A male, aged-25 years; -was admitted to the hospital with the complaint of breathlessness . on exertion and palpitation. He gave a history of "rheumatism in his boyhood but the history was not well defined. He was also having a moderate degree of temperature for about a month. On examination the heart was found enlarged (apex beat in the sixth interspace H inches external to the nipple line) with

Disruption of pulmonary valve integrity after Tetralogy of Fallot repair often results in a cascade of hemodynamic and electrophysiological abnormalities. Here we report an uncommon case of severe pulmonary regurgitation with concomitant rheumatic mitral stenosis diagnosed 25 years after primary Tetralogy of Fallot repair. A 33-year-old man presented with symptomatic palpitation and exercise in...

Pectus excavatum (PE), the most common skeletal anomaly of chest wall, sometimes requires a surgical correction but recurrent PE is not uncommon. PE usually has a benign course; however, this chest deformity may be associated with symptomatic tachyarrhythmias due to mechanical compression. We report a case of a patient with recurrent PE after surgical correction presenting with palpitation and ...

in this paper, we describe a case of an aneurysmal circumflex artery connected to the coronary sinus through a fistula in a 40-year-old man with a two-year history of palpitation and chest pain. we discussed surgical management for patients with coronary artery fistula (caf), particularly for asymptomatic patients with a small left-to-right shunt .

Cardiac hemangioma is a rare primary benign tumour, localised in the right atrium in 23% of cases. In a 60-year-old patient, who complained of remote chest discomfort and recent exertional palpitation, a right atrial mass was discovered by magnetic resonance imaging and echocardiography. A selective operation was performed and the tumour was resected. Histology revealed it to be a cavernous hem...

Hyperthyroidism should be suspected in end-stage renal disease (ESRD) patients who exhibit signs and symptoms including weight loss, tremor, palpitation or atrial fibrillation (Af) [1–5]. This report presents the case of an 82-year-old Japanese female on maintenance haemodialysis (HD) and paroxysmal Af (pAf). Although the serum thyroid hormone levels were within normal reference values for a yo...