background: blood viscosity and aortic sclerosis (as) are strong predictors of cardiovascular events. the effects of blood viscosity on as have not been studied adequately. we aimed to investigate the potential connection between whole blood viscosity (wbv) and as. methods:   as was detected by transthoracic echocardiography. the estimation of wbv was carried out at both high shear rate (hsr) (...

Iatrogenic left main coronary artery ostial stenosis is a rare and late life-threatening complication of aortic valve replacement. The exact causes of this critical condition, despite being still nowadays elusive, are possibly related to the insertion of perfusion catheters into the left coronary system for cardioplegia delivery. We describe the case of a 69-year-old man, with normal coronary a...

Marfan's syndrome (MFS) is an inherited autosomal dominant disorder of connective tissue with mutation on the fibrillin-1 gene encoding for fibrillin. This frequently involves the cardiovascular system with prevalence is 1:5000-10,000. The clinical major criteria involve the skeletal and ocular apparatus and the cardiovascular and central nervous system. In Marfan's syndrome mitral valve prolap...

conclusions moderate ppm has no negative effect on echocardiographic trans-aortic pressure gradients or the patients’ nyha functional status after avr with a carbomedics prosthesis in the mid-term follow up. results of the 66 studied patients, 39 were male and 27 were female. the mean age of the patients was 43 ± 17 with a range of 6 - 76 years. implanted sizes of the carbomedics av prosthesis ...

BACKGROUND Both iatrogenic coronary artery stenosis early after aortic valve replacement and pseudonormalization of inverted T-waves in acute ischemia are rare but well-recognized findings which coincide in this case. CASE PRESENTATION 10 weeks after aortic valve replacement, a 58-year-old male patient was readmitted with recent onset of unstable angina pectoris. Electrocardiography showed in...

We report the case of a 51-year-old woman, treated with radiotherapy at the age of two years, for a pulmonary sarcoma. Subsequently she developed severe aortic stenosis and bilateral ostial coronary artery disease, symptomatic for dyspnea (NYHA III functional class). Due to the prohibitive surgical risk, she underwent successful stenting in the right coronary artery and left main ostia with dru...

a ruptured sinus of valsalva aneurysm rarely accompanies the aortic and tricuspid valve endocarditis. a 36-year-old woman presented with low-threshold dyspnea on exertion and fever. transthoracic and transesophageal echocardiography showed a ruptured noncoronary sinus of valsalva aneurysm with large vegetations on the tricuspid and aortic valves, resulting in moderately severe tricuspid regurgi...

Transcatheter therapy for valvular heart disease (VHD) as an alternative for surgery, as the standard of care, has emerged rapidly over the last 10 years. Since the first transcatheter heart valve (THV) implantation in pulmonary position, in 2000, and in aortic position, in 2002, an enormous number of high-risk patients have undergone percutaneous aortic valve implantation and a wide variety of...

We report the case of a 16-year-old pregnant patient with severe aortic stenosis and pulmonary congestion clinically uncontrolled, in whom percutaneous balloon aortic valvuloplasty was used as the first choice of treatment in an emergency procedure. The clinical findings, pathophysiology, diagnostic features, and indications for percutaneous treatment are reported. Severe congenital aortic sten...

The occurrence of aorto-right ventricular fistula after an aortic valve replacement is rare. If it remains untreated, this condition can result in heart failure and could thus significantly compromise patient survival. Surgical closure is the treatment of choice; however, transcatheter closure has been attempted with relatively acceptable results. Here, we report on a patient who presented with...