BACKGROUND About 50% of patients with cryptogenic stroke have a patent foramen ovale (PFO). The recurrence rate of paradoxical embolism is higher if a PFO is detected. METHODS Thirty-five patients with PFO and > or = 1 thromboembolic event due to paradoxical embolism were included in the study (23 males, 12 females, mean age 47.8 +/- 14 years, mean weight 75 +/- 15 kg). Twenty-three patients ...

Abstract Background A paradoxical embolism arises when a venous thrombus passes through cardiac right to left shunt and enters the arterial circulation. This can manifest as cardiovascular ischemia, cerebrovascular insults, increased ventricular pressure, and/or volume overload leading signs symptoms of heart failure. While rare, emboli carry high mortality morbidity if diagnosis is missed trea...

Hypertrophic cardiomyopathy (HCM) – is the most common genetically determined heart disease, characterized by symmetrical or asymmetrical myocardial thickening (≥15 mm), leading to progressive failure and a high risk of sudden cardiac death (SCD). Diagnosis, natural course treatment HCM have become sources uncertainty, misunderstanding debate due increasing complexity diagnosis in clinical prac...

Abstract Background Interventricular septal hematoma is an extremely rare complication following congenital heart surgery. During cardiac surgery, interventricular hematomas can be detected only by intraoperative transesophageal echocardiography. Here, we report interesting case of that was accidentally found in infant ventricular defect (VSD) closure. Case presentation Transesophageal echocard...

Although closure of an atrial septal defect (ASD II) with an occluding device in the first year of life is not a routine procedure, it is a feasible treatment, even in neonates. Case reports on the off-label use of Amplatzer devices have been repeatedly published, but there are no reports on using the Amplatzer Duct Occluder (ADO) to close an atrial septal defect in a neonate. We report on a su...

Abstract Postinfarction ventricular septal rupture (VSR) is a rare but dreaded mechanical complication of myocardial infarction. Moreover, patient develops cardiogenic shock or congestive heart failure requiring early surgical intervention. To optimize repair, perioperative confirmation, determining location VSR and adequacy mandatory. Assessment can be obtained by the transesophageal echocardi...

Dunbar syndrome is caused by the compression of celiac artery median arcuate ligament (MAL) and diaphragmatic crura, presenting with abdominal pain. The treatment surgical, aim dissecting separating crura from axis, restoring blood flow in trunk. We propose use transesophageal echocardiography to measure peak systolic velocity trunk evaluate, real time, efficacy surgery during MAL resection. Tw...