rheumatic mitral valve stenosis is the most common form of organic heart disease encountered during pregnancy and continues to cause maternal and fetal mortality. medically refractory congestive heart failure due to mitral stenosis is a clinical challenge and its optimal management remains controversial. on the other hand due to hazard of x-ray to mother and fetus, there are some limitations fo...

rheumatic heart disease is a serious health problem in developing countries. the present study was conducted to evaluate clinical and echocardiographic findings of mitral stenosis and their relationship with patients functional classes. we studied records of 400 patients with symptomatic mitral stenosis (71% female, mostly in 20s or 30s and 54% function class ii) treated in two hospitals in teh...

A 16-year-old male patient who underwent bilateral modified Blalock-Taussig shunt operation at the age of 6 was admitted to our clinic with cyanosis. The oxygen saturation was 60% at time of admission. Echocardiography and computed tomography revealed situs solitus dextrocardia with concordant atrioventricular (AV) discordant ventriculoarterial relation and obstructed bilateral Blalock-Taussig ...

Partial muscular inter-ventricular septal defect (VSD) or Pacman heart is a rare congenital or occasionally acquired anomaly. Concurrent Pacman heart and Shone's complex are extremely rare and have never been reported until now. We described a 37-year-old male patient with congenital Pacman heart, flail mitral valve (FMV), and a history of multiple congenital anomalies, including subvalvular ao...

surgery for heart diseases during pregnancy, especially necessitating cardiopulmonary bypass, is believed to trigger maternal and fetal risks and should be performed only when medical therapy has been unsuccessful to alleviate the cardiac decompensation. a 33-year-old pregnant woman in her 33rd week of gestation was admitted to our hospital. she had rheumatic mitral valvular stenosis and had un...

OBJECTIVES This study investigated the hemostatic status of the right and left atria in patients with mitral stenosis. BACKGROUND Systemic thromboembolism is a serious major complication in patients with mitral stenosis. However, the pathogenesis of thromboembolism in mitral stenosis is not fully understood. METHODS We determined the plasma levels of biochemical markers for platelet activit...

Giant left atrium (GLA) is a rare condition typically found in patients with rheumatic mitral valve disease. On chest radiographs, this often mimics another cause of cardiomegaly. A 52-year-old man was admitted to the hospital complaints shortness breath and orthopnea. Mid-diastolic grade IV pansystolic murmurs could be heard at apex radiating axilla on cardiac auscultation. The electrocardiogr...

Described herein are five patients who had double left-sided cardiac valve replacement for mitral and aortic valve stenosis resulting from two different etiologies: rheumatic heart disease, the cause of the mitral stenosis, and congenital heart disease (bicuspid valve), the underlying cause of the aortic stenosis.

Dilation and hypertrophy of the atria occur in patients with valvular heart disease especially in mitral regurgitation, mitral stenosis or tricuspid abnormalities. In sub-saharan Africa, rheumatic fever is still the leading cause of valvular heart disease. We report a case of an unusual giant right atrium in context of rheumatic stenosis and severe tricuspid regurgitation in a 58-year-old woman.

BACKGROUND High morbidity and mortality due to Rheumatic heart disease (RHD) associated with females is mainly because of late diagnosis on one hand and socioeconomic reasons on the other hand. Poor referral to tertiary care centres leads to delayed diagnosis which results in complications. The objectives of this cross-sectional descriptive study was to assess the frequency of severe mitral ste...