Simultaneous recordings of reflected ultrasound from the anterior mitral leaflet and left ventricular outflow, the ECG, the phonocardiogram, and a recording of the carotid artery pulse were obtained in six patients with hypertrophic obstructive cardiomyopathy. Abnormal sharp systolic anterior movement (SAM) of the mitral leaflet was observed. This movement began with the onset of ventricular ej...

DOI: 10.5935/abc.20140170 In this study, we report a case of a healthy, 25-year-old male patient with presyncope during a football match divergent blood pressure, and a grade 3/6 aortic diastolic murmur. The echocardiogram showed a rounded structure in the basal area of the interventricular septum adjacent to the aortic valve, which causes inadequate commissural support, communicating with the ...

OBJECTIVES We describe the morphologic variability in pulmonary atresia with intact ventricular septum (PAIVS) within a population-based study. BACKGROUND An uncommon disease, PAIVS shows considerable morphologic heterogeneity. Clinical reports, based mostly on small samples of patients, may not reflect the true spectrum of pathology of this condition. We have studied the entire range of morpho...

Controversy exists whether positive end-expiratory pressure (PEEP) ventilation lowers cardiac output by reducing left ventricular preload, or by a combination of mechanisms. Sixteen open-chest dogs were instrumented for measurement of left and right ventricular pressure, aortic flow, and left ventricular dimensions. With the pericardium intact, PEEP caused the interventricular septum to bulge t...

INTRODUCTION Truncus arteriosus with intact ventricular septum is a rare and unique variant of persistent truncus arteriosus (PTA) which usually presents with central cyanosis and congestive heart failure in neonate and early infancy. Associated cardiac and non-cardiac anomalies may affect morbidity and mortality of these patients. CASE PRESENTATION We describe clinical presentation, echocard...

A 12-year-old boy born with double outlet right ventricle (RV) developed sustained ventricular tachycardia (VT) 6 years after the corrective surgery and underwent electrophysiologic testing and catheter ablation. Electroanatomic mapping of the right and left ventricles during the VT revealed a centrifugal activation from the outflow tract septum. Though an excellent pace map was obtained in the...

The hearts from 31 fetuses aged from 12 to 40 weeks' gestation were dissected after fixation. The right ventricle and the left ventricle plus septum were weighed separately and a ratio was established. The total and separate ventricular weights increase steadily with age and at a similar rate. Throughout fetal life the left ventricle plus septum is larger than the right ventricle, but the right...

In certain instances of left ventricular hypertrophy, deep Q waves observed in the piecordial electrocardiograni miay resemble those of anterior mvocardial infaretion. Such a case is reported in a patient with syphilitic aortic insufficiency. Pathologic examination ruled out the diagnosis of infarction and revealed marked hypertrophy of left ventricular wall and the interventricular septum. The...

The prolate ellipsoid geometry of the left ventricle with normally related great arteries minimizes wall tension and functionally commits the ventricular septum to the systemic ventricle. Ageand pressure-dependent changes in angiographically determined left ventricular volume and mass measurements have been reported in patients with d-transposition of the great arteries and intact interventricu...

Localized ventricular septal hypertrophy, also known as idiopathic hypertrophic subaortic stenosis or idiopathic hypertrophic subaortic septal obstruction (IHSS), can create severe ventricular outflow obstruction. This often results in a high sub-aortic pressure gradient with potentially lethal symptoms. In 1960, Braunwald described the hemodynamic characteristics of IHSS, and thereafter, Morro...