OBJECTIVES The purpose of this study was to clarify characteristics of truncus arteriosus communis associated with chromosome 22q11 deletion (del 22q11). BACKGROUND DiGeorge syndrome and conotruncal anomaly face syndrome are associated with del 22q11 (hemizygosity). In 30% of cases, truncus arteriosus communis is associated with the deletion. METHODS Fifteen consecutive patients with truncu...

There have been few clinical studies in the area of cervical spine that focused on surgery for treating degenerative lumbar disease in patients with rheumatoid arthritis (RA). High rates of wound complications and instrumentation failure have been reported more for RA than for non-RA patients, although clinical outcomes are similar between the two groups. Lumbar canal stenosis in RA is caused n...

Critical pulmonary valve stenosis (CPVS) and atrial septal defect (ASD) is an uncommon form of congenital heart disease. Concurrent transcatheter pulmonary valvuplasty and closure of secundum atrial septal defect appears to be an interesting alternative to surgical correction. We present the simultaneous balloon valvuloplasty of critical pulmonary stenosis (PS) with supra systemic right ventric...

Congenital pulmonary valve stenosis has been associated with the development of massive pulmonary arterial (PA) dilatation. Over time, this dilatation may distort surrounding structures and lead to compression of the left main coronary artery (LMCA) or the left mainstem bronchus. In this report, we describe a patient with a history of chronic thromboembolic pulmonary hypertension (CTEPH) and co...

An earlier paper, reporting 3 successful cases (Brock, 1948), showed the feasibility of valvulotomy for the relief of pulmonary valvular stenosis. The present paper deals with our clinical and operative experience in 33 cases-a number large enough to allow certain conclusions to be drawn. Of the 33 patients submitted to operation, 18 had pure pulmonary stenosis, by which we mean pulmonary valvu...

Background: pulmonary hypertension is a well known risk factor leading to mortality and morbidity in Mitral stenosis patients, spite of long term outcome are being comparable regarding severe mild or moderate but definitely short results worse.

CONGENITAL STENOSIS of individual pulmonary veins as they join the left atrium is a rare cause of pulmonary venous and arterial hypertension. Cases have been reported by Reye,1 Ferencz and Dammann,2 Andrews,3 Bernstein and associates,4 and Edwards.5' 6 Emslie-Smith and associates7 reported a patient with membranous occlusion of the pulmonary veins associated with pulmonary hypertension. The pur...

Wedged catheter pressures (PC) were compared with those in the aorta, left atrium, and pulmonary artery before and after production of mitral stenosis, insufficiency, and pulmonary embolism. In general it was found that "PC" pressures follow closely changes in left atrial pressures even when pulmonary artery pressure changes in an opposite direction (for example, pulmonary embolism). However, p...

Enlargement of right atrium is usually secondary to pulmonary hypertension due to valvular heart diseases or obstructive pulmonary disorders, atrial septal defect, tricuspid atresia or stenosis, pulmonary stenosis, primary pulmonary hypertension, Ebstein's anomaly. Congenital enlargement of right atrium is rare and it commonly presents in children. Our patient presented with congenital giant ri...

The morphology of the central pulmonary artery was studied by selective angiography in 21 previously unoperated patients (aged 11 days-21 years, median 4 years) with pulmonary atresia associated with various types of congenital heart disease. Angiographic findings were confirmed at operation in 10 patients. There was juxtaductal obstruction of the left pulmonary artery in two thirds of the pati...