Clinical, angiographic and pathologic features are described in a 36-hour-old male infant with mixed (discordant) levocardia, aortic valve atresia, absent tricuspid (left atrioventricular) valve and resultant massive cardiomegaly. This is the first reported case of this type of complex in a heart with discordant chambers. A possible embryologic explanation is offered for the concomitant presenc...

We report the case of a 50-year old patient with a left ventricular tumor whose evolution was marked by impaired general condition and fever. This mass was objectified by echocardiography performed to explore a radiological cardiomegaly. The imaging (MRI) appearance was suggestive of an intra-myocardial tuberculoma Based on our observations, we propose a review of the literature on this unusual...

We present a case where the embryo showed an increased nuchal edema and a metabolic disorder. At 31 weeks of gestation the fetus developed a cardiomegaly and a hydrops. In this case, a long-chain 3-hydroxacyl-coenzyme A dehydrogenase deficiency (LCHAD deficiency) was confirmed by biochemical investigations in cultured chorionic villus cells and by DNA analysis. This metabolic disease causes a r...

This is the report of a five-month-old child presenting clinical evidence of Pompe's disease: severe hypotonicity, hyporeflexia and congestive heart failure. The ECG showed a short PR interval, the chest radiography disclosed marked cardiomegaly, and the echocardiogram revealed marked left ventricular hypertrophy - the most typical finding of this disease. A skeletal muscle biopsy led to final ...

A further 15 patients with left ventricular/right atrial communication are reported, 14 of whom were treated surgically. The clinical triad of a ventricular septal defect murmur, cardiac enlargement, and an arteriovenous shunt at atrial level is characteristic of the malformation. Of the 14 patients accorded surgical treatment, one died soon after operation. The remainder are well, with both th...

Fig. 1 : Plain frontal chest radiographminimal cardiomegaly with notching and erosion of posterior lower rib margins (arrows). Fig. 2 : CT Aortogram showing non-opacifi cation (arrow) of aorta just distal to origin of a dilated left subclavian artery suggestive of coarctation. Fig. 3 : Dilated tortuous internal mammary and intercostal arteries on CT aortogram. Fig. 4 : Aorta distal to coarctati...

Twenty-seven inmates from a detention centre in Perak were evaluated for possible causes of their ankle oedema. Physical examination and biochemical evaluation did not show any evidence of renal or hepatic dysfunction. The cardiac origin of their problem was suggested by the presence of other signs of heart failure in three of them and by radiological evidence of cardiomegaly in 40% of them. Al...

The dilatations that occur in the body are classified according to different systems: (1) biliary: mega-gallbladder, mega-common bile duct; (2) cardiovascular: cardiomegaly; (3) urinary: megapelvis, megaureter, megabladder; (4) respiratory: bronchiectasis, megabronchus; (5) megapharynx (?); (6) megaesophagus; (7) megastomach; (8) achalasia of the pylorus or hypertrophic pyloric stenosis; (9) me...