Variations in certain slopes of the carotid pulse which exist among normal subjects, patients with aortic valvular disease, and those with hypertrophic subaortic stenosis were examined. Records from 256 subjects were quantified with computer technics. The externally recorded volume pulses were related to simultaneously recorded brachial artery pressures (cuff); thus the slopes are expressed in ...

Variations in certain slopes of the carotid pulse which exist among normal subjects, patients with aortic valvular disease, and those with hypertrophic subaortic stenosis were examined. Records from 256 subjects were quantified with computer technics. The externally recorded volume pulses were related to simultaneously recorded brachial artery pressures (cuff); thus the slopes are expressed in ...

A 74-year-old man was diagnosed with aortic root aneurysm and two-vessel coronary disease. Echocardiographic assessment revealed an enlarged sinus of Valsalva 60 mm in diameter with mild aortic regurgitation. Florida sleeve repair was performed using a vascular graft combined with coronary artery bypass grafting. The postoperative course was uncomplicated and follow-up echocardiographic evaluat...

A 47-year-old female patient presented with congestive heart failure [New York Heart Association (NYHA) Class III]. A coronary angiogram showed calcified coronary arteries without any significant stenosis. Echocardiography showed a tricuspid aortic valve with grade III aortic insufficiency. A computed tomography (CT) scan of the thorax showed an aneurysm of the aortic root and the ascending aor...

An 18-year-old patient who had chronic traumatic ascending aortic lesion and valve insufficiency, with severe LV dysfunction, was treated by repair of the aortic wall without prosthesis and of the aortic valve by a gluteraldehyde-treated autologous pericardial patch. The patient had an uneventful recovery and minimal residual aortic regurgitation at one-month echocardiographic follow-up. Conser...

(2) Is the risk of proximal dissection high enough to warrant prophylactic repair before clinically significant aortic insufficiency occurs? (3) If surgery is not warranted now, what indication should be used to determine appropriate timing of surgery (ie, aortic regurgitation by clinical examination, symptomatic aortic regurgitation, signs of congestive heart failure)? (4) How common is a type...

An aortic valve tear associated with aortic regurgitation following blunt chest trauma is seldom seen. In this case, a 55-year-old man sustained a non-penetrating chest injury caused by a sudden fall from 10 meters. This led to a sizable tear in the left coronary cusp associated with severe aortic insufficiency. The case was treated successfully by surgical replacement of the aortic valve with ...