background: conventional doppler measurements, including mitral inflow and pulmonary venous flow, are used to estimate left ventricular end diastolic pressure (lvedp). however, these parameters have limitations in predicting lvedp among patients with mitral regurgitation. this study sought to establish whether the correlation between measurements derived from tissue doppler echocardiography and...

We tested the hypotheses that Doppler echocardiography has a higher accuracy than clinical evaluation in the detection of significant aortic and mitral valvular heart disease and that Doppler echocardiography is highly accurate as compared with cardiac catheterization for the assessment of valvular disease severity. Thus, cardiac catheterization for the assessment of valve lesion severity may b...

Nature of the problem Many congenital cardiac malformations result in a heart with only one effective ventricle. In most of these there is a second ventricle present, but it is too small to sustain cardiac output making construction of a biventricular circulation impossible. These hearts may be classified according to the atrioven-tricular connection. There are two possibilities: the atria are ...

SIMILJARITIES between mitral stenosis and left ventricular failure, regarding their effects upon the pulmonary circulation and the right heart, have been known long before cardiac catheterization permitted their direct assessment. The advent of mitral valve surgery, a decade ago, stimulated widespread interest in the hemodynamies of mitral stenosis. On the other hand, circulatory changes associ...

BACKGROUND Concomitant mitral regurgitation (MR) is frequently seen in patients undergoing aortic valve replacement (AVR) for aortic stenosis. This study was undertaken to characterize the magnitude of MR in these patients and identify factors associated with significant postoperative change. METHODS Between 2002 and 2006, 391 patients with stenotic AV disease but no structural mitral valve d...

The authors report a case of double-orifice mitral valve (DOMV) which showed mitral stenosis and mild insufficiency. An associated anomaly was secundum atrial septal defect. DOMV is an unusual congenital heart defect. The occurrence of this anomaly with or without secundum atrial septal defect is very rare. More often it is associated with other congenital malformations arising from atrioventri...

SIMILJARITIES between mitral stenosis and left ventricular failure, regarding their effects upon the pulmonary circulation and the right heart, have been known long before cardiac catheterization permitted their direct assessment. The advent of mitral valve surgery, a decade ago, stimulated widespread interest in the hemodynamies of mitral stenosis. On the other hand, circulatory changes associ...

Several diseases have been acknowledged as pathological causes for mitral valve stenosis (MS), of which rheumatic heart disease is the most prevalent. Rheumatic heart disease is a chronic manifestation of rheumatic carditis, which occurs in 60% to 90% of cases of rheumatic fever. Rheumatic fever is a late sequela to Group A -hemolytic streptococcal infection of the throat. The initial rheumatic...

Several diseases have been acknowledged as pathological causes for mitral valve stenosis (MS), of which rheumatic heart disease is the most prevalent. Rheumatic heart disease is a chronic manifestation of rheumatic carditis, which occurs in 60% to 90% of cases of rheumatic fever. Rheumatic fever is a late sequela to Group A -hemolytic streptococcal infection of the throat. The initial rheumatic...

A 38-year-old man, a fit kick-boxer, known anabolic steroid user and marijuana smoker, collapsed with shortness of breath in the casualty department and died. On autopsy, he was found to be muscular and heavily built, and had cardiomegaly, enlarged paratracheal lymph nodes and pulmonary oedema. His heart had a large fibrous nodular mass in the mitral valve cusp; there were numerous small, infil...