Starr-Edwards 1260 Ball-Cage Valve

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Questions and Answers

What is the preferred orientation of monoleaflet valves in the aortic position?

  • Major orifice toward the left ventricular free wall
  • Major orifice pointing upward
  • Major orifice toward the septum
  • Major orifice toward the right posterior aortic wall (correct)

What type of flow pattern is characterized by bileaflet mechanical valves?

  • Two separate jets laterally
  • Single antegrade jet
  • Circular flow pattern
  • Three separate jets due to a smaller central orifice (correct)

What is the range of the opening angle of the leaflets of bileaflet valves relative to the annulus plane?

  • 75 to 90 degrees (correct)
  • 90 to 105 degrees
  • 105 to 120 degrees
  • 60 to 75 degrees

Which type of valve shows a small amount of normal regurgitation with an approximate volume of 5-9 mL per beat?

<p>Monoleaflet valves (D)</p> Signup and view all the answers

What is suggested as an optimal orientation for bileaflet valves in the mitral position?

<p>Perpendicular to the normal plane of mitral valve opening (D)</p> Signup and view all the answers

Which type of bileaflet valve does not show a clear advantage in specific leaflet orientation when implanted in the aortic position?

<p>St.Jude Medical valves (B)</p> Signup and view all the answers

What is the main mechanism responsible for the thrombogenicity of the Starr-Edwards 1260 valve?

<p>Large wake generated in the central part (A)</p> Signup and view all the answers

Which component of the Starr-Edwards 1260 valve is primarily visualized on colorflow Doppler imaging?

<p>Closing volume (D)</p> Signup and view all the answers

What is the purpose of lateral or central metal struts in monoleaflet or tilting-disk valves?

<p>To secure the disk within the rigid annulus (A)</p> Signup and view all the answers

What results from the opening angle of the disk relative to the valve annulus being between 60 to 80 degrees in monoleaflet or tilting-disk valves?

<p>Generation of a semicircular jet through the minor orifice (C)</p> Signup and view all the answers

What distinguishes the flow through the major orifice from that through the minor orifice in monoleaflet or tilting-disk valves?

<p>Higher velocity in flow through the minor orifice (C)</p> Signup and view all the answers

Why is the Starr-Edwards 1260 valve no longer implanted despite its relatively good durability?

<p>Further development of other valve types (B)</p> Signup and view all the answers

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