Method Transthoracic echocardiography revealed a vegetative lesion on mitral valve. Combined parenteralantiobiotheraphy was admitted. Blood cultures and antibiograms resulted with metisiline sensitive Staphylococcus Aureus and Pseudomonas Putida 10 days after. Patient was consulted to infectious disease department and continuation of antibiotics was decided. His abdominal CT revealed splenic in...

background: considering suggested formula in the references and pcwp measured by catheterism, in the present study the relation between pulmonary capillary wedge pressure (pcwp) measured the flow velocity of mitral valve and mitral annulus motion through tissue doppler imaging is evaluated methods: 52 cases of severe ms were admitted for balloon mitral valvolotomy (bmv) are included in this stu...

of cardiac structures. Image resolution remains a concern for transthoracic 3D imaging, but the recent development of 3D transesophageal echocardiography (TEE) (either real-time or reconstructed) has made this less of an issue. Development of 3D echocardiography has made vast contributions to the understanding of mitral valve function. Although in the majority of patients with mitral stenosis, ...

Many studies of the pressures in the left atrium and the left ventricle of patients with mitral valve disease have been published. Initially obtained by direct puncture of the cardiac chambers at operation, such recordings have since been made possible by the development of techniques of left atrial puncture as a diagnostic procedure before operation. Direct determinations of the left atrial pr...

introduction: body mass index (bmi) can affect cardiac morphology; however, the relationship between bmi and valvular heart diseases has not been thoroughly evaluated. this study aimed to determine the relationship between bmi and mitral valve prolapse (mvp) as one of the most common valve diseases worldwide. it can help us to better understand pathophysiology of this common disease. materials ...

A woman, aged 30 years with situs inversus, dextrocardia and severe rheumatic mitral restenosis was referred to AFIC/NIHD for commissurotomy. A Closed Mitral Valvotomy (CMV) for severe mitral stenosis had already been done 8 years earlier, and her symptoms had reappeared. She was evaluated with transthoracic and transesophageal echocardiography and found to have a mitral valve area of 0.6 cm2, ...

We examined the long-term effects of closed instrumental mitral commissurotomy on mitral valve area (MVA) in 18 patients, followed for as long as 14 years after successful operation. Each patient had preoperative and early postoperative cardiac catheterization; late postoperative determination of MVA was obtained 10-14 years (mean 12.2 years) after commissurotomy. In 17 patients, the MVA was de...

A previously healthy 61-year-old man presented to the emergency department with chest pain and dyspnoea for 6 hours. Examination revealed distress with an apical pansystolic murmur. Initial electrocardiogram showed sinus tachycardia and ST elevation in leads II, III, and aVF compatible with an inferior ST-elevation myocardial infarction. Point-of-care echocardiography in the emergency departmen...

A 75 year old man with long-standing rheumatic mitral stenosis who refused surgical intervention was treated with percutaneous balloon valvuloplasty. Prevalvuloplasty evaluation revealed a heavily calcified mitral valve, a mean transvalvular gradient of 18 mm Hg, a Fick cardiac index of 1.7 liters/min per m2, a mitral valve area of 0.6 cm2 and 1 + mitral regurgitation. After transeptal catheter...

Diastolic heart failure is increasing in prevalence. Although the pathophysiology is incompletely understood and current therapeutic strategies are limited, identification of diastolic dysfunction is important. We review the role of contemporary techniques with echocardiography and cardiac magnetic resonance imaging (CMRI) in the assessment of diastolic dysfunction. Cardiac catheterization is t...