conclusions our anesthesia method was sciatic and femoral nerve block under double ultrasonic and nerve stimulator guidance. case presentation in this case report, we present a patient who had tibia and fibula fractures and a symptomatic severe critical aortic stenosis which was diagnosed during a preoperative visit. the patient had exertional dyspnea, palpitations and fainting history, but he ...

conclusions high risk patients needing avr are optimal candidates for transcatheter aortic valve implantation. tavi is a valuable solution for high risk patients needing avr. obtained results are comparable to results in transthoracic avr in standard candidates for aortic valve implantation. background transcatheter aortic valve implantation (tavi) has emerged as an alternative treatment to cla...

Thrombotic events are very unusual in neonatal period. This congenital anomaly may be caused by certain risk factors such as polycythemia, perinatal asphyxia, septicemia, maternal diabetes, dehydration, and low cardiac output, or it may occur upon catheterization of central lines. A 20-day-old neonate was referred to our ward with primary signs of hypertrophic cardiomyopathy (HCMP). Echocardiog...

We report the case of a 23-year-old woman who died due to endograft stenosis 20 months after thoracic endovascular aortic repair. The patient presented with the pseudocoarctation syndrome. Although angioplasty of stenosis endograft was successfully performed, severe metabolic complications were lethal.

background: discrete subaortic stenosis (dss) is a progressive condition. controversy still rumbles on as to whether the subaortic membrane causes aortic regurgitation (ar) and whether membrane resection reduces ar severity. we investigated the association between the left ventricular outflow tract peak gradient (lvot-pg) and ar severity preoperatively and changes in ar severity and obstruction...

familial hypercholesterolemia (fh) is a hereditary dislipidemia. patients present with extremely high level of low-density lipoprotein cholesterol (ldl-c), which is due to mutation in the gene of ldl receptor. homozygous patients (hofh) whose incidence is 1 in 1.000.000 are at high risk of premature aortic valve stenosis, and coronary artery atherosclerosis. in homozygous individuals cardiovasc...

Bicuspid aortic valve is traditionally considered an innocuous congenital anomaly. Due to a better and widespread availability of non-invasive imaging techniques, it has come to the fore that 30% of these cases develop complications, viz., valve abnormality (aortic regurgitation and stenosis), and aneurysm of aortic root and ascending aorta. Sinus of Valsalva aneurysm is an uncommon complicatio...

background: the evaluation of prosthetic valves is very difficult with two-dimensional transthoracic echocardiography alone. doppler and color flow imaging as well as transesophageal echocardiography are more reliable to detect prosthetic valve dysfunction. however, doppler study sometimes tends to be misleading due to the load-depending characteristics of peak and mean pressure gradients. the ...