A 34-year-old male was admitted with increasing dyspnea on exertion for the past 3 years. He was born with shone syndrome. Shone syndrome was first described by Shone et al. in 1963 and consists of four obstructive, or potentially obstructive conditions of the heart. These are a “parachute” deformity of the mitral valve, supravalvular ring of the left atrium, subaortic stenosis, and aortic coar...

The left ventricular outflow tract is here considered to be that region of the left ventricle that lies between the anterior cusp ofthe mitral valve and the ventricular septum. The ventricular septum lies at an angle of45 degrees to the median plane. The 'anterior' wall of the outflow tract is therefore anteromedial and the 'posterior' wall is posterolateral. In the anterior wall are both the m...

We developed and assessed a real-time 3-dimensional (3D) digital Doppler method for measurement of flow volumes through the mitral valve in children. A total of 13 children (aged 10.46 +/- 2.5 years; 8 boys/5 girls) were enrolled. An ultrasound system (Sonos 7500, Philips, Andover, Mass) was used to acquire raw 3D velocity data for flow measurement based on Gaussian control surface theorem [flo...

We report a rare case of surgical treatment for double-valve destruction after balloon aortic valvuloplasty in a 90-year old female with severe aortic calcification. The patient underwent aortic balloon valvuloplasty for symptomatic aortic stenosis, resulting in severe aortic regurgitation because of injury to the right coronary cusp of the aortic valve and severe mitral regurgitation because o...

supravalvar mitral ring is a rare congenital heart defect of surgical importance. the condition is characterized by an abnormal ridge of the connective tissue on the atrial side of the mitral valve. it often substantially obstructs the mitral valve inflow. we herein introduce a case of a supravalvar mitral ring in a 17-year-old male, who was admitted to our hospital with cardiac syncope. he had...

Mitral valve regurgitation (MR) causes blood to flow in two directions during contraction of the left ventricle (LV), that is, forward into the aorta and backward into the left atrium (LA). In aortic valve regurgitation (AR), leakage occurs from the aorta into the LV during diastole. Our objective is to analyze the contribution of a left ventricular assist device (LVAD) to MR and AR for the fol...

An important potential source of error in the echocardiographic diagnosis of mitral valve prolapse has been identified namely a systolic hammock-like pattern of the anterior and/or posterior mitral leaflet echoes, similar to that associated with true mitral valve prolapse, produced artifactually when the ultrasonic transducer is angulated inferiorly. Utilizing a modified, more specific techniqu...

BACKGROUND The causes of aortic regurgitation (AR) severe enough to warrant aortic valve replacement (AVR) have received little attention in the last 20 years. METHODS AND RESULTS We analyzed the causes of pure AR in 268 patients > 20 years of age having isolated AVR at Baylor University Medical Center from 1993 to 2005 that was unassociated with mitral stenosis, mitral valve replacement, or ...

Congenital aortic valve atresia is usually part of a developmental anomaly usually called 'hypoplastic left-heart syndrome'. To the best of our knowledge, most reported cases of aortic atresia have been associated with hypoplasia of the ascending aorta, of the left ventricle, and of the mitral valve. We report a patient presenting with aortic atresia with a ventricular septal defect and a norma...

conclusions preservation of mitral annulus and papillary muscle continuity may enhance post- mvr cardiac performance with low mortality and morbidity rates. the risk of pvd was not significantly higher than conventional mvr in our series. results the improvement of functional status was seen in almost all survivors but was more obvious in the group i. in early follow-up, 56.4% of group i cases ...