Mechanical aortic valves generate a metallic S2, whereas bioprosthetic aortic valves typically cause a loud S2. A systolic flow murmur is common in patients with prosthetic AV. Special care should be taken to exclude prosthetic valve incompetence/regurgitation (early diastolic murmur in the left third to fourth intercostal spaces, with the patient leaning forward while breath is held in expiration).
A full baseline assessment, including transthoracic echocardiography, should be performed at 6-12 weeks postoperatively by the cardiology or cardiac surgery team. Clinical suspicion of prosthetic valve incompetence should be assessed further using TTE.
Routine annual follow up TTE is not indicated in the early postoperative years in the absence of symptoms and unchanging murmur. Annual TTE is arranged after 5 years in young patients with a bioprosthetic valve replacement. However, any suspicion of symptomatic deterioration or infective endocarditis should trigger urgent echocardiographic assessment.
Tadese’s people hadn’t known where he was or if he was alive or dead. Four months until his visa came through, followed by a ticket to the bus station in Tel Aviv where they let you off to manage as best you could, followed in his case by work on a building site.
Currier’s latest tiles, designed in eight variations, will be displayed in public for the first time on two free-standing walls in the Burchfield Penney exhibition. She utilized both wheel-thrown and hand-built techniques to create undulating waves, articulated in both positive and negative profiles, and coated with uniquely formulated glazes that accentuate the rise and fall in the tiles’ surfaces. One is a semi-opaque iridescent satin white; the other is an opaque charcoal satin that breaks with a bronze sheen.
Anne Currier is a sculptor whose medium is ceramic, and she is the recipient of the 2018 Langley H. Kenzie Award which entitles her to a solo exhibition. In Display,
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The Burchfield Penney is closed in celebration of New Year’s Day, Independence Day, Thanksgiving Day and Christmas Day.
Sudo, a stylized abstract artist who now resides in British Columbia, Canada, was chosen out of four dozen international artists that applied. The artist was selected by the creative team at Collective Arts, and Misuta Chow’s’ owners Christi Allen and Johny Chow (bassist of alt-metal band Stone Sour).
Making God Laugh presents a family over 30 years and 4 Holidays. Old family rituals and new tensions will cause viewers to recognize their own family lives. Betty Mohr of the Chicago Sun Times called the show “A gem of comic relief…this new heartwarming comedy has everything going for it.”
Patients with prosthetic heart valves are usually under annual follow-up with cardiology services. Lifelong anticoagulation is recommended for those with mechanical valves, the INR target of which differs according to the position of the valves, the type of valve, and LV function.
Professor emerita of Ceramic Art at Alfred University, the number one ranked ceramic art Master’s program in the country by U.S. News and World Report, Currier was recently named first-place recipient of a 2017 Virginia A. Groot Foundation Grant. Her sculptures are represented in numerous private and public collections, which include the Metropolitan Museum of Art, New York City; Renwick Gallery of the National Museum of American Art, Smithsonian Institution; Daum Museum of Contemporary Art in Sedalia, Missouri; Musée des Arts Decoratifs de Montréal; Los Angeles County Museum of Art; Museum of Contemporary Art, Kyung-ju, South Korea; and Hermitage Museum, St. Petersburg, Russia.
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