A case of Ebstein's malformation of the tricuspid valve with persistent foramen secundum and right bundle-branch block is presented. Preoperative tracings revealed three distinct components of the first sound with normal intervals between them. After resection of a single floating tricuspid leaflet, closure of the septal defect, and insertion of a Starr-Edwards valve, the phonocardiogram again ...

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly seen in 0.26% of all congenital heart defects. From 1978 to the present, we have encountered 11 such cases in patients ranging from 3 months to 60 years of age. A variety of procedures have been performed, such as ligation of the anomalous left coronary artery (n = 1), saphenous vein byp...

Table 1 Reported cases of well functioning mechanical valve without anticoagulation Reference Mean age n Type of Position Mean follow-up Treatment with Peak (years) valve (n) of valve period without anticoagulation gradient anticoagulation (months) across (years) valve thrombotic prophylaxis are from non-randomized case series without controls w2x. Uncomplicated functioning without anticoagulat...

Fifty-three patients were studied with combined echo-phonocardiography or phonocardiography alone following prosthetic valve replacement. In sixteen of these patients, clinical deterioration developed, and all subsequently underwent cardiac catheterization and/or surgery. Two patients came to autopsy. Included in this group of sixteen patients were five with obstructed prosthesis, six with para...

SINCE the introduction of artificial heart valves, investigators have been continuously modifying them, endeavoring to eliminate complications associated with their use. -3 The Starr-Edwards ball-valve prosthesis was the first to be widely accepted; however, problems due to its weight, cage size, and resistance to blood flow have stimulated the search for a better prosthetic device. In spite of...

Color-flow Doppler transesophageal echocardiography during valve-in-valve TAVR illustrates the placement of a 23 mm Edwards Sapien 3 valve carefully positioned within a displaced 23 mm Edwards Sapien XT valve.

was suspected because of phonocardiographic abnormalities. A prolonged interval from aortic closure to opening of the mitral ball suggested an impediment to movement of the ball. This was confirmed by catheterization and cinefluorography. At autopsy the impaired ball movement was found to be due to thrombus buildup on the outflow face of the mitral valve orifice. It is suggested that frequent p...

A Swr-Edwards Silsstic hd-valve prosthesis was inserted in 100 seriously d l M e d patients with isolated aortic (55 case) or m i l d (45 caws) valve dbease. The follow-up study for periods of Urree years or more resulted in the following points. The o v e d mortslity rate reached 35 percent in both groups. but the operative risks were t h m times lea in the mrtic thno in the m i i d group. Thr...