valves experience some cavitation effects. Cavitation and cavitation damage are complex and elusive phenomena for which no single, simple analytical model exists. The purpose of this paper is to explain features of service water control valve cavitation failures and some of the solutions used by Commonwealth Edison at their six nuclear stations. The paper discusses the following: (1) Braidwood's history of erosion from cavitation; (2) Erosion-corrosion considerations; (3) The Instrument Society of America's valve sizing equations and how they relate to cavitation; (4) Methods to eliminate cavitation; (5) Corrective actions and practical approaches used by Commonwealth Edison to eliminate cavitation

  12. 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

    Transcatheter aortic valve implantation (TAVI) in severe aortic stenosis has proven to be a feasible and effective treatment modality for inoperable patients. Until now, neither aortic regurgitation nor degenerated bioprostheses has been an indication for TAVI. However, this article reports...... 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...

  13. Compare and contrast tricuspid and mitral valve anatomy: interventional perspectives for transcatheter tricuspid valve therapies.

    Science.gov (United States)

    Taramasso, Maurizio; Pozzoli, Alberto; Basso, Cristina; Thiene, Gaetano; Denti, Paolo; Kuwata, Shingo; Nietlispach, Fabian; Alfieri, Ottavio; Hahn, Rebecca T; Nickenig, Georg; Schofer, Joachim; Leon, Martin B; Reisman, Mark; Maisano, Francesco

    2018-03-20

    Moving transcatheter valve intervention towards atrioventricular (AV) valves implies increasing complexity. Some of the knowledge that has been generated during the development of mitral devices can be applied to the tricuspid valve (TV). A deep understanding of the peculiar anatomy of the TV and of the right heart chambers, with differences and similarities between the two AV valves, is fundamental to overcoming the specific challenges related to transcatheter TV therapies. The aim of this report is to explore similarities and differences between the mitral and tricuspid valve apparatus, and their interventional implications.

  14. Controller Development for a Separate Meter-In Separate Meter-Out Fluid Power Valve for Mobile Applications

    DEFF Research Database (Denmark)

    Nielsen, Brian

    equal to the controlled flow rate times the pressure drop across the orifice. By a constant flow rate the best energy efficiency is therefore obtained by keeping the pressure drop across the orifice as low as possible. More orifices are commonly included in a single valve. A specific type of valve....... And to develop controllers for a valve prototype whereby the two mentioned fluid streams may be controlled separately. First an introduction to mobile fluid power systems is given. It is explained that the future trend within mobile fluid power systems goes towards integration of sensors and microprocessors...

  15. Spectrum of congenital mitral valve abnormalities associated with solitary undifferentiated papillary muscle in adults.

    Science.gov (United States)

    Mohan, Jagdish C; Shukla, Madhu; Mohan, Vishwas; Sethi, Arvind

    Congenital anomaly wherein the mitral valve leaflets are directly attached to the papillary muscle(s) (PM) with or without short under-developed chords is rarely reported in adults. Patients with two PMs with an intervening fibrous bridge have also been included under this head in previous studies. Echocardiography enables accurate evaluation of the morphology and function of valve leaflets, chordae tendineae, and PM. This report describes a series of six patients aged 56-84 years who had abnormal mitral valve with a large solitary and anomalously inserted PM seen over a period of 3 years. Only those patients who had a single pillar or bridge-like PM and either absent tendinous chords or small under-developed chords were included in the analysis. Among 9600 consecutive echocardiograms performed, six patients met the criteria of an abnormal mitral valve with solitary large PM. Two patients underwent mitral valve replacement with partial excision of the PM wherein echocardiographic observations were confirmed. The patients were previously followed with the diagnosis of hypertrophic cardiomyopathy (3) and rheumatic mitral valve disease (3). Multi-planar reconstruction of 3D echocardiographic images provided incremental value in assessing the detailed patho-anatomy of PMs in these cases. In adult patients, a high index of suspicion is required to detect congenital mitral stenosis/regurgitation with large solitary PM (resembling a parachute mitral valve) which may masquerade as hypertrophic cardiomyopathy or rheumatic mitral valve disease. Copyright © 2015 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

  16. 3D Printed Modeling of the Mitral Valve for Catheter-Based Structural Interventions.

    Science.gov (United States)

    Vukicevic, Marija; Puperi, Daniel S; Jane Grande-Allen, K; Little, Stephen H

    2017-02-01

    As catheter-based structural heart interventions become increasingly complex, the ability to effectively model patient-specific valve geometry as well as the potential interaction of an implanted device within that geometry will become increasingly important. Our aim with this investigation was to combine the technologies of high-spatial resolution cardiac imaging, image processing software, and fused multi-material 3D printing, to demonstrate that patient-specific models of the mitral valve apparatus could be created to facilitate functional evaluation of novel trans-catheter mitral valve repair strategies. Clinical 3D transesophageal echocardiography and computed tomography images were acquired for three patients being evaluated for a catheter-based mitral valve repair. Target anatomies were identified, segmented and reconstructed into 3D patient-specific digital models. For each patient, the mitral valve apparatus was digitally reconstructed from a single or fused imaging data set. Using multi-material 3D printing methods, patient-specific anatomic replicas of the mitral valve were created. 3D print materials were selected based on the mechanical testing of elastomeric TangoPlus materials (Stratasys, Eden Prairie, Minnesota, USA) and were compared to freshly harvested porcine leaflet tissue. The effective bending modulus of healthy porcine MV tissue was significantly less than the bending modulus of TangoPlus (p  0.95). We have demonstrated that patient-specific mitral valve models can be reconstructed from multi-modality imaging datasets and fabricated using the multi-material 3D printing technology and we provide two examples to show how catheter-based repair devices could be evaluated within specific patient 3D printed valve geometry. However, we recognize that the use of 3D printed models for the development of new therapies, or for specific procedural training has yet to be defined.

  17. Transcatheter Aortic Valve Replacement With Different Valve Types in Elliptic Aortic Annuli.

    Science.gov (United States)

    Maeno, Yoshio; Abramowitz, Yigal; Yoon, Sung-Han; Jilaihawi, Hasan; Raul, Sharma; Israr, Sharjeel; Miyasaka, Masaki; Kawamori, Hiroyuki; Kazuno, Yoshio; Rami, Tanya; Takahashi, Nobuyuki; Mangat, Geeteshwar; Kashif, Mohammad; Chakravarty, Tarun; Nakamura, Mamoo; Cheng, Wen; Makkar, Raj R

    2017-06-23

    The aim of this study was to determine the influence of an elliptic annulus on acute device success rates following self-expanding (SE) transcatheter aortic valve replacement (TAVR) vs. balloon-expandable (BE) TAVR.Methods and Results:Outcomes were assessed using Valve Academic Research Consortium-2 definitions. Aortic annulus ratio (AAR) was measured as short axis diameter/long axis diameter. Mean AAR was 0.81±0.06. Patients were therefore divided into 2 groups: AAR elliptic annuli, SE-TAVR was an independent predictor of unsuccessful device implantation (OR, 6.34, Pelliptic annuli was associated with an exponential rise in device success (threshold ≥17.5%; area under the curve, 0.83) but not for BE-TAVR. Furthermore, optimally oversized SE valves and BE valves had a similarly high device success for elliptic annuli (SE valve, 96.2% vs. BE valve, 95.3%). For circular annuli, similarly high device success was achieved for the 2 valve types. Conversely, for elliptic annuli, SE valves had a lower device success than BE valves. Device success following optimal oversizing of SE valves, however, was similar to that for BE valves.

  18. Maximizing prosthetic valve size with the Top Hat supra-annular aortic valve

    DEFF Research Database (Denmark)

    Aagaard, Jan; Geha, Alexander S.

    2007-01-01

    BACKGROUND AND AIM OF THE STUDY: The CarboMedics Top Hat supra-annular aortic valve allows a one-size (and often two-size) increase over the standard intra-annular valve. This advantage should minimize the risk of patient-prosthesis mismatch, where the effective prosthetic valve orifice area....... This study evaluates the authors' clinical experience with Top Hat supra-annular aortic valve size selection, and the technical aspects of implantation. METHODS: Between January 1999 and October 2005, a total of 251 consecutive patients underwent 252 aortic valve replacements with Top Hat supra...... required unplanned coronary bypass, and 30-day mortality was 2.0% (5/251), indicating a good safety profile for the valves implanted in this series. CONCLUSION: The general distribution of implant sizes in the US indicates that cardiac surgeons may be under-sizing the Top Hat supra-annular aortic valve...

  19. Dikkers Valves for nuclear industry

    International Nuclear Information System (INIS)

    Anon.

    1975-01-01

    Most countries have adopted the ASME Boiler and Pressure Vessel Code Section III, as the basis of their national requirements for licensing nuclear components. This Code gives clear directives for defining design requirements coupled with a controlled manufacturing system. It has always been and still is the policy of Dikkers to manufacture high-quality products. Dikkers manufacture nuclear products in accordance with this Code, Section III; indeed many features exceed these minimum requirements. At the Nuclex Exhibition in Basel, Dikkers Valves BV will exhibit its main products for use in nuclear power plants. (Auth.)

  20. Cylinder valve packing nut studies

    Energy Technology Data Exchange (ETDEWEB)

    Blue, S.C. [Martin Marietta Energy Systems, Inc., Paducah, KY (United States)

    1991-12-31

    The design, manufacture, and use of cylinder valve packing nuts have been studied to improve their resistance to failure from stress corrosion cracking. Stress frozen photoelastic models have been analyzed to measure the stress concentrations at observed points of failure. The load effects induced by assembly torque and thermal expansion of stem packing were observed by strain gaging nuts. The effects of finishing operations and heat treatment were studied by the strain gage hole boring and X-ray methods. Modifications of manufacturing and operation practices are reducing the frequency of stress corrosion failures.

  1. Valve Corporation: Composing Internal Markets

    OpenAIRE

    Todd R. Zenger

    2015-01-01

    Discussions of the Valve Corporation are always enlightening. The skeptic wonders how much is rhetoric and recruiting ploy and how much is real. Is there clear evidence that this organizational design actually works – that it is efficient in this setting? While revenues per employee are quite remarkable, cause and effect are unclear. Is “boss-less-ness” the cause of high sales per employee or simply the result of high sales per employee, fueled from earlier success? The same question could be...

  2. Transesophageal echocardiography for cardiac thromboembolic risk assessment in patients with severe, symptomatic aortic valve stenosis referred for potential transcatheter aortic valve implantation.

    Science.gov (United States)

    Lenders, Guy D; Paelinck, Bernard P; Wouters, Kristien; Claeys, Marc J; Rodrigus, Inez E; Van Herck, Paul L; Vrints, Christiaan J; Bosmans, Johan M

    2013-05-15

    Stroke is a devastating complication after transcatheter aortic valve implantation (TAVI) and might partially be related to cardiac embolization. The aim of this single-center prospective study was to determine the incidence of intracardiac thrombi and left atrial spontaneous echo contrast (SEC), both known predictors of cardiac embolic stroke, in patients referred for potential TAVI. One hundred four consecutive patients with severe symptomatic aortic valve stenosis and at high or very high risk for surgery were included and underwent transesophageal echocardiography. In 11 patients (10.6%), intracardiac thrombi were detected, and 25 patients (24%) showed dense grade 2 SEC. Atrial fibrillation (p risk patients with severe aortic valve stenosis referred for potential TAVI is high and can accurately be detected using transesophageal echocardiography. Systematic thromboembolic evaluation using transesophageal echocardiography is thus recommended in patients referred for TAVI. Copyright © 2013 Elsevier Inc. All rights reserved.

  3. Bentall Operation with Valved Homograft Conduit

    Science.gov (United States)

    Choudhary, Shiv K.; Talwar, Sachin; Kumar, A. Sampath

    2000-01-01

    Lesions of the ascending aorta associated with aortic valve disease are usually treated by implanting a prosthetic valved conduit (Bentall procedure). In this report, we present our experience in which a valved homograft conduit was used for the procedure. Six patients underwent a Bentall procedure with the use of a cryopreserved valved homograft conduit. Two of the patients had annuloaortic ectasia, 2 had Marfan syndrome, and 1 had an atherosclerotic aneurysm of the aorta. One patient had severe aortic stenosis due to a bicuspid aortic valve, along with an aneurysm and localized dissection of the ascending aorta. In all of the patients, the aortic annulus was substantially dilated, with accompanying moderate-to-severe aortic regurgitation. A standard procedure was performed with moderate hypothermia, cardiopulmonary bypass, and aortic and bicaval cannulation. The ascending aorta and the aortic valve were replaced with a cryopreserved valved homograft conduit (aortic in 5 patients and pulmonary in 1). The native coronary ostia were anastomosed directly to the homograft. Echocardiography, which was performed intraoperatively, before discharge from the hospital, and at follow-up visits (1 to 36 months), revealed good valve function without dilatation of the homograft conduits. There was 1 late death due to Aspergillus fumigatus endocarditis, 6 months postoperatively. In 1 patient, magnetic resonance imaging performed at 24 months revealed normal caliber of the homograft conduit. We conclude that the Bentall procedure can be performed, safely and with excellent results, using cryopreserved homograft conduits. PMID:11198310

  4. Digital hydraulic valving system. [design and development

    Science.gov (United States)

    1973-01-01

    The design and development are reported of a digital hydraulic valving system that would accept direct digital inputs. Topics include: summary of contractual accomplishments, design and function description, valve parameters and calculations, conclusions, and recommendations. The electrical control circuit operating procedure is outlined in an appendix.

  5. 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....

  6. Mitral valve prolapse - report of 3 cases

    International Nuclear Information System (INIS)

    Han, Moon Hee; Im, Chung Ki; Im, Dong Ran; Han, Man Chung; Lee, Young Woo; Seo, Jung Don

    1979-01-01

    Prolapse of mitral valve is characterized by its unique auscultatory, echocardiographic and angiographic findings and may be associated with various disease entities such as congenital heart disease, coronary heart disease and Marfan's syndrome etc. Authors report recent experience of 3 cases of prolapsed mitral valve, 2 cases associated with A.S.D. and 1 case with Marfan's syndrome.

  7. Evolving Concepts in Transcatheter Aortic Valve Implantation

    NARCIS (Netherlands)

    Nijhoff, F.

    2015-01-01

    Part I of the present thesis is dedicated to implantation technique and the clinical performance of new valve prostheses. A satisfactory TAVI result not solely depends on patient characteristics, but also relies on proper valve positioning and final placement. Moreover, prosthetic design is

  8. The future of transcatheter mitral valve interventions

    DEFF Research Database (Denmark)

    Maisano, Francesco; Alfieri, Ottavio; Banai, Shmuel

    2015-01-01

    of transcatheter mitral valve interventions will be. The purpose of the present report is to review the current state-of-the-art of mitral valve intervention, and to identify the potential future scenarios, which might benefit most from the transcatheter repair and replacement devices under development....

  9. Controllable valve in a nuclear reactor system

    International Nuclear Information System (INIS)

    Schabert, H.P.; Laurer, E.

    1980-01-01

    The quick-acting gate valve of the PWR is opened and closed by means of two pistons and live steam. One of the pistons is connected to the valve disk by a piston rod which is concentrically lead into another hollow piston rod being connected to the second piston. Stops limit the strokes of the two pistons. (GL) [de

  10. Anatomical challenges for transcatheter mitral valve intervention

    DEFF Research Database (Denmark)

    De Backer, Ole; Luk, Ngai H V; Søndergaard, Lars

    2016-01-01

    Following the success of transcatheter aortic and pulmonary valve implantation, there is a large interest in transcatheter mitral valve interventions to treat severe mitral regurgitation (MR). With the exception for the MitraClipTM (Abbott, Abbott Park, IL, USA) edge-to-edge leaflet plication...

  11. Bakeable glass isolation valve for UHV systems

    International Nuclear Information System (INIS)

    Sharma, J.K.N.; Sharma, D.C.

    1975-01-01

    A bakeable (up to 450 0 C) isolation valve made of glass using a standard ground ball and socket joint is described. The valve is useful for most glass UHV systems, e.g., field-ion microscopes or gauge calibration. (U.S.)

  12. Heart valve disease among patients with hyperprolactinemia

    DEFF Research Database (Denmark)

    Steffensen, Maria Charlotte; Maegbaek, Merete Lund; Laurberg, Peter

    2012-01-01

    Increased risk of heart valve disease during treatment with certain dopamine agonists, such as cabergoline, has been observed in patients with Parkinson's disease. The same compound is used to treat hyperprolactinemia, but it is unknown whether this also associates with heart valve disease....

  13. How to insure quality valve remanufacture

    International Nuclear Information System (INIS)

    Scott, C.F.

    1991-01-01

    The importance of quality valve repair for the power generation industry is an obvious need for both the owner as well as the consumer. Whether valves are repaired in-line, on-site, or at a valve remanufacturing facility, the selection of a vendor is vital to meeting not only stringent quality requirements, but also to meet start-up schedules and budgets. In the past, the rule of thumb was that repair of a valve could cost approximately 50% of the cost of a new valve and still represent a significant savings to the end user. For power generation facilities, the fact that many valves are welded in not only makes repair more economical, but even vital to continuing normal operations. For those items not welded in, long lead times and higher prices for these normally exotic alloys make remanufactured valves even more attractive. However, even as these advantages of remanufacturing are obvious, some repair organizations continue to cut corners to meet profit demands. The result is suspect quality in some valves. This can lead to premature failures, possible reduced generating capacity, unscheduled outages, and even catastrophic results. Therefore, the choice of a repair organization must be made with care. As the author has said, repair is an obvious option, but the procurement should definitely involve more than just price comparisons. Evaluation must place the emphasis on quality and reliability. Several aspects should be thoroughly investigated and documented in the selection process. These include: personnel; equipment/facilities; procedures; and credentials

  14. Vertical pump with free floating check valve

    International Nuclear Information System (INIS)

    Lindsay, M.

    1980-01-01

    A vertical pump is described which has a bottom discharge with a free floating check valve disposed in the outlet plenum thereof. The free floating check valve comprises a spherical member with a hemispherical cage-like member attached thereto which is capable of allowing forward or reverse flow under appropriate conditions while preventing reverse flow under inappropriate conditions

  15. Oil pipeline valve automation for spill reduction

    Energy Technology Data Exchange (ETDEWEB)

    Mohitpour, Mo; Trefanenko, Bill [Enbridge Technology Inc, Calgary (Canada); Tolmasquim, Sueli Tiomno; Kossatz, Helmut [TRANSPETRO - PETROBRAS Transporte S.A., Rio de Janeiro, RJ (Brazil)

    2003-07-01

    Liquid pipeline codes generally stipulate placement of block valves along liquid transmission pipelines such as on each side of major river crossings where environmental hazards could cause or are foreseen to potentially cause serious consequences. Codes, however, do not stipulate any requirement for block valve spacing for low vapour pressure petroleum transportation, nor for remote pipeline valve operations to reduce spills. A review of pipeline codes for valve requirement and spill limitation in high consequence areas is thus presented along with a criteria for an acceptable spill volume that could be caused by pipeline leak/full rupture. A technique for deciding economically and technically effective pipeline block valve automation for remote operation to reduce oil spilled and control of hazards is also provided. In this review, industry practice is highlighted and application of the criteria for maximum permissible oil spill and the technique for deciding valve automation thus developed, as applied to ORSUB pipeline is presented. ORSUB is one of the three initially selected pipelines that have been studied. These pipelines represent about 14% of the total length of petroleum transmission lines operated by PETROBRAS Transporte S.A. (TRANSPETRO) in Brazil. Based on the implementation of valve motorization on these three pipeline, motorization of block valves for remote operation on the remaining pipelines is intended, depending on the success of these implementations, on historical records of failure and appropriate ranking. (author)

  16. AN ACTIVE VALVE WITH A CLAMPED MEMBRANE

    DEFF Research Database (Denmark)

    2009-01-01

    An active valve for use e.g. in fluidic microsystems is provided, wherein the active valve comprises a membrane having at least one flow gate, arranged between a first and a second substantially rigid element. Adjusting means provides an adjustment of the clamping force on membrane arranged between...

  17. Aortic Root Enlargement or Sutureless Valve Implantation?

    Directory of Open Access Journals (Sweden)

    Nikolaos G. Baikoussis

    2016-11-01

    Full Text Available Aortic valve replacement (AVR in patients with a small aortic annulus is a challenging issue. The importance of prosthesis–patient mismatch (PPM post aortic valve replacement (AVR is controversial but has to be avoided. Many studies support the fact that PPM has a negative impact on short and long term survival. In order to avoid PPM, aortic root enlargement may be performed. Alternatively and keeping in mind that often some comorbidities are present in old patients with small aortic root, the Perceval S suturelles valve implantation could be a perfect solution. The Perceval sutureless bioprosthesis provides reasonable hemodynamic performance avoiding the PPM and providing the maximum of aortic orifice area. We would like to see in the near future the role of the aortic root enlargement techniques in the era of surgical implantation of the sutureless valve (SAVR and the transcatheter valve implantation (TAVI.

  18. Transcatheter Mitral Valve Devices - Functional Mechanical Designs.

    Science.gov (United States)

    Kliger, Chad

    2014-03-01

    Mitral regurgitation is a complex disorder involving a multitude of components of the mitral apparatus. With the desire for less invasive treatment approaches, transcatheter mitral valve therapies (TMVT) are directed at these components and available at varying stages of development. Therapeutic advancements and the potential to combine technologies may further improve their efficacy and safety. Transcatheter mitral valve replacement, while preserving the mitral apparatus, may emerge as an alternative or even a more suitable treatment option. In addition, early data on transcatheter mitral valve-in-valve and valve-in-ring implantation are encouraging and this approach may be an alternative to reoperation in the high-risk patient. This review details the expanding functional mechanical designs of current active TMVT.

  19. Transcatheter aortic valve implantation using anatomically oriented, marrow stromal cell-based, stented, tissue-engineered heart valves: technical considerations and implications for translational cell-based heart valve concepts.

    Science.gov (United States)

    Emmert, Maximilian Y; Weber, Benedikt; Behr, Luc; Sammut, Sebastien; Frauenfelder, Thomas; Wolint, Petra; Scherman, Jacques; Bettex, Dominique; Grünenfelder, Jürg; Falk, Volkmar; Hoerstrup, Simon P

    2014-01-01

    single-leaflet prolapse was detected in two, which was primarily related to the leaflet design. No stent dislocation, migration or affection of the mitral valve was observed. For the first time, we demonstrate the technical feasibility of a transapical TEHV delivery into the aortic valve position using a commercially available and clinically applied transapical implantation system that allows for exact anatomical positioning. Our data indicate that the combination of TEHV and a state-of-the-art transapical delivery system is feasible, representing an important step towards translational, transcatheter-based TEHV concepts.

  20. Leaflet reconstructive techniques for aortic valve repair.

    Science.gov (United States)

    Mazzitelli, Domenico; Stamm, Christof; Rankin, J Scott; Pfeiffer, Steffen; Fischlein, Theodor; Pirk, Jan; Choi, Yeong-Hoon; Detter, Christian; Kroll, Johannes; Beyersdorf, Friedhelm; Shrestha, Malakh; Schreiber, Christian; Lange, Rüdiger

    2014-12-01

    Refining leaflet reconstruction has become a primary issue in aortic valve repair. This descriptive analysis reviews leaflet pathology, repair techniques, and early results in a prospective regulatory trial of aortic valve repair. Sixty-five patients underwent valve repair for predominant moderate to severe aortic insufficiency (AI). The mean age was 63 ± 13 years, and 69% of the patients were male. Ascending aortic/root replacement was required in 62%. As a first step, ring annuloplasty was performed, and then leaflet repair included leaflet plication for prolapse, nodular unfolding, double pericardial patching of commissural defects or holes, complete pericardial leaflet replacement, leaflet extension, and Gore-Tex reinforcement. Leaflet techniques and causes of adverse outcomes were evaluated. The follow-up time was 2-years maximal and 0.9 years mean, with a survival of 97%. Eighty percent of patients required repair of leaflet defects: leaflet prolapse (52/65-80%), ruptured commissures (6/65-9%), leaflet holes (4/65-6%), and nodular retraction (6/65-9%). The average preoperative AI grade of 2.9 ± 0.8 fell to 0.7 ± 0.7 (p Gore-Tex reinforcements in 2 patients. Two patients with single pericardial leaflet replacements and all those with double pericardial reconstructions did well. Leaflet defects are common in patients with moderate to severe AI. Leaflet plication, nodular unfolding, and double pericardial patching performed well. Gore-Tex and leaflet extension seemed less satisfactory. Standardization and experience with leaflet reconstruction will be important for optimizing the outcomes of aortic valve repair. Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  1. Electrically-Actuated Valves for Woven Fabric Lateral Flow Devices.

    Science.gov (United States)

    Narahari, Tanya; Dendukuri, Dhananjaya; Murthy, Shashi K

    2017-04-18

    The integration of flow control elements into low-cost biosensors presents a significant engineering challenge. This Article describes the development and integration of active, chemical valves into lateral flow devices, using a scalable, single-step, weaving-based manufacturing approach. The valve was constructed from an electrically conductive polymer, polypyrrole. The polymer switches between wetting and nonwetting states when it is reduced and oxidized via the application of an electrochemical potential. In this work, yarns were first coated with polypyrrole and integrated into fabric lateral flow sensors. The coated yarns were stimulated in situ via integrated electrodes. Coated textiles were characterized for their response to variations in the applied electrical potential, the duration for which the potential is applied, and the chemical composition of the polymer. Among these tuning parameters, the concentration of iron (iii) chloride utilized to catalyze the synthesis of the polymer, was found to be a significant determinant in the wetting range of the polymer. Complete ON/OFF flow control was achieved at applied potentials of 20 V.cm -1 , within 120 s of stimulation, using 0.1 M iron (iii) chloride, making the valve fairly easy to incorporate into point-of-care format. The practical utility of the valve was demonstrated by performing a Lowry protein assay in the device, wherein fluid flow was deactivated to allow individual reaction steps to go to completion prior to reactivation. Significant improvements in the sensitivity and linear range of the devices are reported in a simple straight-channel, lateral flow device, with the potential to develop more complex channel geometries via the weaving-based approach.

  2. Tissue-engineered heart valves.

    Science.gov (United States)

    Filová, E; Straka, F; Mirejovský, T; Masín, J; Bacáková, L

    2009-01-01

    Currently-used mechanical and biological heart valve prostheses have several disadvantages. Mechanical prostheses, based on carbon, metallic and polymeric components, require permanent anticoagulation treatment, and their usage often leads to adverse reactions, e.g. thromboembolic complications and endocarditis. Xenogenous and allogenous biological prostheses are associated with immune reaction, thrombosis and degeneration, and thus they have a high rate of reoperation. Biological prostheses of autologous origin, such as pulmonary autografts, often burden the patient with a complicated surgery and the risk of reoperation. Therefore, efforts are being made to prepare bioartificial heart valves with an autologous biological component by methods of tissue engineering. They should be biocompatible, durable, endowed with appropriate mechanical properties and able to grow with a child. For this purpose, scaffolds composed of synthetic materials, such as poly(lactic acid), poly(caprolactone), poly(4-hydroxybutyrate), hydrogels or natural polymers, e.g. collagen, elastin, fibrin or hyaluronic acid, have been seeded with autologous differentiated, progenitor or stem cells. Promising results have been obtained with nanostructured scaffolds, and also with cultivation in special dynamic bioreactors prior to implantation of the bioartificial grafts into an animal organism.

  3. AREVA's innovative solutions for valve diagnostics and in-situ valve repair

    International Nuclear Information System (INIS)

    Damies, H.; Breitenberger, U.; Munoz, L.; Kostroun, F.

    2012-01-01

    Optimized maintenance strategies are a key aspect for safe and undisturbed plant operation. Innovative valve service solutions can support that in an efficient way. The ADAM®/SIPLUG® valve monitoring system allows full online monitoring of valves and actuators with automatic evaluation and assessment. Especially for safety-related and operation-related valves this provides valuable information on components condition to ensure proper function and contribute to optimization of maintenance strategies as well as effective maintenance performance. More than 25 years of experience in various plants worldwide show that application of ADAM®/SIPLUG® valve diagnostics solution leads to increased plant safety and availability. With the innovative AVARIS technology an in-situ valve repair is possible. It has the unique ability to conduct several steps in-situ, to maintain the sealing seat of gate or check valves. By applying AVARIS, the valve is restored in its original state, the system remains unchanged. Thus, all original documents remain valid and applicable. In comparison to previous procedures like cutting valves out of the pipeline and repairing hard facings or damaged seal seats in a separate workshop or alternatively replacement by a new valve body the new AVARIS technology avoids costs, risk and effort. (author)

  4. Outcome of bioprosthetic valve replacement in dogs with tricuspid valve dysplasia.

    Science.gov (United States)

    Bristow, P; Sargent, J; Luis Fuentes, V; Brockman, D

    2017-04-01

    To describe the short-term and long-term outcome in dogs with tricuspid valve dysplasia undergoing tricuspid valve replacement under cardiopulmonary bypass. Data were collected from the hospital records of all dogs that had undergone tricuspid valve replacement under cardiopulmonary bypass between 2006 and 2012. Dogs were considered candidates for tricuspid valve replacement if they had severe tricuspid valve regurgitation associated with clinical signs of cardiac compromise. Nine dogs of six different breeds were presented. Median age was 13 months (range 7 to 61 months), median weight 26·5 kg (range 9·7 to 59 kg). Eight bovine pericardial valves and one porcine aortic valve were used. One non-fatal intraoperative complication occurred. Complications during hospitalisation occurred in six dogs, four of which were fatal. Of the five dogs discharged, one presented dead due to haemothorax after minor trauma seven days later. The four remaining dogs survived a median of 533 days; all of these dogs received a bovine pericardial valve. Based on our results, tricuspid valve replacement with bovine or porcine prosthetic valves is associated with a high incidence of complications. © 2017 British Small Animal Veterinary Association.

  5. Quadruple valve replacement with mechanical valves: an 11-year follow-up study.

    Science.gov (United States)

    Cao, Yukun; Gu, Chunhu; Sun, Guocheng; Yu, Shiqiang; Wang, Hongbing; Yi, Dinghua

    2012-06-01

    We performed the first quadruple valve replacement with mechanical valves, combined with the correction of complex congenital heart disease on November 17, 1999. We report here the 11-year follow-up study. A 47-year-old man with subacute rheumatic endocarditis, a ventricular septal defect, and an obstruction of the right ventricular outflow tract required replacement of the aortic, mitral, tricuspid, and pulmonary valves; repair of the ventricular septal defect; and relief of the obstruction of the right ventricular outflow tract. The surgery was done on November 17, 1999, after careful systemic preparation of the patient. Warfarin therapy with a target international normalized ratio (INR) range of 1.5 to 2.0 was used. Follow-up included monitoring the INR, recording the incidences of thromboembolic and bleeding events, electrocardiography, radiography, and echocardiography evaluations. The patient's INR was maintained between 1.5 and 2.0. All 4 mechanical prosthetic heart valves worked well. He is in generally good health without any thromboembolic or bleeding complications. Long-term management is challenging for patients who have experienced quadruple valve replacement with mechanical valves; however, promising results could mean that replacement of all 4 heart valves in 1 operation is feasible in patients with quadruple valve disease, and an INR of 1.5 to 2.0 could be appropriate for Chinese patients with undergoing valve replacement with mechanical valves.

  6. Use of a valve operation test and evaluation system to enhance valve reliability

    International Nuclear Information System (INIS)

    Lowry, D.A.

    1990-01-01

    Power plant owners have emphasized the need for assuring safe, reliable operation of valves. While most valves must simply open or close, the mechanisms involved can be quite complex. Motor operated valves (MOVs) must be properly adjusted to assure operability. Individual operator components determine the performance of the entire MOV. Failure in MOVs could cripple or shut down a unit. Thus, a complete valve program consisting of design reviews, operational testing, and preventive and predictive maintenance activities will enhance an owner's confidence level that his valves win operate as expected. Liberty's Valve Operation Test and Evaluation System (VOTES) accurately measures stein thrust without intruding on valve operation. Since mounting a strain gage to a valve stem is a desirable but impractical way of obtaining precise stem thrust, Liberty developed a method to obtain identical data by placing a strain gage sensor on the valve yoke. VOTES provides information which effectively eliminates costly, unscheduled downtime. This paper presents the results of infield VOTES testing. The system's proven ability to identify and characterize actuator and valve performance is demonstrated. Specific topics of discussion include the ability of VOTES to ease a utility's IE Bulletin 8543 concerns and conclusively diagnose MOV components. Data from static and differential pressure testing are presented. Technical, operational, and financial advantages resulting from VOTES technology are explored in detail

  7. Characterization of a bioprosthetic bicuspid venous valve hemodynamics: implications for mechanism of valve dynamics.

    Science.gov (United States)

    Tien, W-H; Chen, H Y; Berwick, Z C; Krieger, J; Chambers, S; Dabiri, D; Kassab, G S

    2014-10-01

    Chronic venous insufficiency (CVI) of the lower extremities is a common clinical problem. Although bioprosthetic valves have been proposed to treat severe reflux, clinical success has been limited due to thrombosis and neointima overgrowth of the leaflets that is, in part, related to the hemodynamics of the valve. A bioprosthetic valve that mimics native valve hemodynamics is essential. A computational model of the prosthetic valve based on realistic geometry and mechanical properties was developed to simulate the interaction of valve structure (fluid-structure interaction, FSI) with the surrounding flow. The simulation results were validated by experiments of a bioprosthetic bicuspid venous valve using particle image velocimetry (PIV) with high spatial and temporal resolution in a pulse duplicator (PD). Flow velocity fields surrounding the valve leaflets were calculated from PIV measurements and comparisons to the FSI simulation results were made. Both the spatial and temporal results of the simulations and experiments were in agreement. The FSI prediction of the transition point from equilibrium phase to valve-closing phase had a 7% delay compared to the PD measurements, while the PIV measurements matched the PD exactly. FSI predictions of reversed flow were within 10% compared to PD measurements. Stagnation or stasis regions were observed in both simulations and experiments. The pressure differential across the valve and associated forces on the leaflets from simulations showed the valve mechanism to be pressure driven. The flow velocity simulations were highly consistent with the experimental results. The FSI simulation and force analysis showed that the valve closure mechanism is pressure driven under the test conditions. FSI simulation and PIV measurements demonstrated that the flow behind the leaflet was mostly stagnant and a potential source for thrombosis. The validated FSI simulations should enable future valve design optimizations that are needed for

  8. Risk factors and prognosis of postpericardiotomy syndrome in patients undergoing valve surgery

    NARCIS (Netherlands)

    van Osch, Dirk; Dieleman, Jan M.|info:eu-repo/dai/nl/304817902; Bunge, Jeroen J.; van Dijk, Diederik|info:eu-repo/dai/nl/241616301; Doevendans, Pieter A.|info:eu-repo/dai/nl/164248366; Suyker, Willem J.|info:eu-repo/dai/nl/321847024; Nathoe, Hendrik M.|info:eu-repo/dai/nl/267961472; Roes, CB|info:eu-repo/dai/nl/115147020; Moons, KGM|info:eu-repo/dai/nl/152483519

    OBJECTIVE: The study aim was to investigate the long-term prognosis and risk factors of postpericardiotomy syndrome (PPS). METHODS: We performed a single-center cohort study in 822 patients undergoing nonemergent valve surgery. Risk factors of PPS were evaluated using multivariable logistic

  9. Risk factors and prognosis of postpericardiotomy syndrome in patients undergoing valve surgery

    NARCIS (Netherlands)

    Osch, D. van; Dieleman, J.M.; Bunge, J.J.; Dijk, D. van; Doevendans, P.A.; Suyker, W.J.; Nathoe, H.M.; Hofland, J.; et al.,

    2017-01-01

    OBJECTIVE: The study aim was to investigate the long-term prognosis and risk factors of postpericardiotomy syndrome (PPS). METHODS: We performed a single-center cohort study in 822 patients undergoing nonemergent valve surgery. Risk factors of PPS were evaluated using multivariable logistic

  10. Modeling and Investigation of Electromechanical Valve Train Actuator at simulated Pressure conditions

    DEFF Research Database (Denmark)

    Habib, Tufail

    2012-01-01

    investigation of Electro-mechanical actuator at simulated pressure conditions for a single cylinder engine. For this purpose, a scaled down actuator with reduced armature lift and high stiffness springs are being used. Experiments are conducted to measure valve release timings, transition times and contact...... velocities. Furthermore, discussion about the spring, magnetic, exhausts gas forces and their ability to actuate the system as desired....

  11. 49 CFR 192.193 - Valve installation in plastic pipe.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Valve installation in plastic pipe. 192.193... Components § 192.193 Valve installation in plastic pipe. Each valve installed in plastic pipe must be designed so as to protect the plastic material against excessive torsional or shearing loads when the valve...

  12. Balloon dilatation of isolated severe tricuspid valve stenosis

    Directory of Open Access Journals (Sweden)

    Rajeev Bhardwaj

    2015-12-01

    Full Text Available Tricuspid valve stenosis is mostly rheumatic in origin. It almost always occurs in association with mitral valve disease. There are only few case reports of isolated tricuspid valve stenosis. We report a case of isolated tricuspid valve stenosis, which was treated with balloon dilatation.

  13. Balloon dilatation of isolated severe tricuspid valve stenosis

    OpenAIRE

    Bhardwaj, Rajeev; Sharma, Rajesh

    2015-01-01

    Tricuspid valve stenosis is mostly rheumatic in origin. It almost always occurs in association with mitral valve disease. There are only few case reports of isolated tricuspid valve stenosis. We report a case of isolated tricuspid valve stenosis, which was treated with balloon dilatation.

  14. Tricuspid and Pulmonary Valve Involvement in Carcinoid Disease

    OpenAIRE

    Narine, Kishan Kumar; Dohmen, Pascal Maria; Daenen, Willem

    2000-01-01

    We report the case of a 62-year-old woman in whom carcinoid disease had been diagnosed 6 years earlier. She subsequently developed tricuspid and pulmonary valve disease. Both valves were incompetent and mildly stenotic. The tricuspid valve required surgery; the pulmonary valve was explored but not treated.

  15. Pericardial patch valve in the tricuspid position in an infant

    OpenAIRE

    Sreeram, N; Ben Mime, L; Bennink, G

    2011-01-01

    A 10-month-old infant with severe tricuspid valve disease due to staphylococcal bacterial endocarditis, underwent surgical replacement of the valve. The new valve was fashioned using an autologous pericardial patch. Over 3 years of follow-up, the new valve has functioned satisfactorily, with moderately elevated right atrial pressure.

  16. Magnon Valve Effect between Two Magnetic Insulators

    Science.gov (United States)

    Wu, H.; Huang, L.; Fang, C.; Yang, B. S.; Wan, C. H.; Yu, G. Q.; Feng, J. F.; Wei, H. X.; Han, X. F.

    2018-03-01

    The key physics of the spin valve involves spin-polarized conduction electrons propagating between two magnetic layers such that the device conductance is controlled by the relative magnetization orientation of two magnetic layers. Here, we report the effect of a magnon valve which is made of two ferromagnetic insulators (YIG) separated by a nonmagnetic spacer layer (Au). When a thermal gradient is applied perpendicular to the layers, the inverse spin Hall voltage output detected by a Pt bar placed on top of the magnon valve depends on the relative orientation of the magnetization of two YIG layers, indicating the magnon current induced by the spin Seebeck effect at one layer affects the magnon current in the other layer separated by Au. We interpret the magnon valve effect by the angular momentum conversion and propagation between magnons in two YIG layers and conduction electrons in the Au layer. The temperature dependence of the magnon valve ratio shows approximately a power law, supporting the above magnon-electron spin conversion mechanism. This work opens a new class of valve structures beyond the conventional spin valves.

  17. Hardfacing and packings for improved valve performance

    International Nuclear Information System (INIS)

    Aikin, J.A.; Patrick, J.N.F.; Inglis, I.

    2003-01-01

    The CANDU Owners Group (COG), Chemistry, Materials and Components (CMC) Program has supported an ongoing program on valve maintenance and performance for several years. An overview is presented of recent work on iron-based hardfacing, packing qualification, friction testing of polytetrafluoroethylene (PTFE) packings, and an investigation of re-torquing valve packing. Based on this program, two new valve-packing materials have been qualified for use in CANDU stations. By doing this, CANDU maintenance can avoid having only one packing qualified for station use, as well as assess the potential impact of the industry trend towards using lower gland loads. The results from corrosion tests by AECL and the coefficient of friction studies at Battelle' s tribology testing facilities on Delcrome 910, an iron-based hardfacing alloy, indicate it is an acceptable replacement for Stellite 6 under certain conditions. This information can be used to update in-line valve purchasing specifications. The renewed interest in friction characteristics, and environmental qualification (EQ) of packing containing PTFE has resulted in a new test program in these areas. The COG-funded valve programs have resulted in modifications to design specifications for nuclear station in-line valves and have led to better maintenance practices and valve reliability. In the end, this means lower costs and cheaper electricity. (author)

  18. Valve packing manual. A maintenance application guide

    International Nuclear Information System (INIS)

    Aikin, J.A.; McCutcheon, R.G.; Cumming, D.

    1997-01-01

    Since 1970, AECL Chalk River Mechanical Equipment Development (MED) branch has invested over 175 person years in testing related to improving valve packing performance. Successful developments, including, 'live-loading', reduced packing heights, and performance-based packing qualification testing have been implemented. Since 1986, MED and the Integrated Valve Actuator Program Task Force - Valve Packing Steering Committee (IVAP-VPSC) have been involved in the development of combination die-formed graphite packing for use in CANDU plants. Many reports, articles, and specifications have been issued. Due to the large amount of test data and reports, a more user-friendly document has been prepared for everyday use. The Valve Packing Manual is based on many years of MED research and testing, as well as operating experience from CANDU nuclear generating stations (NGS). Since 1986, packing research and testing has been funded by the CANDU Owners Group (COG), the Electric Power Research Institute (EPRI), and participating valve packing manufacturers. The Valve Packing Manual (VPM) provides topical summaries of all work related to valve packing done since 1985. It includes advances in configuration design, stem packing friction, materials specifications, and installation procedures. This paper provides an overview on the application of the VPM with a focus on qualification testing, packing configuration, and stem packing friction. (author)

  19. Motor operated valves problems tests and simulations

    International Nuclear Information System (INIS)

    Pinier, D.; Haas, J.L.

    1996-01-01

    An analysis of the two refusals of operation of the EAS recirculation shutoff valves enabled two distinct problems to be identified on the motorized valves: the calculation methods for the operating torques of valves in use in the power plants are not conservative enough, which results in the misadjustement of the torque limiters installed on their motorizations, the second problem concerns the pressure locking phenomenon: a number of valves may entrap a pressure exceeding the in-line pressure between the disks, which may cause a jamming of the valve. EDF has made the following approach to settle the first problem: determination of the friction coefficients and the efficiency of the valve and its actuator through general and specific tests and models, definition of a new calculation method. In order to solve the second problem, EDF has made the following operations: identification of the valves whose technology enables the pressure to be entrapped: the tests and numerical simulations carried out in the Research and Development Division confirm the possibility of a open-quotes boilerclose quotes effect: determination of the necessary modifications: development and testing of anti-boiler effect systems

  20. Environmental qualification testing of TFE valve components

    International Nuclear Information System (INIS)

    Eyvindson, A.; Krasinski, W.; McCutcheon, R.

    1997-01-01

    Valves containing tetrafluoroethylene (TFE) components are being used in many CANDU Nuclear Generating Stations. However, some concerns remain about the performance of TFE after exposure to high levels of radiation. Stations must therefore ensure that such valves perform reliably after being exposed to postulated accident radiation dose levels. The current Ontario Hydro Environmental Qualification [EQ] program specifies much higher postulated radiation exposure than the original design, to account for conditions following a LOCA. Initial assessments indicated that Teflon components would require replacement. Proof of acceptable performance can remove the need for large scale replacement, avoiding a significant cost penalty and preserving benefits due to the superior performance of TFE-based seals. A test program was undertaken at Chalk River Laboratories (CRL) to investigate the performance of three valves after irradiation to 10 Mrad. Such valves are currently used at the Bruce B Nuclear Generating Station. Each contains TFE packing rings; one also has TFE seats. Two of the valves are used in the ECIS recovery system, while the third is used for instrumentation loop isolation or as drain valves. All are exposed to little or no radiation during normal use. Based on the results of the tests, all the valves tested will still meet functional and performance requirements after the TFE components have been exposed to 10 Mrad of irradiation. (author)

  1. Flowfield Analysis of a Pneumatic Solenoid Valve

    Directory of Open Access Journals (Sweden)

    Sheam-Chyun Lin

    2018-07-01

    Full Text Available Pneumatic solenoid valve has been widely used in the vehicle control systems for meeting the rapid-reaction demand triggered by the dynamic conditions encountered during the driving course of vehicle. For ensuring the safety of human being, the reliable and effective solenoid valve is in great demand to shorten the reaction time and thus becomes the topic of this research. This numerical study chooses a commercial 3/2-way solenoid valve as the reference valve for analysing its performance. At first, CFD software Fluent is adopted to simulate the flow field associated with the valve configuration. Then, the comprehensive flow visualization is implemented to identify the locations of adverse flow patterns. Accordingly, it is found that a high-pressure region exists in the zone between the nozzle exit and the top of iron core. Thereafter, the nozzle diameter and the distance between nozzle and spool are identified as the important design parameters for improving the pressure response characteristics of valve. In conclusion, this work establishes a rigorous and systematic CFD scheme to evaluate the performance of pneumatic solenoid valve.

  2. Motor operated valves problems tests and simulations

    Energy Technology Data Exchange (ETDEWEB)

    Pinier, D.; Haas, J.L.

    1996-12-01

    An analysis of the two refusals of operation of the EAS recirculation shutoff valves enabled two distinct problems to be identified on the motorized valves: the calculation methods for the operating torques of valves in use in the power plants are not conservative enough, which results in the misadjustement of the torque limiters installed on their motorizations, the second problem concerns the pressure locking phenomenon: a number of valves may entrap a pressure exceeding the in-line pressure between the disks, which may cause a jamming of the valve. EDF has made the following approach to settle the first problem: determination of the friction coefficients and the efficiency of the valve and its actuator through general and specific tests and models, definition of a new calculation method. In order to solve the second problem, EDF has made the following operations: identification of the valves whose technology enables the pressure to be entrapped: the tests and numerical simulations carried out in the Research and Development Division confirm the possibility of a {open_quotes}boiler{close_quotes} effect: determination of the necessary modifications: development and testing of anti-boiler effect systems.

  3. Heart Valve Biomechanics and Underlying Mechanobiology

    Science.gov (United States)

    Ayoub, Salma; Ferrari, Giovanni; Gorman, Robert C.; Gorman, Joseph H.; Schoen, Frederick J.; Sacks, Michael S.

    2017-01-01

    Heart valves control unidirectional blood flow within the heart during the cardiac cycle. They have a remarkable ability to withstand the demanding mechanical environment of the heart, achieving lifetime durability by processes involving the ongoing remodeling of the extracellular matrix. The focus of this review is on heart valve functional physiology, with insights into the link between disease-induced alterations in valve geometry, tissue stress, and the subsequent cell mechanobiological responses and tissue remodeling. We begin with an overview of the fundamentals of heart valve physiology and the characteristics and functions of valve interstitial cells (VICs). We then provide an overview of current experimental and computational approaches that connect VIC mechanobiological response to organ- and tissue-level deformations and improve our understanding of the underlying functional physiology of heart valves. We conclude with a summary of future trends and offer an outlook for the future of heart valve mechanobiology, specifically, multiscale modeling approaches, and the potential directions and possible challenges of research development. PMID:27783858

  4. Magnetic resonance imaging of prosthetic heart valves.

    Science.gov (United States)

    Soulen, R L; Budinger, T F; Higgins, C B

    1985-03-01

    To evaluate the safety of magnetic resonance (MR) imaging of prosthetic heart valves, nine different synthetic and tissue valves were studied ex vivo. Deflection was measured in 0.35-tesla (T) and 1.5-T superconducting magnets and at the edge of the bore of a 2.35-T electromagnet in field gradients of 5, 1.1, and 6.3 mT/cm, respectively. No valve deflected in the 0.35-T magnet; six synthetic valves deflected 0.25 degrees-3 degrees in the 1.5-T magnet; all valves deflected 1 degree-27 degrees at the edge of the 2.35-T magnet. Each valve was then submerged in a vial of water and the temperature was measured immediately before and after each of two spin-echo imaging sequences in the two superconducting magnets. No significant temperature rise followed exposure in either magnet. Image distortion varied from negligible to severe in both imagers; magnitude of distortion paralleled magnitude of deflection. These data suggest that patients with present-day prosthetic heart valves can be safely imaged in present-day MR imagers and that prosthesis-induced artifacts will not interfere with interpretation in most instances.

  5. [Medicinal treatment of tricuspid valve regurgitation].

    Science.gov (United States)

    Lankeit, M; Keller, K; Tschöpe, C; Pieske, B

    2017-11-01

    The vast majority of tricuspid valve regurgitations are of low degree without prognostic relevance in healthy individuals; however, morbidity and mortality increase with the degree of regurgitation, which can be secondary to either primary (structural) or secondary (functional) alterations of the valve. Due to the frequent lack of symptoms, echocardiographic examinations should be annually performed in patients with higher degree (at least moderate) tricuspid valve regurgitation, in particular in the presence of risk factors. Individual therapeutic management strategies should consider the etiology of the tricuspid valve regurgitation, the degree of regurgitation, the valve pathology and the risk-to-benefit ratio of the envisaged therapeutic procedure. Medicinal treatment options for tricuspid valve regurgitation are limited and generalized recommendations cannot be provided due to the lack of conclusive clinical trials. Symptomatic therapeutic measures encompass especially (loop) diuretics for the reduction of preload and afterload of the right ventricle. Pharmaceutical reduction of the heart rate should be avoided in patients with right heart insufficiency. While symptomatic therapeutic measures are often associated with only moderate effects, the most effective therapy of tricuspid valve regurgitation consists in the treatment of underlying illnesses, in most cases pulmonary hypertension due to pulmonary arterial hypertension (PAH), left heart disease or acute pulmonary embolism. Based on a number of published clinical studies and licensing of new drugs, treatment options for patients with PAH and heart failure with reduced ejection fraction (HFrEF) have substantially improved during the past years allowing for a differentiated, individualized management.

  6. The Ross procedure offers excellent survival compared with mechanical aortic valve replacement in a real-world setting.

    Science.gov (United States)

    Andreas, Martin; Wiedemann, Dominik; Seebacher, Gernot; Rath, Claus; Aref, Tandis; Rosenhek, Raphael; Heinze, Georg; Eigenbauer, Ernst; Simon, Paul; Ruetzler, Kurt; Hiesmayr, Joerg-Michael; Moritz, Anton; Laufer, Guenther; Kocher, Alfred

    2014-09-01

    The ideal prosthesis for young patients requiring aortic valve replacement has not been defined to date. Although the Ross procedure provides excellent survival, its application is still limited. We compared the long-term survival after the Ross procedure with mechanical aortic valve replacement. All consecutive Ross procedures and mechanical aortic valve replacements performed between 1991 and 2008 at a single centre were analysed. Only adult patients between 18 and 50 years of age were included in the study. Survival and valve-related complications were evaluated. Furthermore, survival was compared with the age- and sex-matched Austrian population. A total of 159 Ross patients and 173 mechanical valve patients were included. The cumulative survival for the Ross procedure was significantly better, with survival rates of 96, 94 and 93% at 5, 10 and 15 years, respectively, in comparison to 90, 84 and 75% (P Ross group but was significantly reduced in the mechanical valve group. In a real-world setting, the Ross procedure is associated with a long-term survival benefit in young adults in comparison to mechanical aortic valve replacement. © The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  7. Bentall Procedure Using Cryopreserved Valved Aortic Homografts

    Science.gov (United States)

    Christenson, Jan T.; Sierra, Jorge; Trindade, Pedro T.; Didier, Dominique; Kalangos, Afksendiyos

    2004-01-01

    The Bentall procedure is the standard operation for patients who have lesions of the ascending aorta associated with aortic valve disease. In many cases, however, mechanical prosthetic conduits are not suitable. There are few reports in the English-language medical literature concerning the mid- to long-term outcome of Bentall operations with cryopreserved homografts. Therefore, we reviewed our experience with this procedure and valved homografts. From January 1997 through December 2002, 21 patients underwent a Bentall operation with cryopreserved homografts at our institution. There were 14 males and 7 females; the mean age was 36 ± 21 years (range, 15–74 years). Eleven patients had undergone previous aortic valve surgery. All patients had aortic dilatation or aneurysms involving the ascending aorta. Indications for surgery included aortic valve stenosis or insufficiency, and aortic valve endocarditis (native valve or prosthetic). One patient had Takayasu's arteritis and 3 had Marfan syndrome. There was 1 hospital death (due to sepsis), but no other major postoperative complications. The mean hospital stay was 14 ± 7 days. Follow-up echocardiographic and computed tomographic scans were performed yearly. The mean follow-up was 34 months (6–72 months). Follow-up imaging revealed no calcifications or degenerative processes related to the homograft. Four patients had minimal valve regurgitation. Two patients died during follow-up. The 3-year actuarial survival rate was 85.7%. Our data suggest that the Bentall procedure with a valved homograft conduit is a safe procedure with excellent mid- to long-term results, comparable to results reported with aortic valve replacement with a homograft. PMID:15745290

  8. Transcatheter Aortic Valve Replacement: A Review Article

    Directory of Open Access Journals (Sweden)

    Juan A Siordia

    2016-06-01

    Full Text Available Transcatheter aortic valve replacement (TAVR is a novel therapeutic intervention for the replacement of severely stenotic aortic valves in high-risk patients for standard surgical procedures. Since the initial PARTNER trial results, use of TAVR has been on the rise each year. New delivery methods and different valves have been developed and modified in order to promote the minimally invasive procedure and reduce common complications, such as stroke. This review article focuses on the current data on the indications, risks, benefits, and future directions of TAVR. Recently, TAVR has been considered as a standard-of-care procedure. While this technique is used frequently in high-risk surgical candidates, studies have been focusing on the application of this method for younger patients with lower surgical risk. Moreover, several studies have proposed promising results regarding the use of valve-in-valve technique or the procedure in which the valve is placed within a previously implemented bioprosthetic valve. However, ischemic strokes and paravalvular leak remain a matter of debate in these surgeries. New methods and devices have been developed to reduce the incidence of post-procedural stroke. While the third generation of TAVR valves (i.e., Edwards Sapien 3 and Medtronic Evolut R addresses the issue of paravalvular leak structurally, results on their efficacy in reducing the risk of paravalvular leak are yet to be obtained. Furthermore, TAVR enters the field of hybrid methods in the treatment of cardiac issues via both surgical and catheter-based approaches. Finally, while TAVR is primarily performed on cases with aortic stenosis, new valves and methods have been proposed regarding the application of this technique in aortic regurgitation, as well as other aortic pathologies. TAVR is a suitable therapeutic approach for the treatment of aortic stenosis in high-risk patients. Considering the promising results in the current patient population

  9. Percutaneous management of prosthetic valve thrombosis.

    Science.gov (United States)

    Hariram, Vuppaladadhiam

    2014-01-01

    Thrombosis of a prosthetic valve is a serious complication in patients with prosthetic heart valves. Thrombolysis is the initial choice of treatment. Patients who do not respond to thrombolysis are subjected to surgery which carries a high risk. We report a case series of 5 patients with prosthetic mitral valve thrombosis who did not respond to thrombolysis and were subjected to percutaneous manipulation of the prosthetic valves successfully and improved. Five patients who were diagnosed to have prosthetic mitral valve thrombosis and failed to respond to a minimum of 36 h of thrombolysis (persistent symptoms with increased gradients, abnormal findings on fluoroscopy),were subjected to percutaneous treatment after receiving proper consent. None of them had a visible thrombus on transthoracic echocardiogram. All patients underwent transseptal puncture following which a 6F JR4 guiding catheter was passed into the left atrium. The valve leaflets were repeatedly hit gently under fluoroscopic guidance till they regained their normal mobility. Mean age was 38.8 years. Average peak and mean gradients prior to the procedure were 38 and 25 and after the procedure were 12 and 6 mm of Hg respectively. All patients had successful recovery of valve motion on fluoroscopy with normalization of gradients and complete resolution of symptoms. None of the patients had any focal neurological deficits, embolic manifestations or bleeding complications. Percutaneous manipulation of prosthetic valves in selected patients with prosthetic valve thrombosis who do not respond to thrombolytic therapy is feasible and can be used as an alternative to surgery. Copyright © 2014 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

  10. Fault Study of Valve Based on Test Analysis and Comparison

    Science.gov (United States)

    Cheng, Li; Yang, Wukui; Liang, Tao; Xu, Yu; Chen, Chao

    2017-10-01

    The valve of a certain type of small engine often has the fault phenomenon of abnormal vibration noise and can’t close under the specified pressure, which may cause the engine automatic stop because of valve incomplete close leading to fuel leakage during test and startup on the bench. By test study compared to imported valve with the same use function and test condition valve, and put forward the thinking of improving valve structure, compared no-improved valve to improved valve by adopting Fluent field simulation software. As a result, improved valve can restore close pressure of valve, restrain abnormal vibration noise phenomenon, and effectively compensate compression value of spring because of steel ball contacting position downward with valve casing.

  11. Transcatheter Valve-in-Valve Implantation: Failing Tricuspid Bioprosthesis in a Patient with Ebstein’s Anomaly.

    Science.gov (United States)

    Villablanca, Pedro A; Shah, Aman M; Briceno, David F; Zaidi, Ali N; Chau, Mei; Garcia, Mario J; Slovut, David; Taub, Cynthia

    2017-01-01

    Transcatheter valve-in-valve (VIV) implantation has been recently proposed as an alternative to surgical reoperative aortic valve replacement in patients with a failing aortic bioprosthesis. Experience with transcatheter VIV implantation at other valve positions is very limited. Herein is reported the case of an 18-year-old man with Ebstein's anomaly and severe tricuspid valve (TV) regurgitation status after bioprosthetic valve replacement, who developed new dyspnea on exertion three years after the initial valve replacement. Transesophageal echocardiography showed a severely dilated right atrium and new TV stenosis with an immobile leaflet. The patient underwent successful VIV implantation of a 29-mm SAPIEN XT bioprosthetic valve, with resolution of symptoms and no residual TV regurgitation or stenosis at the two-year follow up. Video 1: Degenerative bioprosthetic tricuspid valve. TEE showing the degenerative bioprosthetic tricuspid valve, and color Doppler during systole showing severe tricuspid regurgitation. Video 2: Degenerative bioprosthetic tricuspid valve. Three-dimensional TEE showing stenosis with an immobile leaflet creating a coaptation defect, viewed from the right atrium. Video 3: Transcatheter VIV replacement with a 29-mm Edwards SAPIEN XT deployed within the tricuspid valve prosthesis. Final result after valve implantation, demonstrating a patent valve orifice, and appropriate apposition of transcatheter valve within a pre-existing surgical Carpentier-Edwards bioprosthetic valve, viewed from the right ventricle. Video 4: Transcatheter VIV replacement with a 29-mm Edwards SAPIEN XT deployed within the tricuspid valve prosthesis. Final result after valve implantation, demonstrating a patent valve orifice, and appropriate apposition of transcatheter valve within a pre-existing surgical Carpentier-Edwards bioprosthetic valve, viewed from the right atrium.

  12. Dynamic stability analysis of spring loaded safety valves elements for improved valve performance through assistance device

    International Nuclear Information System (INIS)

    Catalani, L.

    1984-08-01

    For a given valve design (internal profile and ring setting), the dynamic performance which depends strongly on the piping t/h response can be judged only in terms of a coupled problem between valve and piping hydraulic transient. To fulfill this aim an analytical model was developed (valve dynamic model coupled with an existing thermal-hydraulics code for the upstream piping) that provides the means to assess the influence of the main parameters on the valve stability: ring setting, upstream fluid conditions (vapour or liquid discharge), upstream piping length (between pressurizer and safety valves). At last, the performance of a spring loaded safety valve may be greatly improved by the introduction of a pneumatic or electromagnetic assistance device

  13. Percutaneous aortic valve implantation of the Medtronic CoreValve self-expanding valve prosthesis via left subclavian artery access: the first case report in Greece.

    Science.gov (United States)

    Karavolias, George K; Georgiadou, Panagiota; Houri, Mazen; Sbarouni, Eftihia; Thomopoulou, Sofia; Tsiapras, Dimitrios; Smirli, Anna; Balanika, Marina; Voudris, Vassilis

    2010-01-01

    This case report describes a percutaneous aortic valve implantation with the Medtronic CoreValve selfexpanding valve prosthesis in a patient with severe aortic stenosis. The approach was made via the left subclavian artery because of the lack of femoral vessel access. The patient was a 78-year-old female with breathlessness on minimal effort, a recent hospitalisation due to pulmonary oedema, and frequent episodes of pre-syncope; surgical valve replacement had been ruled out. The prosthetic valve was successfully implanted with mild paravalvular aortic regurgitation. At 30 days, the patient's clinical condition had significantly improved, with excellent functioning of the aortic valve prosthesis.

  14. 30 CFR 250.445 - What are the requirements for kelly valves, inside BOPs, and drill-string safety valves?

    Science.gov (United States)

    2010-07-01

    ..., inside BOPs, and drill-string safety valves? 250.445 Section 250.445 Mineral Resources MINERALS... are the requirements for kelly valves, inside BOPs, and drill-string safety valves? You must use or... install an inside BOP for each size connection in the drill string; (f) A drill-string safety valve in the...

  15. In vitro balloon dilatation of mitral valve stenosis: the importance of subvalvar involvement as a cause of mitral valve insufficiency

    NARCIS (Netherlands)

    Sadee, A. S.; Becker, A. E.

    1991-01-01

    To investigate the mechanism that increases the orifice area of the mitral valve during balloon dilatation 43 surgically excised intact rheumatic mitral valves were studied. The main pathological features were (a) fibrosis of mitral valve leaflets and commissures (10 valves); (b) fibrosis with

  16. PUMP ARRANGEMENT COMPRISING A SAFETY VALVE ARRANGEMENT

    OpenAIRE

    Richter, Martin; Wackerle, Martin

    2014-01-01

    A pump arrangement comprises a microfluidic pump (20) having a pump inlet (22) and a pump outlet (24), which is configured to pump a fluid from the pump inlet to the pump outlet, wherein the pump inlet (22) and an inlet (46) of the pump arrangement are fluidically connected. The pump arrangement further comprises a safety valve arrangement having first safety valve (40), the first safety valve (40) being arranged between the pump outlet (24) and an outlet (48) of the pump arrangement and comp...

  17. Engine Valve Actuation For Combustion Enhancement

    Science.gov (United States)

    Reitz, Rolf Deneys; Rutland, Christopher J.; Jhavar, Rahul

    2004-05-18

    A combustion chamber valve, such as an intake valve or an exhaust valve, is briefly opened during the compression and/or power strokes of a 4-stroke combustion cycle in an internal combustion engine (in particular, a diesel or CI engine). The brief opening may (1) enhance mixing withing the combustion chamber, allowing more complete oxidation of particulates to decrease engine emissions; and/or may (2) delay ignition until a more desirable time, potentially allowing a means of timing ignition in otherwise difficult-to-control conditions, e.g., in HCCI (Homogeneous Charge Compression Ignition) conditions.

  18. Function analysis of steam isolation valves

    International Nuclear Information System (INIS)

    Persson, R.; Kilpi, K.; Noro, H.; Siikonen, T.; Sjoeberg, A.; Wallen, G.; Aakesson, H.

    1981-01-01

    Function analysis of system-medium-operated steam isolation valves has been the objective of the Swedish-Finnish IVLS project, the results of which are presented in this report. Theoretical models were to be verified against available experimental data, to some extent from the HDR blowdown experiments, which are part of a German reactor safety program. Finnish hydraulic measurements on a valve model (scale 1:2.15) have been performed to give complementary data. The analysis work has covered the thermal-hydraulic behaviour of steam isolation valves as well as phenomena related to structural mechanics. Work performed under contract with the Swedish Nuclear Power Inspectorate. (Author)

  19. Function analysis of steam isolation valves

    International Nuclear Information System (INIS)

    Persson, R.; Sjoeberg, A.; Aakesson, H.; Kilpi, K.; Noro, H.; Siikonen, T.; Wallen, G.

    1981-01-01

    Function analysis of system-medium-operated steam isolation valves has been the objective of the Swedish-Finnish IVLS project, the results of which are presented in this report. Theoretical models were to be verified against available experimental data, to some extent from the HDR blowdown experiments, which are part of a German reactor safety program. Finnish hydraulic measurements on a valve model (scale 1:2.15) have been performed to give complementary data. The analysis work has covered the thermal-hydraulic behaviour of steam isolation valves as well as phenomena related to structural mechanics. (Auth.)

  20. BAKABLE ULTRA-HIGH VACUUM VALVE

    Science.gov (United States)

    Mark, J.T.; Gantz, I.H.

    1962-07-10

    S>This patent relates to a valve useful in applications involving successively closing and opening a communication between a chamber evacuated to an ultra-high vacuum condition of the order of 10/sup -10/ millimeters of mercury and another chamber or the ambient. The valve is capable of withstanding extended baking at 450 deg C and repeated opening and closing without repiacement of the valve seat (approximately 200 cycle limit). The seal is formed by mutual interdiffusion weld, coerced by a pneumatic actuator. (AEC)

  1. Porcine Tricuspid Valve Anatomy and Human Compatibility

    DEFF Research Database (Denmark)

    Waziri, Farhad; Lyager Nielsen, Sten; Hasenkam, J. Michael

    2016-01-01

    before clinical use. The study aim was to evaluate and compare the tricuspid valve anatomy of porcine and human hearts. METHODS: The anatomy of the tricuspid valve and the surrounding structures that affect the valve during a cardiac cycle were examined in detail in 100 fresh and 19 formalin...... varied greatly (range: 5.2-40.3 mm) and was significantly different in pigs and in humans (12.2 ± 3.2 mm versus 19.2 mm; p animal studies, despite various anatomic differences being noted between porcine...

  2. The echocardiography of replacement heart valves

    Directory of Open Access Journals (Sweden)

    John B Chambers

    2016-10-01

    Full Text Available This is a practical description of how replacement valves are assessed using echocardiography. Normal transthoracic appearances including normal variants are described. The problem of differentiating normal function, patient–prosthesis mismatch and pathological obstruction in aortic replacement valves with high gradients is discussed. Obstruction and abnormal regurgitation is described for valves in the aortic, mitral and right-sided positions and when to use echocardiography in suspected infective endocarditis. The roles of transoesophageal and stress echocardiography are described and finally when other imaging techniques may be useful.

  3. The echocardiography of replacement heart valves.

    Science.gov (United States)

    Chambers, John B

    2016-09-01

    This is a practical description of how replacement valves are assessed using echocardiography. Normal transthoracic appearances including normal variants are described. The problem of differentiating normal function, patient-prosthesis mismatch and pathological obstruction in aortic replacement valves with high gradients is discussed. Obstruction and abnormal regurgitation is described for valves in the aortic, mitral and right-sided positions and when to use echocardiography in suspected infective endocarditis. The roles of transoesophageal and stress echocardiography are described and finally when other imaging techniques may be useful. © 2016 The authors.

  4. DISCHARGE VALVE FOR GRANULAR MATERIAL

    Science.gov (United States)

    Stoughton, L.D.; Robinson, S.T.

    1962-05-15

    A gravity-red dispenser or valve is designed for discharging the fueled spherical elements used in a pebble bed reactor. The dispenser consists of an axially movable tube terminating under a hood having side walls with openings. When the tube is moved so that its top edge is above the tops of the side openings the elements will not flow. As the tube is moved downwardly, the elements flow into the hood through the side openings and over the top edge into the tube at an increasing rate as the tube is lowered further. The tube is spaced at all times from the hood and side walls a distance greater than the diameter of the largest element to prevent damaging of the elements when the dispenser is closed to flow. (AEC)

  5. Film edge nonlocal spin valves.

    Science.gov (United States)

    McCallum, Andrew T; Johnson, Mark

    2009-06-01

    Spintronics is a new paradigm for integrated digital electronics. Recently established as a niche for nonvolatile magnetic random access memory (MRAM), it offers new functionality while demonstrating low-power and high-speed performance. However, to reach high density spintronic technology must make a transition to the nanometer scale. Prototype devices are presently made using a planar geometry and have an area determined by the lithographic feature size, currently about 100 nm. Here we present a new nonplanar geometry in which one lateral dimension is given by a film thickness, on the order of 10 nm. With this new approach, cell sizes can shrink by an order of magnitude. The geometry is demonstrated with a nonlocal spin valve, where we study devices with an injector/detector separation much less than the spin diffusion length.

  6. Rotary Valve FY 2016 Highlights

    Energy Technology Data Exchange (ETDEWEB)

    Fitsos, P. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2016-12-07

    The fiscal year started with the Rotary Valve (RV) being reassembled after having crashed in June of 2015. The crash occurred when the RV inner surface contacted the housing. The cause of the crash was never confirmed. No particles were found in the 2.5 thousandths of an inch gap and the filters the helium gas passed through were all clean. There were marks on the bearings that looked like electrostatic discharge as shown below in Figure 1. These marks hadn’t been seen before and there were similar discharge marks on some of the ball bearings. Examples of this were found in a literature search of bearing failures. This leads to a possible cause due to this arcing affecting the rotational accuracy of the bearings driving the RV into the housing.

  7. Design of Industrial Electro-Hydraulic Valves, New Approach

    OpenAIRE

    Dr. Ibrahem Farhan Salman Alrefo

    2016-01-01

    A fully flexible valve actuation systems are being under consideration as an enabling technology for advanced internal combustion engine concepts. Electro-hydraulic valve actuator systems are being considered as a dominating variable valve technology. Compared to the servo control system, the system using a proportional valve has the advantages of low price, high anti-pollution ability and high reliability. Unlike existing electromechanical or servo actuated electro-hydraulic valve actuation ...

  8. Osteoprotegerin inhibits aortic valve calcification and preserves valve function in hypercholesterolemic mice.

    Directory of Open Access Journals (Sweden)

    Robert M Weiss

    Full Text Available There are no rigorously confirmed effective medical therapies for calcific aortic stenosis. Hypercholesterolemic Ldlr (-/- Apob (100/100 mice develop calcific aortic stenosis and valvular cardiomyopathy in old age. Osteoprotegerin (OPG modulates calcification in bone and blood vessels, but its effect on valve calcification and valve function is not known.To determine the impact of pharmacologic treatment with OPG upon aortic valve calcification and valve function in aortic stenosis-prone hypercholesterolemic Ldlr (-/- Apob (100/100 mice.Young Ldlr (-/- Apob (100/100 mice (age 2 months were fed a Western diet and received exogenous OPG or vehicle (N = 12 each 3 times per week, until age 8 months. After echocardiographic evaluation of valve function, the aortic valve was evaluated histologically. Older Ldlr (-/- Apob (100/100 mice were fed a Western diet beginning at age 2 months. OPG or vehicle (N = 12 each was administered from 6 to 12 months of age, followed by echocardiographic evaluation of valve function, followed by histologic evaluation.In Young Ldlr (-/- Apob (100/100 mice, OPG significantly attenuated osteogenic transformation in the aortic valve, but did not affect lipid accumulation. In Older Ldlr (-/- Apob (100/100 mice, OPG attenuated accumulation of the osteoblast-specific matrix protein osteocalcin by ∼80%, and attenuated aortic valve calcification by ∼ 70%. OPG also attenuated impairment of aortic valve function.OPG attenuates pro-calcific processes in the aortic valve, and protects against impairment of aortic valve function in hypercholesterolemic aortic stenosis-prone Ldlr (-/- Apob (100/100 mice.

  9. Transcatheter Tricuspid Valve-in-Valve Implantation for the Treatment of Dysfunctional Surgical Bioprosthetic Valves: An International, Multicenter Registry Study.

    Science.gov (United States)

    McElhinney, Doff B; Cabalka, Allison K; Aboulhosn, Jamil A; Eicken, Andreas; Boudjemline, Younes; Schubert, Stephan; Himbert, Dominique; Asnes, Jeremy D; Salizzoni, Stefano; Bocks, Martin L; Cheatham, John P; Momenah, Tarek S; Kim, Dennis W; Schranz, Dietmar; Meadows, Jeffery; Thomson, John D R; Goldstein, Bryan H; Crittendon, Ivory; Fagan, Thomas E; Webb, John G; Horlick, Eric; Delaney, Jeffrey W; Jones, Thomas K; Shahanavaz, Shabana; Moretti, Carolina; Hainstock, Michael R; Kenny, Damien P; Berger, Felix; Rihal, Charanjit S; Dvir, Danny

    2016-04-19

    Off-label use of transcatheter aortic and pulmonary valve prostheses for tricuspid valve-in-valve implantation (TVIV) within dysfunctional surgical tricuspid valve (TV) bioprostheses has been described in small reports. An international, multicenter registry was developed to collect data on TVIV cases. Patient-related factors, procedural details and outcomes, and follow-up data were analyzed. Valve-in-ring or heterotopic TV implantation procedures were not included. Data were collected on 156 patients with bioprosthetic TV dysfunction who underwent catheterization with planned TVIV. The median age was 40 years, and 71% of patients were in New York Heart Association class III or IV. Among 152 patients in whom TVIV was attempted with a Melody (n=94) or Sapien (n=58) valve, implantation was successful in 150, with few serious complications. After TVIV, both the TV inflow gradient and tricuspid regurgitation grade improved significantly. During follow-up (median, 13.3 months), 22 patients died, 5 within 30 days; all 22 patients were in New York Heart Association class III or IV, and 9 were hospitalized before TVIV. There were 10 TV reinterventions, and 3 other patients had significant recurrent TV dysfunction. At follow-up, 77% of patients were in New York Heart Association class I or II (Pvalve size or TVIV valve type. TVIV with commercially available transcatheter prostheses is technically and clinically successful in patients of various ages across a wide range of valve size. Although preimplantation clinical status was associated with outcome, many patients in New York Heart Association class III or IV at baseline improved. TVIV should be considered a viable option for treatment of failing TV bioprostheses. © 2016 American Heart Association, Inc.

  10. Dynamic Three-Dimensional Geometry of the Aortic Valve Apparatus-A Feasibility Study.

    Science.gov (United States)

    Khamooshian, Arash; Amador, Yannis; Hai, Ting; Jeganathan, Jelliffe; Saraf, Maria; Mahmood, Eitezaz; Matyal, Robina; Khabbaz, Kamal R; Mariani, Massimo; Mahmood, Feroze

    2017-08-01

    To provide (1) an overview of the aortic valve (AV) apparatus anatomy and nomenclature, and (2) data regarding the normal AV apparatus geometry and dynamism during the cardiac cycle obtained from three-dimensional transesophageal echocardiography (3D TEE). Retrospective feasibility study. A single-center university teaching hospital. The study was performed on data of 10 patients with a nonregurgitant, nonstenotic aortic valve undergoing cardiac surgery. Intraoperative 3D TEE was performed on all the participants using the Siemens ACUSON SC2000 ultrasound system and Z6Ms transducer (Siemens Medical Systems, Mountainview, CA). Dynamic offline analyses were performed with Siemens eSie valve analytical software in a semiautomated fashion. Forty-five parameters were exported of which 13 were selected and analyzed. The cardiac cycle was divided into 4 quartiles to account for frame-rate variations. The annulus, sinus of Valsalva (SoV) and sinotubular junction (STJ) areas, diameter, perimeter and height, aortic leaflet height, leaflet coaptation height, and aortic valve-mitral valve angle changed significantly during the cardiac cycle (p < 0.001). STJ expanded more than both the annulus and the SoV (p < 0.001). The maximum aortic valve leaflet height change was greater in the left and right versus noncoronary leaflet (p < 0.001). The semiautomated AV apparatus dynamic assessment using eSie valve software is a clinically feasible technique and can be performed readily in the operating room. It has the potential to significantly impact intraoperative decision-making in cases suitable for AV repair. The AV apparatus is a dynamic structure and demonstrates significant changes during the cardiac cycle. Copyright © 2017. Published by Elsevier Inc.

  11. Infective endocarditis involving an apparently structurally normal valve: new epidemiological trend?

    Science.gov (United States)

    Song, Jae-Kwan

    2015-07-01

    Infective endocarditis (IE) has been increasingly diagnosed in patients without previously detected predisposing heart disease, but its clinical features have yet to be fully determined. A recent single-center study including echocardiographic images and surgical findings investigated the incidence of undiagnosed, clinically silent valvular or congenital heart diseases and healthcare-associated infective endocarditis (HAIE). The study confirmed that a large proportion of patients with IE have no previous history of heart disease. Analysis of underlying disease in these patients showed that undetected mitral valve prolapse was the most common disease, followed by an apparently structurally normal valve. The patients who developed IE of apparently structurally normal valves had different clinical characteristics and worse outcomes. IE involving a structurally normal valve was associated with both nosocomial and non-nosocomial HAIE, whereas community-acquired IE was more frequent than HAIE. The pathophysiologic mechanism involving the development of non-HAIE or community-acquired IE due to predominantly staphylococcal infection in an apparently structurally normal valve is not yet clearly understood. Structurally normal valves are not necessarily free of regurgitation or abnormal turbulence and, given the dynamic nature and fluctuating hemodynamic effects of conditions such as poorly controlled hypertension, end-stage renal disease, and sleep apnea, further investigation is necessary to evaluate the potential role of these diseases in the development of IE. An apparently normal-looking valve is associated with IE development in patients without previously recognized predisposing heart disease, warranting repartition of at-risk groups to achieve better clinical outcomes.

  12. Use of human umbilical cord blood-derived progenitor cells for tissue-engineered heart valves.

    Science.gov (United States)

    Sodian, Ralf; Schaefermeier, Philipp; Abegg-Zips, Sybille; Kuebler, Wolfgang M; Shakibaei, Mehdi; Daebritz, Sabine; Ziegelmueller, Johannes; Schmitz, Christoph; Reichart, Bruno

    2010-03-01

    Tissue engineering of autologous heart valves with the potential to grow and to remodel represents a promising concept. Here we describe the use of cryopreserved umbilical cord blood-derived CD133(+) cells as a single cell source for the tissue engineering of heart valves. After expansion and differentiation of CD133(+) cells, phenotypes were analyzed by immunohistochemistry and cryopreserved. Heart valve scaffolds fabricated from a biodegradable polymer (n = 8) were seeded with blood-derived myofibroblasts and subsequently coated with blood-derived endothelial cells. Afterward, the heart valve constructs were grown in a pulse duplicator system. Analysis of all heart valves, including histology, immunohistochemistry, electron microscopy, fluorescence imaging, and biochemical and biomechanical examination, was performed. The tissue-engineered heart valves showed endothelialized layered tissue formation including connective tissue between the inside and the outside of the scaffold. The notion of an intact endothelial phenotype was substantiated by fluorescence imaging studies of cellular nitric oxide production and Ca(2+) signaling. Electron microscopy showed that the cells had grown into the pores and formed a confluent tissue layer. Biochemical examination showed extracellular matrix formation (77% +/- 9% collagen of human pulmonary leaflet tissue [HPLT], 85% +/- 61% glycosaminoglycans of HPLT and 67% +/- 17% elastin of HPLT). Importantly, this study demonstrates in vitro generation of viable human heart valves based on CD133(+) cells derived from umbilical cord blood. These findings constitute a significant step forward in the development of new clinical strategies for the treatment of congenital defects. 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  13. Valve selection handbook engineering fundamentals for selecting the right valve design for every industrial flow application

    CERN Document Server

    Smith, Peter

    2004-01-01

    Valves are the components in a fluid flow or pressure system that regulate either the flow or the pressure of the fluid. They are used extensively in the process industries, especially petrochemical. Though there are only four basic types of valves, there is an enormous number of different kinds of valves within each category, each one used for a specific purpose. No other book on the market analyzes the use, construction, and selection of valves in such a comprehensive manner.-Covers new environmentally-conscious equipment and practices, the most important hot-button issue in the p

  14. Analysis of aortic root surgery with composite mechanical aortic valve conduit and valve-sparing reconstruction.

    Science.gov (United States)

    Dias, Ricardo Ribeiro; Mejia, Omar Asdrubal Vilca; Fiorelli, Alfredo Inácio; Pomerantzeff, Pablo Maria Alberto; Dias, Altamiro Ribeiro; Mady, Charles; Stolf, Noedir Antonio Groppo

    2010-01-01

    Comparative analysis of early and late results of aortic root reconstruction with aortic valve sparing operations and the composite mechanical valve conduit replacement. From November 2002 to September 2009, 164 consecutive patients with mean age 54 ± 15 years, 115 male, underwent the aortic root reconstruction (125 mechanical valve conduit replacements and 39 valve sparing operations). Sixteen percent of patients had Marfan syndrome and 4.3% had bicuspid aortic valve. One hundred and forty-four patients (88%) were followed for a mean period of 41.1 ± 20.8 months. The hospital mortality was 4.9%, 5.6% in operations with valved conduits and 2.6% in the valve sparing procedures (P valve sparing operations, respectively (95% CI = 70% - 95%, P = 0.001), (95% CI = 82% - 95% P = 0.03) and (95% CI = 81% - 95%, P = 0.03). Multivariate analysis showed that creatinine greater than 1.4 mg/dl, Cabrol operation and renal dialysis were predictors of mortality, respectively, with occurrence chance of 6 (95% CI = 1.8 - 19.5, P = 0.003), 12 (95% CI = 3 - 49.7, P = 0.0004) and 16 (95% CI = 3.6 - 71.3, P = 0.0002). The aortic root reconstruction has a low early and late mortality, high survival free of complications and low need for reoperation. During the late follow-up, valve sparing aortic root reconstructions presented fewer incidences of bleeding, thromboembolic events and endocarditis.

  15. Percutaneous Treatment of the Tricuspid Valve Disease: New Hope for the "Forgotten" Valve.

    Science.gov (United States)

    Campelo-Parada, Francisco; Lairez, Olivier; Carrié, Didier

    2017-10-01

    Tricuspid valve disease is a frequent condition but is currently undertreated. A limited number of patients undergo an isolated surgical tricuspid repair, and this intervention is associated with poor outcomes, especially in patients with previous cardiac surgery. Most patients are only medically treated, despite the impact of severe tricuspid regurgitation on functional status and long-term survival. Transcatheter therapies represent a promising alternative for patients with severe tricuspid regurgitation and high surgical risk. In the last few years, several percutaneous alternatives have been developed for the treatment of functional tricuspid regurgitation. Imaging techniques play an indispensable role in patient selection, procedural guidance and follow-up. The current available transcatheter options for native tricuspid valve disease can be divided into 3 main groups: heterotopic caval valve implantation, annuloplasty devices, and coaptation devices. In patients with previous tricuspid valve surgery, transcatheter valve-in-valve and valve-in-ring procedures have been reported. This review provides a detailed analysis of the novel transcatheter alternatives for the treatment of tricuspid valve disease that have already been successfully implanted in humans, as well as the most important aspects of tricuspid valve anatomy and imaging assessment. Copyright © 2017 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

  16. Recellularization of decellularized heart valves: Progress toward the tissue-engineered heart valve.

    Science.gov (United States)

    VeDepo, Mitchell C; Detamore, Michael S; Hopkins, Richard A; Converse, Gabriel L

    2017-01-01

    The tissue-engineered heart valve portends a new era in the field of valve replacement. Decellularized heart valves are of great interest as a scaffold for the tissue-engineered heart valve due to their naturally bioactive composition, clinical relevance as a stand-alone implant, and partial recellularization in vivo. However, a significant challenge remains in realizing the tissue-engineered heart valve: assuring consistent recellularization of the entire valve leaflets by phenotypically appropriate cells. Many creative strategies have pursued complete biological valve recellularization; however, identifying the optimal recellularization method, including in situ or in vitro recellularization and chemical and/or mechanical conditioning, has proven difficult. Furthermore, while many studies have focused on individual parameters for increasing valve interstitial recellularization, a general understanding of the interacting dynamics is likely necessary to achieve success. Therefore, the purpose of this review is to explore and compare the various processing strategies used for the decellularization and subsequent recellularization of tissue-engineered heart valves.

  17. Cellular Mechanisms of Aortic Valve Calcification.

    Science.gov (United States)

    Zhiduleva, E V; Irtyuga, O B; Shishkova, A A; Ignat'eva, E V; Kostina, A S; Levchuk, K A; Golovkin, A S; Rylov, A Yu; Kostareva, A A; Moiseeva, O M; Malashicheva, A B; Gordeev, M L

    2018-01-01

    Comparative in vitro study examined the osteogenic potential of interstitial cells of aortic valve obtained from the patients with aortic stenosis and from control recipients of orthotopic heart transplantation with intact aortic valve. The osteogenic inductors augmented mineralization of aortic valve interstitial cells (AVIC) in patients with aortic stenosis in comparison with the control level. Native AVIC culture of aortic stenosis patients demonstrated overexpression of osteopontin gene (OPN) and underexpression of osteoprotegerin gene (OPG) in comparison with control levels. In both groups, AVIC differentiation was associated with overexpression of RUNX2 and SPRY1 genes. In AVIC of aortic stenosis patients, expression of BMP2 gene was significantly greater than the control level. The study revealed an enhanced sensitivity of AVIC to osteogenic inductors in aortic stenosis patients, which indicates probable implication of OPN, OPG, and BMP2 genes in pathogenesis of aortic valve calcification.

  18. Transcatheter Replacement of Failed Bioprosthetic Valves

    DEFF Research Database (Denmark)

    Simonato, Matheus; Webb, John; Kornowski, Ran

    2016-01-01

    postprocedural gradients (mean >= 20 mm Hg). Optimal implantation depths were defined by receiver operating characteristic curve. A total of 292 consecutive patients (age, 78.9 +/- 8.7 years; 60.3% male; 157 CoreValve Evolut and 135 Sapien XT) were evaluated. High implantation was associated with significantly...... lower rates of elevated gradients in comparison with low implantation (CoreValve Evolut, 15% versus 34.2%; P=0.03 and Sapien XT, 18.5% versus 43.5%; P=0.03, respectively). Optimal implantation depths were defined: CoreValve Evolut, 0 to 5 mm; Sapien XT, 0 to 2 mm (0-10% frame height); sensitivities, 91...... valves. These clinical evaluations support specific implantation targets to optimize hemodynamics after ViV....

  19. Low-Mass VOST Valve Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Two low-mass, linear throttling, high-efficiency, leak-proof cryogenic valves of diameters 1/2" and 4" will be built and tested. Based upon cryogenically-proven...

  20. Automatic electromagnetic valve for previous vacuum

    International Nuclear Information System (INIS)

    Granados, C. E.; Martin, F.

    1959-01-01

    A valve which permits the maintenance of an installation vacuum when electric current fails is described. It also lets the air in the previous vacuum bomb to prevent the oil ascending in the vacuum tubes. (Author)

  1. Basis of valve operator selection for SMART

    International Nuclear Information System (INIS)

    Kang, H. S.; Lee, D. J.; See, J. K.; Park, C. K.; Choi, B. S.

    2000-05-01

    SMART, an integral reactor with enhanced safety and operability, is under development for use of the nuclear energy. The valve operator of SMART system were selected through the data survey and technical review of potential valve fabrication vendors, and it will provide the establishment and optimization of the basic system design of SMART. In order to establish and optimize the basic system design of SMART, the basis of selection for the valve operator type were provided based on the basic design requirements. The basis of valve operator selection for SMART will be used as a basic technical data for the SMART basic and detail design and a fundamental material for the new reactor development in the future

  2. Low-Mass VOST Valve, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — A cylindrical, low-mass, high-efficiency, leak-proof cryogenic valve will be designed using composites and exotic metals. Based upon cryogenically-proven Venturi...

  3. Successful Thrombolysis of Aortic Prosthetic Valve Thrombosis ...

    African Journals Online (AJOL)

    Arun Kumar Agnihotri

    threatening. Standard surgical treatment using cardiopulmonary bypass carries high maternal and fetal complications. Here we report a case of an antenatal female in first trimester with aortic prosthetic valve thrombosis (PVT), who was successfully ...

  4. Low-Mass VOST Valve, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — Two low-mass, linear throttling, high-efficiency, leak-proof cryogenic valves of diameters 1/2" and 4" will be built and tested. Based upon cryogenically-proven...

  5. Computed Tomography of Prosthetic Heart Valves

    NARCIS (Netherlands)

    Habets, J.

    2012-01-01

    Prosthetic heart valve (PHV) dysfunction is an infrequent but potentially life-threatening disease with a heterogeneous clinical presentation. Patients with PHV dysfunction clinically can present with symptoms of congestive heart failure (dyspnea, fatigue, edema), fever, angina pectoris, dizziness

  6. Modeling study of the ABS relay valve

    Science.gov (United States)

    Lei, Ming; Lin, Min; Guo, Bin; Luo, Zai; Xu, Weidong

    2011-05-01

    The ABS (anti-lock braking system) relay valve is the key component of anti-lock braking system in most commercial vehicles such as trucks, tractor-trailers, etc. In this paper, structure of ABS relay valve and its work theory were analyzed. Then a mathematical model of ABS relay valve, which was investigated by dividing into electronic part, magnetic part, pneumatic part and mechanical part, was set up. The displacement of spools and the response of pressure increasing, holding, releasing of ABS relay valve were simulated and analyzed under conditions of control pressure 500 KPa, braking pressure 600 KPa, atmospheric pressure 100 KPa and air temperature 310 K. Thisarticle provides reliable theory for improving the performance and efficiency of anti-lock braking system of vehicles.

  7. Glovebox pressure relief and check valve

    International Nuclear Information System (INIS)

    Blaedel, K.L.

    1986-01-01

    This device is a combined pressure relief valve and check valve providing overpressure protection and preventing back flow into an inert atmosphere enclosure. The pressure relief is embodied by a submerged vent line in a mercury reservior, the releif pressure being a function of the submerged depth. The pressure relief can be vented into an exhaust system and the relieving pressure is only slightly influenced by the varying pressure in the exhaust system. The check valve is embodied by a ball which floats on the mercury column and contacts a seat whenever vacuum exists within the glovebox enclosure. Alternatively, the check valve is embodied by a vertical column of mercury, the maximum back pressure being a function of the height of the column of mercury

  8. Glovebox pressure relief and check valve

    Energy Technology Data Exchange (ETDEWEB)

    Blaedel, K.L.

    1986-03-17

    This device is a combined pressure relief valve and check valve providing overpressure protection and preventing back flow into an inert atmosphere enclosure. The pressure relief is embodied by a submerged vent line in a mercury reservior, the releif pressure being a function of the submerged depth. The pressure relief can be vented into an exhaust system and the relieving pressure is only slightly influenced by the varying pressure in the exhaust system. The check valve is embodied by a ball which floats on the mercury column and contacts a seat whenever vacuum exists within the glovebox enclosure. Alternatively, the check valve is embodied by a vertical column of mercury, the maximum back pressure being a function of the height of the column of mercury.

  9. VOST Flow-Control Valve Project

    Data.gov (United States)

    National Aeronautics and Space Administration — A cryogenic flow-control valve based on Venturi-Offset Technology (VOST) will be designed and modeled. VOST provides precise linear flow control within a...

  10. Basis of valve operator selection for SMART

    Energy Technology Data Exchange (ETDEWEB)

    Kang, H. S.; Lee, D. J.; See, J. K.; Park, C. K.; Choi, B. S

    2000-05-01

    SMART, an integral reactor with enhanced safety and operability, is under development for use of the nuclear energy. The valve operator of SMART system were selected through the data survey and technical review of potential valve fabrication vendors, and it will provide the establishment and optimization of the basic system design of SMART. In order to establish and optimize the basic system design of SMART, the basis of selection for the valve operator type were provided based on the basic design requirements. The basis of valve operator selection for SMART will be used as a basic technical data for the SMART basic and detail design and a fundamental material for the new reactor development in the future.

  11. Computations Of Flows In Flapper Valves

    Science.gov (United States)

    Kandula, Mastanaiah; Pearce, Dan

    1993-01-01

    Three reports describe computational studies of flows of liquid oxygen and liquid hydrogen in flapper valves located at quick-disconnect interface between main propellant feedlines of Space Shuttle orbiter and Space Shuttle external tank.

  12. Percutaneous Valvuloplasty for Bioprosthetic Tricuspid Valve Stenosis.

    Science.gov (United States)

    Rana, Gaurav; Malhotra, Rohit; Sharma, Anjali; Kakouros, Nikolaos

    2017-02-01

    Percutaneous transcatheter tricuspid balloon valvuloplasty (PTTBV) is an accepted treatment option for symptomatic severe native tricuspid valve stenosis, although surgical tricuspid valve replacement remains the treatment of choice. There have been few reports of successful PTTBV for bioprosthetic tricuspid valve stenosis. We present case reports of 3 patients from our hospital experience. Two of the 3 cases were successful, with lasting clinical improvement, whereas the 3rd patient failed to show a reduction in valve gradient. We describe the standard technique used for PTTBV. We present results from a literature review that identified 16 previously reported cases of PTTBV for bioprosthetic severe tricuspid stenosis, with overall favorable results. We conclude that PTTBV should perhaps be considered for a select patient population in which symptomatic improvement and hemodynamic stability are desired immediately, and particularly for patients who are inoperable or at high surgical risk.

  13. Imaging techniques in transcatheter aortic valve replacement

    Directory of Open Access Journals (Sweden)

    Quaife RA

    2013-11-01

    Full Text Available Robert A Quaife, Jennifer Dorosz, John C Messenger, Ernesto E Salcedo Division of Cardiology, University of Colorado, Aurora, CO, USA Abstract: Calcific aortic stenosis is now understood as a complex valvular degenerative process sharing many risk factors with atherosclerosis. Once patients develop symptomatic calcific aortic stenosis, the only effective treatment is aortic valve replacement. In the past decade, transcatheter aortic valve replacement (TAVR has been developed as an alternative to surgery to treat severe calcific aortic stenosis. Cardiac imaging plays a pivotal role in the contemporary management of patients with calcific aortic stenosis, and particularly in patients being considered for TAVR, who demand detailed imaging of the aortic valve apparatus. In this review, we highlight the role of cardiac imaging for patient selection, procedural guidance, and evaluation of results of TAVR. Keywords: aortic stenosis, cardiovascular imaging, transcutaneous aortic valve replacement

  14. VOST Flow-Control Valve, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — Two cryogenic flow-control valves of diameters 1/2" and 2" will be built and tested. Based on cryogenically-proven Venturi Off-Set Technology (VOST) they have no...

  15. Valve-sparing aortic root replacement†.

    Science.gov (United States)

    Koolbergen, David R; Manshanden, Johan S J; Bouma, Berto J; Blom, Nico A; Mulder, Barbara J M; de Mol, Bas A J M; Hazekamp, Mark G

    2015-02-01

    To evaluate our results of valve-sparing aortic root replacement and associated (multiple) valve repair. From September 2003 to September 2013, 97 patients had valve-sparing aortic root replacement procedures. Patient records and preoperative, postoperative and recent echocardiograms were reviewed. Median age was 40.3 (range: 13.4-68.6) years and 67 (69.1%) were male. Seven (7.2%) patients were younger than 18 years, the youngest being 13.4 years. Fifty-four (55.7%) had Marfan syndrome, 2 (2.1%) other fibrous tissue diseases, 15 (15.5%) bicuspid aortic valve and 3 (3.1%) had earlier Fallot repair. The reimplantation technique was used in all, with a straight vascular prosthesis in 11 (26-34 mm) and the Valsalva prosthesis in 86 (26-32 mm). Concomitant aortic valve repair was performed in 43 (44.3%), mitral valve repair in 10 (10.3%), tricuspid valve repair in 5 (5.2%) and aortic arch replacement in 3 (3.1%). Mean follow-up was 4.2 ± 2.4 years. Follow-up was complete in all. One 14-year old patient died 1.3 years post-surgery presumably of ventricular arrhythmia. One patient underwent reoperation for aneurysm of the proximal right coronary artery after 4.9 years and 4 patients required aortic valve replacement, 3 of which because of endocarditis after 0.1, 0.8 and 1.3 years and 1 because of cusp prolapse after 3.8 years. No thrombo-embolic complications occurred. Mortality, root reoperation and aortic regurgitation were absent in 88.0 ± 0.5% at 5-year follow-up. Results of valve-sparing root replacement are good, even in association with a high incidence of concomitant valve repair. Valve-sparing aortic root replacement can be performed at a very young age as long as an adult size prosthesis can be implanted. © The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  16. The optimal management of anti-thrombotic therapy after valve replacement: certainties and uncertainties.

    Science.gov (United States)

    Iung, Bernard; Rodés-Cabau, Josep

    2014-11-07

    Anti-thrombotic therapy after valve replacement encompasses a number of different situations. Long-term anticoagulation of mechanical prostheses uses vitamin K antagonists with a target international normalized ratio adapted to the characteristics of the prosthesis and the patient. The association of low-dose aspirin is systematic in the American guidelines and more restrictive in the European guidelines. Early heparin therapy is frequently used early after mechanical valve replacement, although there are no precise recommendations regarding timing, type, and dose of drug. Direct oral anticoagulants are presently contraindicated in patients with mechanical prosthesis. The main advantage of bioprostheses is the absence of long-term anticoagulant therapy. Early anticoagulation is indicated after valve replacement for mitral bioprostheses, whereas aspirin is now favoured early after bioprosthetic valve replacement in the aortic position. Early dual antiplatelet therapy is indicated after transcatheter aortic valve implantation, followed by single antiplatelet therapy. However, this relies on low levels of evidence and optimization of anti-thrombotic therapy is warranted in these high-risk patients. Although guidelines are consistent in most instances, discrepancies and the low-level of evidence of certain recommendations highlight the need for further controlled trials, in particular with regard to the combination of antiplatelet therapy with oral anticoagulant and the early post-operative anti-thrombotic therapy following the procedure. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2014. For permissions please email: journals.permissions@oup.com.

  17. Tissue-engineered fibrin-based heart valve with a tubular leaflet design.

    Science.gov (United States)

    Weber, Miriam; Heta, Eriona; Moreira, Ricardo; Gesche, Valentine N; Schermer, Thomas; Frese, Julia; Jockenhoevel, Stefan; Mela, Petra

    2014-04-01

    The general approach in heart valve tissue engineering is to mimic the shape of the native valve in the attempt to recreate the natural haemodynamics. In this article, we report the fabrication of the first tissue-engineered heart valve (TEHV) based on a tubular leaflet design, where the function of the leaflets of semilunar heart valves is performed by a simple tubular construct sutured along a circumferential line at the root and at three single points at the sinotubular junction. The tubular design is a recent development in pericardial (nonviable) bioprostheses, which has attracted interest because of the simplicity of the construction and the reliability of the implantation technique. Here we push the potential of the concept further from the fabrication and material point of view to realize the tube-in-tube valve: an autologous, living HV with remodelling and growing capability, physiological haemocompatibility, simple to construct and fast to implant. We developed two different fabrication/conditioning procedures and produced fibrin-based constructs embedding cells from the ovine umbilical cord artery according to the two different approaches. Tissue formation was confirmed by histology and immunohistology. The design of the tube-in-tube foresees the possibility of using a textile coscaffold (here demonstrated with a warp-knitted mesh) to achieve enhanced mechanical properties in vision of implantation in the aortic position. The tube-in-tube represents an attractive alternative to the conventional design of TEHVs aiming at reproducing the valvular geometry.

  18. Progressive breathlessness post mitral valve replacement

    OpenAIRE

    Conor McQuillan; Judith Tweedie

    2016-01-01

    Paravalvular leak occurs in 1–5% patients following surgical valve replacement and is associated with complications including haemolysis, heart failure and endocarditis. Re-do surgery is difficult with mortality rates approaching 16%. Percutaneous closure of mitral valve leaks with occluder devices is a viable alternative to repeat sternotomy; however, clinicians should be aware of contra-indications which include active endocarditis. Management of paravalvular leak is complex and success req...

  19. Mitral valve prolapse - report of 3 cases

    Energy Technology Data Exchange (ETDEWEB)

    Han, Moon Hee; Im, Chung Ki; Im, Dong Ran; Han, Man Chung; Lee, Young Woo; Seo, Jung Don [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1979-12-15

    Prolapse of mitral valve is characterized by its unique auscultatory, echocardiographic and angiographic findings and may be associated with various disease entities such as congenital heart disease, coronary heart disease and Marfan's syndrome etc. Authors report recent experience of 3 cases of prolapsed mitral valve, 2 cases associated with A.S.D. and 1 case with Marfan's syndrome.

  20. Design studies of cardiac valve prostheses.

    Science.gov (United States)

    Liotta, D

    1985-03-01

    This paper indicates the vital importance of considering prosthesis articulation in the design of cardiac valves. The prosthesis articulation interrelates with the fixed and the movable prosthetic components. Two basic physiological hemodynamic principles are reviewed: [List: see text] A bileaflet, free-tilting, swivelling prosthesis with a central articular mechanism is undergoing investigation. The four articulations have their own perennial preserving mechanisms to prevent potential failure mode by collecting blood elements in the valve tilting design.