The intraluminal stent-graft placement is preferred for alleviation of symptoms as well prolonging life span adult aortic coarctation.
 We presented here the interventional treatment option a 44 years old coarctation patient with complex isthmic anatomy: long segment stenosis beginning before left subclavian artery ostia, proximal aneurysm, multilobulated aneurysm descending aort, poststen...

BACKGROUND In congenital aortic stenosis, chronic pressure load has detrimental effects on left ventricular (LV) systolic and diastolic function. Reduction in LV pressure load with balloon aortic valvuloplasty (BAVP) may improve diastolic function. METHODS AND RESULTS Echocardiographic and catheterization data for 25 consecutive patients undergoing BAVP for congenital aortic stenosis were ret...

This is a report about a case of prenatal diagnosis of critical fetal aortic stenosis with severe mitral valve insufficiency in a 35+6 weeks fetus. Aortic stenosis represents 3% of congenital heart diseases, but its association with mitral regurgitation is quite unusual. Thanks to the latest advances in fetal ultrasonography we can now achieve a more precise diagnosis and we have been able to i...

Discrete subvalvar aortic stenosis (DSVAS) represents a unique cardiac lesion. As compared to most other congenital heart defects, DSVAS is virtually never recognized in early infancy, but appears to be an “acquired” lesion, albeit with anatomic precursors (1–4). The stenosis is caused by a fibrous ridge in the left ventricular (LV) outflow tract just proximal to the aortic valve. An abnormal a...

A combined congenital heart defect of aortic stenosis and mitral dysplasia was diagnosed in three Black Russian Terrier puppies two months old. The aortic stenosis component included both fixed and dynamic obstructions. The fixed obstruction was subvalvularly located at the entrance to the left ventricular outflow tract. The dynamic obstruction was caused by the septal leaflet of the mitral val...

NATURAL OCCURRENCE Although there is little data on the exact incidence of poststenotic dilatation, it is common with some types of constriction such as pulmonary and aortic valve stenoses' but rare with others such as infundibular pulmonary stenosis" or supravalvular aortic stenosis. It occurs with both congenital" and acquired' 6 aortic stenosis. Skandalakis et al., in a survey of the literat...

Twenty-two patients with congenital valvular aortic stenosis were surgically treated between 1967 and July 1975. Five (23%) were under 1 year of age (group I) and 17 (77%) were between 2 and 24 years (group II). All infants exhibited severe congestive heart failure and electrocardiographi (ECG) evidence of left ventricular hypertrophy (LVH) with strain pattern. In group II, angina was present i...

The progress of 128 patients with congenital aortic stenosis has been followed from one to 28 (mean 14) years. Fifty-eight underwent cardiac catheterisation, and 46 (36% of the total) required surgical treatment. Of these, 42 were under 20 years old. Additional cardiac lesions were noted in five. Infective endocarditis was encountered in four. The onset of symptoms or increasing evidence of lef...

OBJECTIVE To determine by modern echocardiographic techniques the prevalence and development of cardiac abnormalities associated with ventricular septal defect (VSD). METHODS Consecutive patients referred to a tertiary centre for paediatric cardiology and attenders at an adult congenital heart disease clinic had details of clinical outcome prospectively recorded. Patients with VSD in associat...