Background: A 49-year-old male presented with a delayed diagnosis of infective endocarditis leading to extensive intracardiac destruction. Such cases present technical challenges operative debridement as crucial anchoring points for replacement conduits are compromised. Case Presentation: Our patient at age 49 nausea, lethargy, and diarrhea 2 weeks after recent travel. His prior history include...

Castro-Rodriguez JA, Rodrigo GJ. Beta-agonists through metered-dose inhaler with valved holding chamber versus nebulizer for acute exacerbation of wheezing or asthma in children under 5 years of age: a systematic review with meta-analysis. J Pediatr 2004;145:172–7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....

Postoperative transesophageal echocardiography images of a patient undergoing unidirectional valved patch closure of ventricular septal defect in the setting of severe pulmonary hypertension are presented. The images and videos elegantly demonstrate a functioning valve without any obstruction to the left ventricular outflow.

Despite increasing use of Fontan or modified Fontan repairs, the comparative hemodynamic efficacy of different types of connections are unresolved. Accordingly, we undertook a prospective study designed to determine postoperative flow patterns after Fontan's operation. Seven subjects had tricuspid atresia and eight had single ventricle. Ages ranged from 5 to 38 years (mean 16.4). Ten subjects h...

Nesogordonia tricarpellata Skema & Dorr, sp. nov., a new species from southeastern Madagascar, is described and illustrated. It differs from all other species of Nesogordonia Baill. in having 6-9 stamens, 3 staminodes, a 3-carpellate ovary, and a 3-valved capsule. These androecial and gynoecial characters require modification of the long-standing circumscription of the genus. The new species al...