An interatrial septal aneurysm is a localized segment of the interatrial septum that bulges into either or both the left and right atrium [1,2]. The clinical importance of such an interatrial septal aneurysm is that itmay be confusedwith an atrial tumor [2], it may be the cause of supraventricular arrhythmias [3] and it has a strong association with cryptogenic stroke in the young [4]. A review...

et al. Very long-term results (more than 20 years) of valve repair with Carpentier’s techniques in nonrheumatic mitral valve insufficiency. Circulation 2001;104(Suppl I):I-8–I-11. [4] Casselman F, Van Slyke S, Wellens F, De Geest R, Degriek I, Van Praet F et al. Mitral valve surgery can now routinely be performed endoscopically. Circulation 2003;108(Suppl II):II-48–II-54. [5] De Bonis M, Loruss...

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OBJECTIVES Mitral valve repair techniques for degenerative disease typically entail leaflet resection or neochordal construction, which may require extensive resection, leaflet detachment/reattachment, reliance on diseased native chords or precise neochordal measuring. Occasionally, impaired leaflet mobility, reduced coaptation surface and systolic anterior motion (SAM) may result. We describe ...

concomitant coronary artery bypass surgery (cabg) in patients undergoing mitral valve replacement (mvr) has been shown to be an important risk factor for hospital mortality. we evaluated preoperative characteristics, postoperative complications, in-hospital mortality rate, and length of stay in hospital for patients undergoing concurrent cabg with mvr. preoperative and postoperative clinical da...

Rheumatismal lesions of the mitral valve a!I'e rare under the age of six and surgical iruter­vention in symptomatic patients is an academic problem. Early surgical treatment has been done to prevent serious changes and unrevers­ib1e complications o.f the heart and lungs.  From April 71 until April 74, thirty-five pati­ent, ranging between 8-18 years of age, suffer­ing of <lifferents heart ,tro...

Real-time two-dimensional sector sanning was used to analyse mitral valve motion in 4 normal subjects and 6 patients with previously diagnosed mitral valve prolapse syndromes. The normal mitral valve leaflets remain apposed for the duration of systole, and open abruptly with the onset of diastole. During diastole the leaflets are parallel to each other and only the distal ends tend to 'float' c...

A 45-year-old female Jehovah’s Witness patient was diagnosed with Lutembacher syndrome, New York Heart Association (NYHA) class IV congestive heart failure (CHF), and severe malnutrition. An echocardiogram showed a 38 mm diameter ostium secundum atrial septal defect with a mitral valve area of 0.5 cm2 and a Wilkins score of 10. The patient had severe pulmonary hypertension at an estimated syst...