This is a report about a case of prenatal diagnosis of critical fetal aortic stenosis with severe mitral valve insufficiency in a 35+6 weeks fetus. Aortic stenosis represents 3% of congenital heart diseases, but its association with mitral regurgitation is quite unusual. Thanks to the latest advances in fetal ultrasonography we can now achieve a more precise diagnosis and we have been able to i...

Mitral Stenosis 1. Detection . While the auscultatory findings of mitral stenosis are characteristic , many patients go undetected by routine clinical examination; it is, therefore, important to be aware of the special syndromes with which they may present (Table 1 ). Mitra! stenosis is much more common in women and should be looked for particularly in those who are young or middle-aged . The c...

A 45-year-old female Jehovah’s Witness patient was diagnosed with Lutembacher syndrome, New York Heart Association (NYHA) class IV congestive heart failure (CHF), and severe malnutrition. An echocardiogram showed a 38 mm diameter ostium secundum atrial septal defect with a mitral valve area of 0.5 cm2 and a Wilkins score of 10. The patient had severe pulmonary hypertension at an estimated syst...

A three year old girl with severe congenital mitral stenosis was successfully treated by percutaneous balloon dilatation of the mitral valve. Cardiac catheterisation and cross sectional and Doppler echocardiography indicated that the orifice of the mitral valve had doubled in area. A small atrial septal defect was found at follow up cardiac catheterisation and angiography. Balloon dilatation of...

We tested the hypotheses that Doppler echocardiography has a higher accuracy than clinical evaluation in the detection of significant aortic and mitral valvular heart disease and that Doppler echocardiography is highly accurate as compared with cardiac catheterization for the assessment of valvular disease severity. Thus, cardiac catheterization for the assessment of valve lesion severity may b...

PURPOSE The aim of this study was to evaluate the proportion of suspected heart failure patients with significant valvular heart disease. Early diagnosis of valve disease is essential as delay can limit treatment and negatively affect prognosis for undiagnosed patients. The prevalence of unsuspected valve disease in the community is uncertain. PARTICIPANTS We prospectively evaluated 79 043 pa...

Background: Heart valve disease gradually increases the pressure in the heart chambers and impairs heart pumping. It influences on quality of life due to low output, disability, fear, amnesia, anxiety, and depression. Although most of signs and symptoms in patients with heart valve diseases may significantly decrease after valve replacement surgery, there is limited information about the impact...

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...

The clinical and angiographic findings in 5 consecutive patients with congestive cardiac failure are presented to illustrate the pitfalls in the clinical diagnosis of endomyocardial fibrosis. In one patient the clinical diagnosis was confirmed at angiography while another patient who had angiographic evidence of early right ventricular endomyocardial fibrosis was diagnosed clinically as mitral ...

OBJECTIVE To investigate the relation between plasma concentrations of immunoreactive endothelin and haemodynamic variables before and after percutaneous transvenous balloon dilatation of the mitral valve. DESIGN Prospective study. SETTING National cardiovascular centre. PATIENTS 25 patients with mitral stenosis and 26 healthy volunteers. MAIN OUTCOME MEASURES Plasma concentrations of i...