T HE anatomic'-4 and clinical5-7 features and the results of hemodynamic investigations8-10 in the tetralogy of Fallot are now universally known. It has been emphasized that anatomic deviations in the degree of pulmonary stenosis or in the size of the ventricular septal defect may yield different patterns of clinical features and hemodynamics in this anomaly. Recently, we observed 3 cases in wh...

TN RECENT YEARS certain electrocardiographic patterns have come to be associated with the congenital cardiac malformation called "persistent common atrioventricular canal. " 1-4 Experience has shown, however, that the electrocardiographic features are not specific for that malformation. They may be observed also in cases in which both great vessels arise from the right ventricle without pulmona...

Left ventricular function in 53 patients with secundum atrial septal defect was assessed by computer-assisted analysis of the left ventricular echocardiogram and by cardiac catheterization. The patients were divided into two groups, those younger and those older than 60 years, to investigate the effect of aging on left ventricular function. Cavity size was significantly smaller than normal (p l...

Twelve specimens of truncus arteriosus communis have been studied anatomically, with special reference to the conal anatomy and to the associated cardiac anomalies which can create additional problems if surgical repair is planned. A wide spectrum of conal morphology has been observed, suggesting that differential conal absorption is a developmental characteristic of truncus arteriousus as well...

BACKGROUND Parachute mitral valve (PMV) is defined as a unifocal attachment of the mitral valve chordae to a single or dominant papillary muscle and may cause subvalvar obstruction. We sought to determine factors associated with outcomes. METHODS AND RESULTS Patients (n=84; 64% male) who presented between 1977 and 2001 at a median age of 3 days (range, birth to 5.4 years) were assessed with P...

Pulmonary vein stenosis is recognised as a rare, silent cause of pulmonary hypertension. ' The condition can occur with or without intracardiac anomalies. '3 The presence of lesions, such as ventricular septal defect, which cause pulmonary hypertension in their own right, can make suspicion of associated pulmonary venous obstruction difficult. In only one of the four reported cases4-7 of ventri...

A 7-year old female child was admitted for recurrent bronchopulmonary since one week of life. She was diagnosed to have ventricular septal defect and was treated conservatively. At seven years of life, repeat echocardiogram revealed a large perimembranous ventricular septal defect, absent pulmonary valve with overriding of aorta, narrow pulmonary artery annulus, and dilated main pulmonary arter...

We read with great interest the article ‘‘Percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder’’ written by Xi EP et al. (1). The authors aimed to report their experiences with three patients who underwent the percutaneous closure of a posttraumatic ventricular septal defect (VSD) with a patent ductus arteriosus (PDA) occluder. They conclud...

BACTERIAL ENDOCARDITIS has been well recognized as an important complication of congenital heart disease, although its incidence has been represented by figures that lack authenticity. Since the ventricular septal defect is the most common form of congenital heart defect, it is important to assess the true incidence of bacterial endocarditis in this lesion. The need has become more urgent since...