IN 21 INFANTS, each with symptomatic congenital aortic stenosis and left ventricular cavity of nearly normal size studied clinically,' evidence for mitral insuffiiegncy was frequently encountered. In five of the patients left ventriculography was done and, in each, mitral insufficiency was demonstrated. This background of experience led us to study, in particular, the mitral valve in specimens ...

A combined congenital heart defect of aortic stenosis and mitral dysplasia was diagnosed in three Black Russian Terrier puppies two months old. The aortic stenosis component included both fixed and dynamic obstructions. The fixed obstruction was subvalvularly located at the entrance to the left ventricular outflow tract. The dynamic obstruction was caused by the septal leaflet of the mitral val...

OBJECTIVE To determine the efficacy and safety of percutaneous transvenous mitral commissurotomy (PTMC), using multi-track double balloon technique in juvenile mitral stenosis. DESIGN Open non-randomised intervention. SETTING Cardiac catheterisation laboratories of The Mater Hospital, The Nairobi Hospital and Kenyatta National Hospital from 1996 to 2001. PATIENTS Forty five consecutive pa...

BACKGROUND Mitral stenosis is the most important and common cardiac complication seen during pregnancy. Conception is discouraged in cases where pulmonary hypertension develops during the course of mitral stenosis. Successful general and regional anaesthetic interventions have been reported in some cases of severe pulmonary hypertension. CASE REPORTS We present our experiences with anaestheti...

Methods 36 children (5.8 ± 2.4 yrs) with HLHS after completion of Fontan-circulation were investigated. 17 patients (pts) had mitral and aortic atresia (MA/AA) without a visible left ventricular cavity. In 19 pts representing the anatomical subgroups mitral stenosis/aortic atresia (MS/AA) and mitral stenosis/aortic stenosis (MS/AS) a left ventricular cavity was present. We used CMR cine-imaging...

M itral valve stenosis of origin other than rheumatic fever is a rare entity. Giant-cell myocarditis is an extremely rare, with poor prognosis, probably autoimmune, granulomatous disease of the heart. Progressive congestive heart failure, intraventricular conduction defects and ventricular arrhythmias, which in many cases can be fatal, are the usual manifestations of this disease. On the contra...

We report a rare presentation of mitral stenosis (MS). MS is a common valvular disease, the first manifestation of which is usually easy fatigability and exertional dyspnea. As the disease progresses in severity, other signs and symptoms appear, such as orthopnea, hemoptysis, and peripheral edema. This is the first report of a case of mitral stenosis presenting with exertional abdominal pain as...

During the investigation of the effects of hypotensive agents on the pulmonary circulation in mitral stenosis, an unexpected result was observed following the administration of 1-hydrazinophthalazine (apresoline). It was found that in patients with mitral stenosis, this drug caused elevation of the pulmonary arterial pressure, while reducing the systemic arterial pressure. This effect of l-hydr...

A new echocardiographic index of mitral valve diastolic closure, based on the rate of diastolic apposition of the anterior and posterior mitral leaflet echoes, was measured in 40 patients with mitral stenosis. This mitral valve closure index correlated highly significantly with the mitral valve orifice area (calculated from the Gorlin formula) (r = 0-87). Correlation between the diastolic closu...

Five patients with tricuspid stenosis accompanying mitral stenosis were studied. The characteristic features include a diastolic rumbling murmur in the tricuspid area, accentuated by inspiration, prominent "a" wave in the jugular pulse, prominent P wave in the electrocardiogram, absence of physical or electrocardiographic signs of right ventricular hypertrophy, and disproportionate right atrial...