A c'TPERclinical evaluation of patients with severe aortic insufficiency, it has become evideiit that differentiation of the Austin Flint murmur from that of imitral stenosis is possible iln the majority of cases.1-) If carefully searched for, all of our l)atients with severe aortic insufficiency have all apical diastolic ullll)le (so-called Auistin Flint murinur). By utilization of the clinica...

Antihypertensive drug treatment is capable of aggravating angina pectoris in hypertensive patients with coronary artery disease. The complication appears to be due to different hemodynamic mechanisms. Angina pectoris caused by hydralazine may result not only from a reduction in aortic perfusion pressure but also from increases in cardiac output and pulse rate which the drug produces. Coronary i...

The aim of this study was to determine the feasibility of the new vascular graft for aortic root reconstruction using two different surgical techniques and to evaluate the intermediate clinical and functional results. Between January 2006 and December 2007, a total of 79 patients with aortic root and valve pathologies (chronic aneurysm 70, acute aortic dissection 9) underwent valve-sparing aort...

Antihypertensive drug treatment is capable of aggravating angina pectoris in hypertensive patients with coronary artery disease. The complication appears to be due to different hemodynamic mechanisms. Angina pectoris caused by hydralazine may result not only from a reduction in aortic perfusion pressure but also from increases in cardiac output and pulse rate which the drug produces. Coronary i...

A 27-year-old man with Marfan syndrome was referred to our department for dilatation of the aortic root with mild aortic regurgitation. His past medical history was unremarkable. Physical examination was normal except for a pectus excavatum. Transthoracic ultrasounds scan showed normal left ventricular function, mild aortic and mitral regurgitation, and dilatation of the aortic root with maximu...

Congenital quadricuspid aortic valve is a rare cardiac anomaly. More than half of the patients with this abnormality will develop aortic insufficiency in adulthood. It is vital that patients with quadricuspid aortic valve who present with progressive aortic regurgitation undergo valve replacement or repair at appropriate time. Here, we present two cases of quadricuspid aortic valve. We first de...

We present a child with truncus arteriosus and truncal insufficiency who had diastolic fluttering of the anterior mitral valve leaflet and left ventricular surface of the interventricular septum on echocardiogram. Although the fluttering has been previously described in patients with aortic insufficiency, it has not been reported with truncus arteriosus.

Renal insufficiency and allergy for iodinated contrast are the main contra-indications for Endovascular Aortic Repair (EVAR). Various techniques have been used to minimize utilization of contrast in order to prevent contrast induced nephropathy. EVAR can be performed without nephrotoxic contrast, using additional duplex-guidance. This report describes three cases of duplex-assisted EVAR in pati...