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...

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 ...

A 37-year-old male with acute complicated methicillin-sensitive Staphylococcus aureus mitral valve endocarditis underwent urgent valve replacement with a bileaflet prosthesis. The postoperative course was complicated with fever and heart failure. Echocardiography showed a large subannular false aneurysm of the left ventricle. Three weeks later resection and closure of the defect with a patch ma...

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 ...

Results Our surgical strategy for active IE is 1) complete debridement of infective tissue, 2) reconstruction with biological material. Six cases of 21 required reconstruction of the aorto-mitral continuity using butterfly shaped bovine pericardial patch in 4, and mono bloc aorta-mitral tissue valves replacement in 2. For the other 15 cases, resected aortic annulus were reconstructed using peri...