A 21 years albanian patient was referred with important residual left to right shunt. He was undergone 7 years before conventional surgical correction of a perimembranous ventricular septal defect (VSD). The patient underwent sternotomy and perventricular device closure of the residual employing a 16 mm multifenestrated atrial septal defect occlude, which was positioned through the anterior wal...

Surgical relief of left ventricular outflow tract obstruction (LVOTO) in hypertrophic cardiomyopathy (HCM) requires more than septal myectomy. The procedure is currently the gold standard for all symptomatic HCM patients except those with comorbidities. The operation requires an individualized approach to restore the sophisticated functions of the left ventricular outflow tract (LVOT) without i...

BACKGROUND We performed the first quadruple valve replacement with mechanical valves, combined with the correction of complex congenital heart disease on November 17, 1999. We report here the 11-year follow-up study. METHODS A 47-year-old man with subacute rheumatic endocarditis, a ventricular septal defect, and an obstruction of the right ventricular outflow tract required replacement of the...

The relationship between the pressures in the left and right ventricles was examined in 80 infants and children who had complete transposition of the great vessels and in whom the presence of a ventricular septal defect or a patent ductus arteriosus was known. All children with obstruction to left ventricular outflow have been excluded. It was found that 92% (34 of 37) of the children with tran...

introduction: infective endocarditis (ie) causes serious complications in patients. congenital heart disease (chd) is an important underlying condition in children. case presentation: a 6-year-old girl with ventricular septal defect (vsd) was presented. echocardiography revealed large vegetation in right ventricular outflow tract near the pulmonary valve. the patient showed clinical symptoms of...

The relationship between the pressures in the left and right ventricles was examined in 80 infants and children who had complete transposition of the great vessels and in whom the presence of a ventricular septal defect or a patent ductus arteriosus was known. All children with obstruction to left ventricular outflow have been excluded. It was found that 92% (34 of 37) of the children with tran...

Dynamic left ventricular outflow tract (LVOT) obstruction is classically seen in hypertrophic obstructive cardiomyopathy (HOCM). This can also be seen in cardiac amyloidosis. We describe a rare case of senile systemic amyloidosis with dynamic LVOT obstruction and concomitant three vessel coronary artery disease presenting with clinical and echocardiographic findings similar to those seen in HOC...

Fifteen patients (median age 8.5 years) with fixed right ventricular outflow tract obstruction were evaluated by two-dimensional echocardiographically directed continuous wave Doppler ultrasound within 24 hours of cardiac catheterization. Pulmonary artery blood velocity measurements were determined from a real time spectral display of pulmonary artery flow profile and converted to pressure drop...

Although considerable information is available concerning the clinical features and natural history of asymmetric septal hypertrophy (ASH) in adults, little is known of this disease in children. The clinical characteristics and course of 46 children with ASH, who were evaluated at the National Heart and Lung Institute, have been analyzed. Twenty-four children had obstruction to ventricular outf...