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...

Methods: Sixteen patients with American Society of Anesthesiologists status (ASA) II-III, age ≤ 70 yr, male or female, preoperatively NYHA II-III and EF ≥ 45%, scheduled for mitral valve replacement (MVR) were studied. Complete intravenous general anesthesia was used for induction and anesthesia maintenance. After anesthesia induction we put the TEE probe into the esophagus. The cardiac index w...

Heterologous aortic valves are used in many clinics as replacements for diseased human aortic and mitral valves. These valves possess all the advantages of homologous aortic valves and are more easily available to the surgeon. The heterologous valve also provides a greater choice of valve size than does the homograft; this can be of importance when replacing the mitral valve. Hetero-graft valve...

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 techn...

Systolic closure of the aortic valve was found in 10 of 36 patients who underwent mitral valve replacement. Eight patients had early systolic closure, and two had mid-systolic closure. The left ventricular outflow tract dimension on M-mode and two dimensional echocardiograms, left ventricular posterior wall and septal thickness, left ventricular dimensions in systole and diastole, aortic valve ...

Objective: The composite mechanical valve conduit has been most commonly used for patients who require combined aortic valve, root, and ascending aorta replacement, but is limited, especially in the elderly, because of the need for long-term anticoagulation. We report the ®rst consecutive series of patients in whom a composite stentless valve with graft extension, which does not require long-te...

UNLABELLED INTRODUCTION Annular subvalvular pseudoaneurysm is a rare example of left ventricle aneurysm described predominantly in young African people. These aneurysms are divided into two different types, namely, submitral or subaortic, with subaortic being the less frequent kind. The subaortic type is most often localized in the mitral-aortic intervalvular fibrosa. To the best of our know...

Exercise electrocardiograms must be interpreted with the understanding that not every positive test is indicative of coronary artery disease. Mitral valve prolapse mimics coronary heart disease clinically and often in the electrocardiographic response to exercise. Twelve patients with mitral valve prolapse in whom exercise testing was positive underwent a repeat study after beta blockade. All t...

background: primary intra cardiac tumors are rare. in this article, we present papillary fibroelastoma of mitral valve chordae. case presentation: a 35-year old man presented with atypical chest pain and palpitation. physical examination and electrocardiogram were normal. transesophageal echocardiography (tee) revealed a mass of 1015 mm attached to chordae of anteromedial papillary muscle of m...