A case is reported of isolated tricuspid stenosis with a 5-year hemodynamic followup after a tricuspid commissurotomy. Fusion of the commissures and chordae tendineae of the tricuspid valve was noted at surgery. There was a history of rheumatic fever, and 5 years after surgery mild mitral stenosis had developed. Seven previously reported cases of isolated tricuspid stenosis have been considered...

Described in three infants is an anomaly of the mitral valvular mechanism which has the following characteristic: connection of the left ventricular papillary muscles to the anterior mitral leaflet, either directly or through the interposition of unusually short chordae. The condition has been named "anomalous mitral arcade." The anatomic aberration appears to cause incompetence of the mitral v...

Isolated left ventricular noncompaction cardiomyopathy (IVNC) is a cardiomyopathy thought to be caused by arrest of normal embryogenesis of the endocardium and myocardium. This abnormality is often associated with other congenital cardiac defects. A 21-year-old man presented to the emergency department with worsening exertional dyspnea during the previous 2 months. Two-dimensional and Doppler e...

Transesophageal echocardiography (TEE) is routinely used to provide important qualitative and quantitative information regarding mitral regurgitation. Contemporary planning of surgical mitral valve repair, however, still relies heavily upon subjective predictions based on experience and intuition. While patient-specific mitral valve modeling holds promise, its effectiveness is limited by assump...

INTRODUCTION Mitral valve repair is the treatment of choice to correct mitral insufficiency, although the literature related to mitral valve annulus behavior after mitral repair without use of prosthetic rings is scarce. OBJECTIVE To analyze mitral annulus morphology and function using real time tridimensional echocardiography in individuals submitted to mitral valve repair with Double Teflon...

ruptured chordae tendineae. Pathologic examination revealed scarring and myxomatous degeneration of the mitral valve. The origin of the systolic murmur, mimicking that of aortic stenosis, is well documented to be due to a regurgitant jet striking the anterosuperior wall of the left atrium adjacent to the aorta, thus producing radiation toward the carotid arteriessm5 However, the cause of the di...

Severe aortic insufficiency may accelerate mitral valve closure. We noted this echocardiographic finding in several patients with the acute onset of severe aortic insufficiency. Accordingly, we examined our total echocardiographic series retrospectively for early closure of the mitral valve (ECMV) in the setting of aortic insufficiency and found it in 11 of 53 patients with confirmed aortic ins...

Preoperative and postoperative left ventricular cineangiograms of 26 patients with mitral stenosis (MS) were analyzed to calculate left ventricular end-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV), ejection fraction (EF) and systolic regional wall motion. Nine patients underwent commissurotomy (OMC group) and 17 patients underwent mitral valve replacement (MVR group). I...