background: pulmonary arterial hypertension is a complication of most congenital heart diseases. we sought to assess the effect of sildenafil on patients suffering from pulmonary arterial hypertension in association with congenital heart disease on the basis of clinical and echocardiographic parameters and compare the catheterization and treatment results so as to evaluate the predictive value ...

A 68-year-old man presented with right heart failure due to compression of the right pulmonary artery by a syphilitic aneurysm of the ascending aorta. The diagnosis was made by cardiac catheterization and angiography and it was proven by autopsy. This complication is unusual and supports the experimental evidence that unilateral pulmonary obstruction may be responsible for the development of pu...

Diagnostic and therapeutic problems commonly arise in patients with rheumatic heart disease despite the use of all available clinical data, including electrocardiographic and roentgenographic studies. The deficiencies of the conventional aids have become more apparent with attempts to define the physiological significance of mitral valve lesions. Since its introduction by Cournand and associate...

A 64-year-old lady lying in supine position because multiple sclerosis, suffered a major stroke with no other plausible reasons but a huge right-to-left shunt confirmed by transthoracic echocardiography as a patent foramen ovale (PFO) with atrial septal aneurysm (ASA). Further examination with transesophageal echocardiography was not possible because of hostile esophageal tract. During rehabili...

Sinus of Valsalva aneurysm is a rare disorder. It is usually congenital, but other origins have been described. It may be asymptomatic, or it may present as angina or with symptoms of valvular insufficiency or outflow obstruction. Once ruptured, it often produces hemodynamic instability. Diagnosis should be pursued with transesophageal echocardiography or catheterization. A 50-year-old man was ...