Two infants underwent supra-annular placement of prosthetic mitral valves. The objective of this strategy was to insert a larger valve and delay replacement. This approach was initially successful but by two and three years later the patients developed impairment of cardiac function. The prosthesis decreased the volume and compliance of the left atrium causing high left atrial and pulmonary ven...

Pulmonary incompetence is a common sequel of pulmonary valvotomy, but many authors believe that the haemodynamic consequences of this regurgitation are well tolerated (Talbert, Morrow, Collins, and Gilbert, 1963). In this paper we report a patient who had severe pulmonary incompetence after valvotomy and who failed to maintain her initial clinical improvement. Because of the severe leak it was ...

Rev Esp Cardiol 2004;57(1):7-11 7 Despite continuous technological advances, we have yet to develop the perfect means of replacing human heart valves. In the case of the aortic valve, there can be no doubt that the best option available is replacement by another human valve. Pulmonary autograft (the Ross operation) ensures hemodynamic performance very similar to that of the native aortic valve ...

Blunt trauma followed by aortic valvular insufficiency occurs rarely. Valve replacement or repair has most often taken place several months or years after injury; only a few cases have been reported of acute operative intervention performed within a few days after injury. However, we herein report two cases of isolated aortic valvular trauma in young men, in whom fulminant pulmonary edema ensue...

Rev Esp Cardiol 2004;57(1):7-11 7 Despite continuous technological advances, we have yet to develop the perfect means of replacing human heart valves. In the case of the aortic valve, there can be no doubt that the best option available is replacement by another human valve. Pulmonary autograft (the Ross operation) ensures hemodynamic performance very similar to that of the native aortic valve ...

We describe the case of a young man who underwent anatomical correction of Tetralogy of Fallot in childhood. The patient developed severe pulmonary valve regurgitation, moderate tricuspid regurgitation and dilation of the right heart chambers. He underwent a redo sternotomy, replacement of the pulmonary valve and tricuspid annuloplasty with beating heart under extracorporeal circulation. Althou...

Background CMR is the established non-invasive tool for routine RV functional and morphological assessment in repaired tetralogy of Fallot (rTOF) patients. 3D anatomical data of the RVOT are routinely performed to better address indications for Pulmonary Valve Replacement (PVR), either surgical or percutaneous. The aim of this crosssectional analysis is to improve the ability of CMR to identify...

Background. Mitral valve replacement can be very difficult to obtain in infants because the valve annulus diameter can be smaller than the available prosthesis. Case Report. We describe the case of a 2-month-old female weighing 3.5 kg affected by mitral valve dysplasia leading to severe valve stenosis. Despite full medication, the clinical conditions were critical and surgery was undertaken. Th...