Left atrial dissection does occur, though rarely, after mitral valve surgery. A 68-year-old Korean female presented with moderate mitral stenosis, mild mitral regurgitation, moderate tricuspid regurgitation and mild aortic regurgitation. She was scheduled for mitral valve replacement and tricuspid annuloplasty. We experienced a left atrial dissection after weaning from cardiopulmonary bypass an...

pure or predominant mitral stenosis before and 34 to 40 months after valvotomy. The patients were divided into 3 groups: pure mitral stenosis without increased pulmonary vascular resistance (group I, n =33), pure mitral stenosis with abnormal increase of pulmonary vascular resistance (group II, n= I2), and predominant mitral stenosis with mild insufficiency (group III, n= 9; all patients underg...

Diagnostic and therapeutic problems commonly arise in patients with rheumatic heart disease despite the use of all available clinical data, including electrocardiographic and roentgenographic studies. The deficiencies of the conventional aids have become more apparent with attempts to define the physiological significance of mitral valve lesions. Since its introduction by Cournand and associate...

the most common rheumatic valvular lesion encountered in pregnant patients is mitral stenosis. the clinical presentation of mitral stenosis in pregnancy is further complicated by the physiological increases in cardiac output and blood volume occurring during pregnancy that make the pregnant patient with this valvular disease more susceptible to decompensation. We report a case of a 35-year-old ...

Carrying out a mitral valve replacement (MVR) while preserving all chordae tendineae in patients with mitral regurgitation has been proven beneficial to the left ventricular performance. To evaluate the effectiveness of this technique in patients with mitral stenosis, a comparison of the echocardiographic data between patients who were operated on using this technique (Group Preservation = Grou...

The authors report a case of double-orifice mitral valve (DOMV) which showed mitral stenosis and mild insufficiency. An associated anomaly was secundum atrial septal defect. DOMV is an unusual congenital heart defect. The occurrence of this anomaly with or without secundum atrial septal defect is very rare. More often it is associated with other congenital malformations arising from atrioventri...

A 50-year-old adult female was admitted to our outpatient clinic with a complaint of dyspnea on effort. Cardiac examination revealed a diastolic murmur best heard at the apex, but was otherwise unremarkable. Transthoracic echocardiography demonstrated a mobile, spherical, hyperechoic, homogeneous mass attached to the posterior mitral leaflet which was causing significant mitral stenosis. 2-dime...

Three patients with mitral stenosis are described, in whom the haemodynamic findings at cardiac catheterisation were more suggestive of left ventricular myocardial disease, in that the left ventricular diastolic pressure was high and the mitral valve gradient small. However, their echocardiograms showed abnormal wall movement during diastole characteristic of severe inflow obstruction, with slo...

Abbreviations: ACC/AHA, American College of Cardiology/American Heart Association; AF, atrial fibrillation; ANP, Atrial Natriuretic Peptide; AS, aortic stenosis; BNP, Brain Natriuretic Peptide; EF, ejection fraction; ESC, European Society of Cardiology; LA, left atrium; MR, mitral regurgitation; MS, mitral stenosis; MVA, mitral valve area; NT-Pro-BNP, N terminal-pro brain natriuretic peptide; P...

BACKGROUND Infective endocarditis rarely causes mitral valve stenosis. When present, it has the potential to cause severe hemodynamic decompensation and death. There are only 15 reported cases in the literature of mitral prosthetic valve bacterial endocarditis causing stenosis by obstruction. This case is even more unusual due to the mechanism by which functional mitral stenosis occurred. CAS...