Abstract
Valvular heart disease can result from a spectrum of congenital abnormalities and acquired degenerative and inflammatory conditions. The bicuspid aortic valve is the most common congenital valve lesion. Calcific aortic stenosis frequently affects bicuspid aortic valves in middle-aged adults and tricuspid aortic valves in older individuals. Floppy mitral valve due to myxomatous degeneration occurs as an isolated entity or as a component of Marfan syndrome or other connective tissue dyscrasias. Several endocrine and metabolic conditions can produce valvular diseases, including carcinoid heart disease and cardiac amyloidosis. Collagen vascular diseases commonly produce valvular heart disease, and these include rheumatic valvulitis, rheumatoid valvulitis, lupus erythematosus valvulitis, and other related conditions. Infective endocarditis can develop on previously diseased or normal valves. Prosthetic heart valves include mechanical valves and bioprostheses. Characteristic pathological changes influence the suitability of the different prostheses for individual patients. Percutaneous valve replacement and valve sparing procedures are increasingly being performed.
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Buja, L.M. (2020). Valvular Heart Disease: Pathological Anatomy and Pathogenesis. In: Carabello, B. (eds) Valvular Heart Disease. Cardiovascular Medicine. Springer, London. https://doi.org/10.1007/978-1-4471-2840-3_1
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