Mitral Valve Surgery - Surgery Series, 2/2/21 27:04-29:09 So when we have someone who has asymptomatic mitral regurgitation it might be mild, moderate or even asymptomatic and severe the recommendation is that we follow with, with an echo,…

Mitral Valve Surgery - Surgery Series, 2/2/21 25:25-27:03 This is a transesophageal echo and this is a different type of four chamber view but what you're seeing here is the left ventricle. What you're seeing here is the left atrium. This …

Mitral Valve Surgery - Surgery Series, 2/2/21 21:57-25:23 So this image here, this first one here is a transthoracic echo and this is called a parasternal long view and it lays out the left atrium and the left ventricle very nicely. 最初の…

Mitral Valve Surgery - Surgery Series, 2/2/21 19:30-21:56 The first test then that we want to want to get is this transthoracic echo to look for these parameters to look for the, the severity of regurgitation, the effects on these other he…

Mitral Valve Surgery - Surgery Series, 2/2/21 15:57-19:29 When mitral regurgitation presents itself, so people can tolerate and we see degrees of mitral regurgitation, mild, moderate, and severe and generally no one is symptomatic from mil…

Mitral Valve Surgery - Surgery Series, 2/2/21 13:48-15:53 So mitral disease and we'll, we'll spend our time talking about mitral regurgitation since that is the, the vast, the vast percentage of people who present with Marfan syndrome and …

Mitral Valve Surgery - Surgery Series, 2/2/21 12:01-13:37 So what are the mechanisms of mitral leakage? I've just mentioned them, so and we think that in many people it has a steady progression. It progresses starting from annular dilatati…

Mitral Valve Surgery - Surgery Series, 2/2/21 9:44-12:00 So this is what a mitral valve looks like if you're inside the heart staring out of this. This actually is a picture taken endoscopically of the heart. Now there's no real blood here…

Mitral Valve Surgery - Surgery Series, 2/2/21 8:56-9:43 Just a quick cartoon here to show how blood passes through the right side of the heart. It's dark red. It's not really blue but it's dark and it gets pumped out to the lungs to get ox…

Mitral Valve Surgery - Surgery Series, 2/2/21 6:00-8:55 Now I, I realize there are a lot of people in the audience that are medically sophisticated. You learn a lot about heart problems over the over the years but never hurts to stop, to s…

Mitral Valve Surgery - Surgery Series, 2/2/21 5:15-5:59 We, we will give a talk that, we will actually tag team it and the talk will last about 20 minutes or so, so we've really allotted most of the time for questions at the end and we loo…

Dental Concerns of Marfan Syndrome (Virtual Medical Symposium Series - 01-16-2020) 41:39-43:12 Q:Joanna is asking about crowns versus veneers, I'm guessing, in Marfan syndrome. マルファン症候群では、歯の修復にクラウンとベニアのどちらを選択…

Dental Concerns of Marfan Syndrome (Virtual Medical Symposium Series - 01-16-2020) 38:47-39:41 Q:Since Marfan syndrome involves connective tissue, is there a risk associated with periodontal surgery on that the tissues do not, in which she…

Dental Concerns of Marfan Syndrome (Virtual Medical Symposium Series - 01-16-2020) 35:36-37:21 Q:How likely is it for an older adult with Marfan syndrome to successfully have bone grafting and implants done? 年齢の高いマルファン症候群患者…

Covid and Aortic Conditions: The Latest Research 1:21:13-1:21:56 Q:What about a vaccine for somebody who was pregnant? Have they been included in studies at all? 妊婦のワクチン接種について伺います。妊婦はワクチン研究の対象者に含まれていた…

Covid and Aortic Conditions: The Latest Research 1:20:24-1:21:12 Q:Somebody is asking about the pneumonia vaccine. Their primary care doctor since they have Marfan advised them to get the pneumonia vaccine even though they've never had pne…

Covid and Aortic Conditions: The Latest Research 1:19:32-1:20:20 Q:Kim, does somebody who had open heart surgery at the end of 2020 are they at a higher risk for COVID or for severe COVID response? 2020年の年末に心臓の外科手術を受けた方は…

Covid and Aortic Conditions: The Latest Research 1:16:09-1:17:48 Q:We keep hearing that if you've had a severe allergic reaction to a previous vaccine you should not take, get the COVID vaccine. How do you characterize a severe allergic re…

Covid and Aortic Conditions: The Latest Research 1:14:05-1:16:04 Q:Here's our question about that somebody who is a non-responder, a vaccine non-responder. It's in the family. The father has a non-responder, 16-year-old son with Loeys-Diet…

Covid and Aortic Conditions: The Latest Research 1:12:04-1:13:05 Q:Kim, is there any study or information about patients with Marfan who experience COVID-related, related myocarditis? マルファン症候群の患者さんで、COVID関連の心筋炎を発症し…

Covid and Aortic Conditions: The Latest Research 1:07:38-1:09:54 Q:Maybe Enid, you want to answer this one. In the UK there's talk of giving a second dose of the Pfizer vaccine later than intended, for example, instead of three weeks later…

Covid and Aortic Conditions: The Latest Research Q:Kim, are there any concerns about the vaccine response in patients with artificial valves and aortic grafts? 人工弁や人工血管の方では、ワクチン接種に問題はありますか？ A:No, not to my know…

Covid and Aortic Conditions: The Latest Research 1:05:37-1:07:22 Q:There's a general COVID question but can one of you speak to neurological issues caused by COVID? COVIDに関する一般的な質問です。COVIDで起こる神経学的な疾患について説明をお…

Covid and Aortic Conditions: The Latest Research 1:03:57-1:05:35 Q:Someone with COVID-19 right now, I'm wondering if I still need the vaccine. Can you clarify please? 現在COVIDに感染しているのですが、ワクチン接種を受ける必要はありますか？ …

Covid and Aortic Conditions: The Latest Research 1:03:20-1:03:50 Q:If some of these medications share receptors with COVID vaccine, does that mean that there are possible issues with the efficacy of the medications and the vaccine? ACE阻害…

Covid and Aortic Conditions: The Latest Research 1:02:30-1:03:15 Q:Kim, if somebody has aortic dissection right now that they're watching, would that put them at high risk? 大動脈解離の経過観察中の方では、ハイリスクとなりますか？ A:So that…

Covid and Aortic Conditions: The Latest Research 58:28-1:02:28 Q: There's been talk of, you know, if you have the vaccine, you may still get the virus but you're not, you're not gonna be infected but you maybe can carry it, so if you've al…

Covid and Aortic Conditions: The Latest Research 57:17-58:18 Q:Somebody's asking if they have R-A-D, RAD would that put them at risk, so what is RAD?RADでは高リスクとなるか、という質問です。RADとは何ですか？ A:I, I think they're talking ab…

Covid and Aortic Conditions: The Latest Researc 56:24-57:09 Q:So if you, if you've had a tetanus shot recently, how long should you wait before getting the COVID vaccine if it's your turn? 破傷風ワクチンを接種した後では、COVIDワクチンの接…

Covid and Aortic Conditions: The Latest Research 55:04-56:22 Q:Janet says that she had COVID in April and still has the antibodies and she wants to get the vaccine but should she wait to let others who don't have the antibodies get it firs…