1. Durán RM, Brotons DA, Argüelles IZ, Concepción PM. Temas de actualidad en cardiología pediátrica y cardiopatías congénitas. Rev Esp Cardiol. 2008;61 Supl 1:15-26. 2. Khambadkone S, Coats L, Taylor A, Boudjemline Y, Derrick G, Tsang V, et al. Percutaneous pulmonary valve implantation in humans: results in 59 consecutive patients. Circulation. 2005;112:1189-97. 3. Lurz P, Coats L, Khambadkone ...

Seven patients studied by echocardiography with and without simultaneous phonocardiography for suspected malfunction of a caged mitral valve prosthesis are presented. In case 1, with inaudible prosthetic clicks, thrombosis of the cage and immobility of the ball were suggested by echocardiographic studies and confirmed at surgery. In case 2, simultaneous echocardiographic and phonocardiographic...

The timing of valve replacement in patients with rheumatic aortic regurgitation is assessed by balancing the mortality and complications associated with the operation and the prosthetic valves against the natural history of the lesion. The time course without surgery is determined by the severity of the volume overload and the gradual deterioration of myocardial function. We wished to obtain in...

A multi-pulse injection strategy for premixed charge compression ignition (PCCI) combustion was investigated in a four-valve, direct-injection diesel engine by a computational fluid dynamics (CFD) simulation using KIVA-3V code coupled with detailed chemistry. The effects of fuel splitting proportion, injection timing, spray angles, and injection velocity were examined. The mixing process and fo...

Ball valve is one of valves that have many applications in industry especially in gas delivery systems. This kind of valve is categorized in the on- off flow control valve. This study aims to investigate unusual application of ball valve to control fluid flow in the oil and gas industry and its destructive effect including erosion of ball and body of valve. Simulation of industrial ball valve i...

Tetralogy of Fallot is the most common form of cyanotic congenital heart disease, with a prevalence of 0.26–0.8 per 1000 live births. Total repair for tetralogy of Fallot has been available for 50 years with a favourable outcome in most patients. Today, one is faced with an increasing number of patients with residual pulmonary regurgitation. It was previously thought that pulmonary regurgitatio...

AIMS New-onset left bundle branch block (LBBB) and complete atrioventricular block (AV3B) frequently occur following transcatheter aortic valve implantation (TAVI). We sought to determine the timing and potential mechanisms of new conduction abnormalities (CAs) during TAVI, using the Medtronic CoreValve System (MCS). METHODS AND RESULTS Sixty-five consecutive patients underwent TAVI with cont...

Bicuspid aortic valve (BAV) disease is the most common congenital cardiac defect. While the BAV can be found in isolation, it is often associated with other congenital cardiac lesions. The most frequent associated finding is dilation of the proximal ascending aorta secondary to abnormalities of the aortic media. Changes in the aortic media are present independent of whether the valve is functio...

Eleven of 138 patients with infective endocarditis (IE) who underwent cardiac valve replacement for IE during a 12 1/2-year period had active IE. Eight of the 11 (all with aortic IE) had positive blood cultures within 48 hours preoperatively; six of the eight had positive Gram stains and cultures of the excised cardiac tissue. All 11 patients had Class IV cardiac functional disability (New York...

OBJECTIVE To evaluate the results of pulmonary valve replacement in patients with severe pulmonary regurgitation after tetralogy of Fallot repair in Hong Kong. DESIGN Retrospective review. SETTING University teaching hospital, Hong Kong. PATIENTS Consecutive patients undergoing pulmonary valve replacement after repair of tetralogy of Fallot between August 2002 and December 2008. MAIN OU...