An 80-year-old woman was referred to our institution because of acute heart failure due to moderate mitral stenosis and severe regurgitation. After medical treatment of heart failure, she underwent mitral valve surgery. Intraoperatively severe calcification of the posterior mitral annulus was revealed. We excised only the anterior mitral leaflet and preserved the posterior mitral leaflet to pre...

A 61 year old man presented with mitral regurgitation and glomerulonephritis caused by suspected infective endocarditis. His glomerulonephritis remitted on immunosuppression but mitral valve replacement with a Carpentier-Edwards porcine xenograft later proved necessary. The patient became dialysis dependent and cadaveric renal allografting was complicated by delayed graft function and refractor...

H atle L. Brubakk A, Tromsdal A, Angelsen B: Non-invasive assessment of pressure drop in mitral stenosis by Doppler ultrasound. Br Heart J 40: 131. 1978 3. Libanotf AJ, Rodbard S: Evaluation of the severity of mitral stenosis and regurgitation. Circulation 33: 218, 1966 4. Libanoff AJ, Rodbard S: Atrioventricular pressure half-time. Mleasure of mitral valve orifice area. Circulation 38: 144, 19...

Seventeen patients with Ebstein's malformation of the tricuspid valve have been evaluated. The majority of patients (11/17) presented in the newborn period with cyanosis and cardiomegaly. The remainder (6/17) were referred because of cardiomegaly on chest X-ray and/or a heart murmur heard on routine examination. Three patients have died; one in the newborn period and two suddenly at the age of ...

OBJECTIVES This study was undertaken to determine the results of repair of partial atrioventricular (AV) canal in patients > or = 40 years old. BACKGROUND Although postoperative outcomes in younger patients have been well documented, the fate of older patients with repaired partial AV canal is less clear. METHODS From 1958 to 1990, 31 patients 40 to 71 years old (mean age 51) had repair of ...

BACKGROUND Complete calcification of the left atrium (LA) is called "coconut atrium", which decreases the compliance of LA, leading to the elevation of LA pressure that is transmitted to the right-side of the heart. The pathogenesis of LA calcification in patients with rheumatic heart disease is unknown; however, possible mechanisms include chronic strain force in the atrial wall and inflammati...

Introduction: Mitral stenosis is a prevalent valvular disease in developing countries. Percutaneous mitral balloon valvuloplasty (PMBV) is the gold standard treatment. The main objective of this study was to assess the initial results of PMBV in patients with mitral stenosis during 16 years (2002-2018) in Mashhad, Iran. Materials and Methods: From April 2002 to March 2018, 770 patients underwen...

Abbreviations: ACC/AHA, American College of Cardiology/American Heart Association; AF, atrial fibrillation; ANP, Atrial Natriuretic Peptide; AS, aortic stenosis; BNP, Brain Natriuretic Peptide; EF, ejection fraction; ESC, European Society of Cardiology; LA, left atrium; MR, mitral regurgitation; MS, mitral stenosis; MVA, mitral valve area; NT-Pro-BNP, N terminal-pro brain natriuretic peptide; P...

A 76-year-old man with a history of chronic mitral regurgitation presented with symptoms of progressive heart failure. The chest radiograph (Fig. 1A) showed severe cardiomegaly (arrows), with a cardiothoracic index (CTI) > 0.7. Echocardiography (Fig. 1B) demonstrated severe biatrial dilatation, severe mitral regurgitation consistent with rheumatic valve disease, and moderate aortic and tricuspi...

MITRAL valve disease has for many years been accepted as the commonest sequel of rheumatism, both clinically and pathologically. The development of stenosis has never been in question. Such has not been the case, however, with incompetence, though as long ago as I849 Hope first drew attention to this condition. The existence of mitral incompetence as an entity or even as an important component ...