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 ...

A patient with severe mitral insufficiency due to infiltration of the valve and myocardium by leukemic lymphocytes is presented. Treatment was replacement of the valve with a prosthesis. The significance of this patient lies in the rarity of the clinical state and the novelty of treatment.

OBJECTIVE To analyze late clinical evolution after surgical treatment of children, with reparative and reconstructive techniques without annular support. METHODS We evaluated 21 patients operated upon between 1975 and 1998. Age 4.67+/-3.44 years; 47.6% girls; mitral insufficiency 57.1% (12 cases), stenosis 28.6% (6 cases), and double lesion 14.3% (3 cases). The perfusion 43.10+/-9.50 min, and...

Ischemic mitral regurgitation remains an underestimated and important clinical problem. It is a complex multifactorial disease that involves global and regional left ventricular remodel‐ ing as well as dysfunction and distortion of the components of the mitral valve including the chordae, annulus and leaflets. The prevalence rate of development of mild or more severe degree of mitral insufficie...

To study the mechanism of altered mitral function in the presence of an isolated cleft mitral valve (ICMV) with regard to the relative roles of the cleft and of the accessory chordae, seven patients with ICMV were studied with color Doppler echocardiography. Mitral insufficiency ranging from mild to severe was demonstrated in six cases. The regurgitant jet originated in each case from the site ...

BACKGROUND To date, the surgical approach is the only option to replace the aortic valve. Percutaneous pulmonary valve replacement has recently opened new perspectives on transcatheter replacement of cardiac valves. We report our experience of aortic valve replacement through a percutaneous technique in lambs. METHODS AND RESULTS A bovine jugular vein containing a valve was dissected and sutu...

We read with interest the report by Marlow et al on an infant with Marfan's syndrome and mitral valve dysfunction who died after acute illness with gross cardiac failure.' The authors stated that 'disease affecting the mitral valve is usually more benign than that of the aortic valve ....' This statement, however, may not be applicable to infants and young children with Marfan's syndrome. We ha...

With single-beat analysis, the new concept of systolic myocardial stiffness is applied to provide a new approach for the assessment of myocardial contractility in aortic and mitral valve disease. Seventy patients underwent diagnostic right and left heart catheterization. Twenty-six patients had aortic stenosis, 18 had aortic insufficiency, and 26 had mitral regurgitation. Patients with aortic s...

OBJECTIVE To evaluate long term results and independent predictors of outcome of aortic valvoplasty. DESIGN Retrospective follow up study. Independent predictors of outcome identified by multiple logistic regression. SETTING Tertiary referral centre. PATIENTS 269 consecutive patients treated at the median age of 8 months (0-23 years): 80 (30%) under 4 weeks, 59 (22%) between 4 weeks and 1...

boembolic events, seven were TIAs without major sequelae, two patients had permanent deficit and one patient died. Eighty-eight patients remained on long-term anticoagula-tion because of AF. There were six reported haemorrhagic complications, for an actuarial rate of 95.6"1.97% patients free of anticoagulation related haemorrhage at 15 years for the total series and 91% for the 88 patients rece...