Organizational maintenance repair parts and special tool lists for indicator, outlet valve leakage, M4A1 (FSN 6665-738-2128).

"14 February 1964."

Elementary principles of machine design : with full instructions for setting a plain slide valve and eccentric; also practical and explanatory hints for making all the necessary calculations and working drawings.

Mode of access: Internet.

Operator's manual : grinding kit, valve seat, electric 35 degree angle type concentric drive, 1/4 horsepower, AC/DC, single phase, 115-volt, 14000 RPM rated no load speed (K.O. Lee Company model P300BB) (4910-060-9983) and (K.O. Lee Company model P300BB-M2) (4910-473-6437).

"February 1965."

Operator's manual : grinding kit, valve seat, electric, 35 degree angle, concentric drive, driver, AC/DC, 115-volt, 7,500 RPM rated no load speed (Albertson and Company model 1712-M) (4910-060-9983).

"June 1965."

Operator's manual : grinding machine, valve face, bench mounting, 9/32 inch to 11/16 inch chuck, 0 to 45 degree valve, face angle adjustment, 115-volt, AC/DC, 60-cycle, single phase (Cedar Rapids model "KWIK-WAY" KK) (4910-540-4679).

"6 October 1967."

Operator and organizational maintenance manual : indicator, outlet valve leakage, M4A1 (end item code 667).

Includes index.

Operator, organizational, direct support, general support, and depot maintenance manual ... : crimping outfit, hydraulic, voicemitter-outlet valve assembly, ABC-M1.

"June 1968."

Grinder, electric valve refacer wet-type : Independent Pneumatic Tool Co., Thor model 100 /

Includes index.

General support maintenance repair parts and special tools list : T-283 pressurized container leakage tester, T-298 atomic weapon valve extension.

"21 September 1970."

Manual, valve repair and maintenance for naval service. Boston Naval Shipyards. Navships 250-648.

Mode of access: Internet.

Valve setting; simple methods of setting the plain slide valve, Meyer cut-off, Corliss, and poppet types,

Mode of access: Internet.

Hydrodynamic evaluation of kangaroo aortic valve matrices for tissue valve engineering

We evaluated the hydrodynamic performance of kangaroo aortic valve matrices (KMs) (19, 21, and 23 mm), as potential scaffolds in tissue valve engineering using a pulsatile left heart model at low and high cardiac outputs (COs) and heart rates (HRs) of 60 and 90 beats/min. Data were measured in two samples of each type, pooled in two CO levels (2.1 +/- 0.7 and 4.2 +/- 0.6 L/min; mean +/- standard errors on the mean), and analyzed using analysis of variance with CO level, HR, and valve type as fixed factors and compared to similar porcine matrices (PMs). Transvalvular pressure gradient (Delta P) was a function of HR (P < 0.001) and CO (P < 0.001) but not of valve type (P = 0.39). Delta P was consistently lower in KMs but not significantly different from PMs. The effective orifice area and performance index of kangaroo matrices was statistically larger for all sizes at both COs and HRs.

Intracardiac echo guided valvuloplasty of a stenotic tricuspid prosthetic valve in a patient with idiopathic hypereosinophilic syndrome

A 52-year-old male with idiopathic hypereosinophilic syndrome (HES) was transferred to our institution following the development of acute respiratory failure and shock. He had previously undergone tricuspid valve replacement with bioprosthetic valves on two occasions: the initial surgery for severe native tricuspid valve stenosis and the redo surgery for severe prosthetic valve stenosis and regurgitation. Conventional imaging assessment using transoesophageal echocardiography was suboptimal and comprehensive assessment of prosthetic valve function was aided by the use of intracardiac echocardiography (ICE). ICE provided high quality 2D imaging of the prosthesis demonstrating thrombus-like material coating the inner surfaces of the prosthetic valve stents effectively forming a tunnel-like obstruction. Unusual hemodynamics secondary to severe tricuspid stenosis were demonstrated by CW Doppler with intermittent signal fusion resulting from blunted respiratory variation in the markedly elevated right atrial pressure relative to right ventricular pressure. Successful balloon valvuloplasty was performed with ICE proving highly valuable in guiding balloon position as well as monitoring the efficacy of the subsequent inflations.