We describe the case of a 76-year-old woman, diagnosed with a neuroendocrine tumor of the cecum in 2004, with liver metastases and carcinoid syndrome since September 2010. The patient had been treated intermittently with chemotherapy cycles, and remained symptomatic, with worsening secondary lesions. In June 2011 she began to present signs and symptoms of right heart failure and was hospitalize...

Brock (1957, 1959) using the term "Functional obstruction of the left ventricle" was the first to describe muscular subaortic stenosis. Since then, a number of reports (Bercu et al., 1958; Morrow and Braunwald, 1959; Brent et a!., 1960; Goodwin et al., 1960; Braunwald et al., 1960; Brachfeld and Gorlin, 1959, 1961; Pare et al., 1961; Boiteau and Allenstein, 1961) have appeared concerning this c...

In chronic thromboembolic pulmonary hypertension (CTEPH), stenoses or obstructions of the pulmonary arteries due to organized thrombi can cause an elevation in pulmonary artery resistance, which in turn can result in pulmonary hypertension. CTEPH can be cured surgically by pulmonary endarterectomy (PEA); however, patients deemed unsuitable for PEA due to lesion, advanced age, or comorbidities h...

Echographic features of three patients with discrete subvalvular aortic stenosis are presented. These include a narrowed area of the left ventricular outflow tract just below the aortic valve cusps in all cases. A high-intensity but thin echo was seen in the high left ventricular outflow tract at the level of the mitral annulus in one patient with a subaortic diaphragm. In one of the three pati...

introduction pulmonary vein stenosis includes narrowing of one or more pulmonary veins that may have congenital or acquired causes. congenital pulmonary vein stenosis is a rare condition and also a rare cause for pulmonary hypertension. since identifying the etiology of pulmonary hypertension plays a crucial role in medical and surgical planning, we decided to introduce a rare case of pulmonary...

background:  pericardial effusion (pe) in down syndrome (ds) patients  usually occur s   secondary to hypothyroidism,  but  we have   no  report of massive pericardial effusion in   euthyroid   down syndrome patient with  supravalvar  pulmonary stenosis . case presentation:  we  report ed   an   11-month-old  male with down syndrome   with  massive  pericardial  effusion that  had conservative ...