The echocardiographic diagnosis of acute rupture of a papillary muscle is described. The pertinent findings included (1) decreased systolic motion of the posterior wall, (2) exaggerated septal motion, (3) left ventricular enlargement and pattern suggesting left ventricular diastolic overload, and (4) bizarre fluttering of posterior leaflet of the mitral valve in diastole, suggesting an unhingin...

It is well recognized that upper airways obstruction by adenotonsillar hypertrophy can lead to cor pulmonale, but delays in diagnosis still occur, leading to an appreciable morbidity and even occasional mortality. In the case presented, echocardiographic recognition of right ventricular enlargement and abnormal pulmonary valve motion served to complement and confirm the clinical diagnosis. Foll...

Left ventricular pseudoaneurysm is a rare and lethal condition associated with a high risk of rapid enlargement and rupture. It develops after transmural myocardial infarction (MI), cardiac surgery, trauma, or infection. When a left ventricular pseudoaneurysm is detected, surgical repair is recommended due to the high possibility of rupture. In this report, we present surgical treatment of a gi...

Background: Few studies investigated brain abnormalities in early onset schizophrenia. Objective: To assess computed tomography (CT) abnormalities in patients with childhood or adolescence onset schizophrenia. Method: CT scans of patients with childhood (6 to 11 years old) (N=6) or adolescence (12-17 years old) (N=9) schizophrenia were compared to normal controls. Patients were diagnosed based ...

Background and Purpose Ventricular enlargement and white matter lesions are frequent findings on cerebral magnetic resonance imaging scans of elderly subjects. In demented subjects they seem related to the severity of the dementia, but in nondemented subjects their clinical significance is less clear. We investigated the relation of size of the lateral ventricles and white matter lesions with c...

Atrial septal defect (ASD) is one of the most common congenital cardiac diseases [1]. ASD accounts for 7-10% of all congenital heart diseases in children and 30-33% in adults. Although ASD usually asymptomatic, it can lead to exercise intolerance, atrial arrhythmia, right ventricular dysfunction, and pulmonary arterial hypertension. Guidelines recommend closure of ASD if right ventricular enlar...

To clarify the pathogenesis of two different types of adult-onset normal-pressure hydrocephalus (NPH), we investigated cerebrospinal fluid distribution on the high-field three-dimensional MRI. The subarachnoid spaces in secondary NPH were smaller than those in the controls, whereas those in idiopathic NPH were of similar size to the controls. In idiopathic NPH, however, the basal cistern and Sy...

conclusions these findings emphasize the potential clinical benefits of therapeutic procedures such as cardiac resynchronization therapy (crt) or apex-sparing volume-reduction surgery in dcm. a better definition of the role and implications of reverse apical torsion in dcm and its importance and effectiveness in making therapeutic decisions like crt implantation requires further studies. case p...

introduction: chest x–ray is one of the most common method of imaging. cardio thoracic ratio ( ctr ) is one of the parameters of chest x–ray that is used for determining cardiac enlargement. echocardiography as compared to chest x–ray is expensive and all centers dont have it, but it can determine heart size, valvular diseases, ejection fraction, left ventricular hypertrophy (lvh), pericardial ...