Twenty-three patients who were symptomatic after mitral valve replacement, and in whom mitral paraprosthetic regurgitation was a possible cause of deterioration, were investigated by cardiac catheterization, phonocardiography, and echocardiography. Severe paraprosthetic regurgitation was present in ii patients and slight regurgitation in 2 patients. Two patients had aortic regurgitation which w...

The mitral valve apparatus is a complex anatomic and functional unit composed of the mitral annulus, valve leaflets, chordae, papillary muscles, and the underlying left ventricular wall. Normal function depends on both normal anatomy of each of these components and on the overall three dimensional relationships of these structures to each other, including the effects of overall left ventricular...

INTRODUCTION Current guidelines state that patients with severe mitral regurgitation should be treated in reference centers with a high reparability rate, low mortality rate, and durable results. OBJECTIVE To analyze our global experience with the treatment of organic mitral regurgitation from various etiologies operated in a single center. METHODS We evaluated all surgically treated patien...

a palatal defect may result from surgical resection, and its consequences could include difficulty in speech and nasal regurgitation of food and liquids. an obturator combined to speech aid prosthesis can improve nasal emission during speech,  and  assist  in  preventing  nasal  regurgitation  of  food.  this  article presents a clinical report of the reconstruction of palatopharyngeal function...

BACKGROUND Several studies have reported an association between asthma and gastro-oesophageal reflux, but it is unclear which condition develops first. The role of obesity in mediating this association is also unclear. We explored the associations between respiratory symptoms, lung function, and gastro-oesophageal reflux symptoms in a birth cohort of approximately 1000 individuals. METHODS In...

BACKGROUND In a cross-sectional community based study, as part of a randomised controlled trial of eradication of Helicobacter pylori infection, the association between blood pressure and symptoms of gastro-oesophageal reflux was examined. METHODS Linear regression was used to examine the association between systolic and diastolic blood pressure and the frequency of heartburn and acid regurgi...

To determine the value of transesophageal ultrasound in the assessment of cardiac valve prostheses, 14 patients with clinically suspected mitral prosthesis malfunction were studied by transthoracic and transesophageal two-dimensional imaging as well as by color Doppler flow velocity mapping (color Doppler). Patients underwent left ventricular angiography (n = 13), surgery (n =11), or both angio...

AIMS To assess the diagnostic accuracy of combined transmitral E wave velocity and reversed systolic pulmonary venous flow for the quantification of mitral regurgitation severity. METHODS AND RESULTS Measuring forward and total left ventricular stroke volume, mitral regurgitation severity was assessed quantitatively by calculating the regurgitant fraction in 106 consecutive patients with pure...

INTRODUCTION Ischemic mitral regurgitation can be defined as moderate to severe mitral leak precipitated by acute myocardial infarction. Valve repair is now the procedure of choice, but some cases can pose difficult anatomy. This review will illustrate current techniques for repairing complex ischemic mitral regurgitation. METHODS Most patients with ischemic mitral regurgitation have predomin...

"Contrast echocardiography", utilizing a two-dimensional ultrasound system and peripheral venous injections, was used for the detection of tricuspid regurgitation in 30 patients. The appearance of contrast in the inferior vena cava and the back and forth movement of contrast across the tricuspid valve were considered evidence for tricuspid regurgitation. Echocardiographic findings were correlat...