Characteristics of aortic and pulmonary valve cusp fenestrations in healthy hearts

IF 2.3 4区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Abhinav Goyal , Andrew J. Layman , Melanie C. Bois , Joseph J. Maleszewski
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引用次数: 0

Abstract

Fenestrations in semilunar valves of human hearts have been incidentally described during autopsies since the 1800s, and were thought to be a degenerative process of the valve cusps. Due to the nature of autopsy, prior literature has primarily examined these fenestrations in pathologic hearts, and has implicated them in leading to valve insufficiency, regurgitation, and cusp rupture. More recent studies have predicted an increase in fenestration prevalence in the rapidly aging United States and have warned of a potential increase in fenestration-related valvular pathology. Herein, we analyze fenestration prevalence in 403 healthy human hearts and report findings that differ from these prior reports, and emphasize that fenestrations may not necessarily portend significant valvular dysfunction.

健康心脏主动脉瓣和肺动脉瓣尖开窗的特征
自19世纪以来,在尸检过程中,人们偶然发现了人类心脏半月瓣膜的开窗现象,并认为这是瓣膜尖端的退行性过程。由于尸检的性质,先前的文献主要检查了病理性心脏中的这些开窗,并认为它们会导致瓣膜功能不全、反流和尖瓣破裂。最近的研究预测,在快速老龄化的美国,开窗术的患病率会增加,并警告与开窗术相关的瓣膜病理学可能会增加。在此,我们分析了403例健康人类心脏开窗术的患病率,并报告了与这些先前报告不同的发现,并强调开窗术可能不一定预示着严重的瓣膜功能障碍。
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来源期刊
Cardiovascular Pathology
Cardiovascular Pathology 医学-病理学
CiteScore
7.50
自引率
2.70%
发文量
71
审稿时长
18 days
期刊介绍: Cardiovascular Pathology is a bimonthly journal that presents articles on topics covering the entire spectrum of cardiovascular disease. The Journal''s primary objective is to publish papers on disease-oriented morphology and pathogenesis from clinicians and scientists in the cardiovascular field. Subjects covered include cardiovascular biology, prosthetic devices, molecular biology and experimental models of cardiovascular disease.
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