Heart Valve Tissue Engineering Benefits
Tissue engineering came about as early as the 1960s with advances in tissue culture technologies to propagate skin cells (Vesley, 2005). It has advanced to other areas of cells through the years, including heart valve tissue engineering. One in eight people aged 75 years and older suffer from a form of valve disease showing an increasing trend with age (Mol, 2005). For adults, the need arises mostly from an aging population. For children, the need arises from birth defects and other illnesses, such as rheumatic fever. The number of patients that will require heart valve replacement is expected to triple over the next five decades.
The main causes of cardiac valve dysfunction are calcification of leaflets, endocarditis, rheumatic fever, myxomatous degeneration or congenital malformations, leading to stenosis or insufficiency in the valve. Rheumatic fever has been the main cause of heart disease in children and young adults, especially in underdeveloped countries. Congenital heart defects also play a role in the causes for pediatric patients. "Valvular heart disease is still...
Source: http://circ.ahajournals.org/cgi/content-nw/full/111/23/e394/TBLIB Echocardiographic Features That Suggest Potential Need for Surgical Intervention Vegetation Persistent vegetation after systemic embolization Anterior mitral leaflet vegetation, particularly with size >10 mm* embolic events during first 2 wk of antimicrobial therapy* Increase in vegetation size despite appropriate antimicrobial http://circ.ahajournals.org/math/dagger.gif Valvular dysfunction Acute aortic or mitral insufficiency with signs of ventricular http://circ.ahajournals.org/math/dagger.gif Heart failure unresponsive to medical http://circ.ahajournals.org/math/dagger.gif Valve perforation or http://circ.ahajournals.org/math/dagger.gif Perivalvular extension Valvular dehiscence, rupture, or http://circ.ahajournals.org/math/dagger.gif New heart http://circ.ahajournals.org/math/dagger.gif Large abscess or extension of abscess despite appropriate
Endocarditis, a heart condition, "is an infection of the inner lining of the heart," the inner lining being the endocardium (Mayo Clinic Staff). According to the Mayo Clinic, the condition "typically occurs when bacteria or other germs from another part of [one's] body....spread through the bloodstream and attach to damaged areas in [the] heart" (Mayo Clinic Staff, 2011). Endocarditis has the ability to damage or completely destroy the heart when
Quality Development in Advanced Practice field knowledge in nursing: Proposal on Enhancing the dental health of children suffering Congenital Heart Disease One of the most prevalent development abnormalities found in children is heart disease, and it occurs in about 8-10 in every 1, 000 births. Dental supervision of children with congenital heart problems calls for special care, due to their increased susceptibility to contagious endocarditis, which is associated with bacteremia caused
The first article, Changes in Mitral Regurgitation After Replacement of the Stenotic Aortic Valve (2008) stresses a relatively large patient study of those undergoing Aortic valve replacement and then possibly experiencing mitral regurgitation (MR), a common and sometimes concerning complication that as the study shows can occur without any known mitral defect. The study is significant in that it establishes the fact that MR is not as dangerous as once
Vancomycin should be given for at least 60 minutes. The initial dosage for pediatrics with renal impairment is not less than 15 mg/kg per day or 15 times the GFR in mL/min. Premature infants should have longer dosing intervals. PO administration should be 40 mg/kg/day in 3-4 divided doses for 7-10 days. The maximum is 2,000 mg/day, which may be diluted in 1 oz of water or administered through
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