OBJECTIVE To study the early function of the bovine jugular vein (BJV) when used for right ventricular outflow tract (RVOT) reconstruction during the Ross procedure. METHODS Seventeen consecutive patients (median age, 12 years; range, 30 days to 40 years) who had undergone a Ross procedure with RVOT reconstruction using a BJV were reviewed. Nine patients had prior balloon valvotomy (n = 6) an...

In 1938 the first successful surgical management of a congenital heart lesion, a patent ductus arteriosus (PDA), was reported by Gross, and this was followed several years later by aortic coarctation surgical repair. During the subsequent two decades, intracardiac repair of atrial septal defect (ASD), ventricular septal defect (VSD), valvar pulmonary and aortic stenoses, and more complex lesion...

The purpose of this study was to compare contemporary results of balloon dilatation and surgery for valvar aortic stenosis in infants and children in the five years between August 1988 and October 1993. Thirty four children underwent attempted balloon valvuloplasty (age 1 day-16 years, weight 1720 g-68 kg) (group 1), eight of whom were neonates with critical aortic stenosis. During the same per...

pure or predominant mitral stenosis before and 34 to 40 months after valvotomy. The patients were divided into 3 groups: pure mitral stenosis without increased pulmonary vascular resistance (group I, n =33), pure mitral stenosis with abnormal increase of pulmonary vascular resistance (group II, n= I2), and predominant mitral stenosis with mild insufficiency (group III, n= 9; all patients underg...

To cite: Mahla H, Bhat P, Bhairappa S, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013201108 DESCRIPTION 45-year-old woman presented with rheumatic heart disease-severe mitral stenosis. The patient had atrial fibrillation with New York Heart Association class II status. She was on diuretics, rate controlling drugs and warfarin 2 mg/day. International n...

OBJECTIVE To identify the factors that predict death and combined events, (death, new mitral balloon valvotomy, or mitral valve surgery) in long-term follow-up of patients undergoing percutaneous mitral balloon valvotomy. METHODS Follow-up was 49.0+/-31.0 (1 to 122) months. Techniques used were the single-balloon (84.4%), Inoue-balloon (13.8%), and double-balloon techniques (1.7%). RESULTS ...