BACKGROUND To determine the incidence and prognosis of left ventricular dilatation and systolic dysfunction in 139 patients with hypertrophic cardiomyopathy during long term follow up. METHODS Left ventricular chamber dilatation and systolic dysfunction (both together referred to as left ventricular chamber dilatation) were determined echocardiographically. Chamber dilatation was defined as a...

BACKGROUND Balloon dilatation of the pulmonary valve remains controversial as a palliative procedure in tetralogy of Fallot. AIMS To determine the clinical outcome, growth of the pulmonary vascular tree and findings at surgery of balloon dilatation of the pulmonary valve performed as a palliation in infants with tetralogy of Fallot. METHODS AND RESULTS Thirty-three severely cyanosed infants...

OBJECTIVE Systemic emboli related to atrial thrombi are a well known complication of percutaneous balloon dilatation of the mitral valve. The presence of left atrial thrombi therefore, is believed to be a contraindication to balloon dilatation. The purpose of this study was to determine the frequency of left atrial thrombi in patients referred for balloon dilatation of the mitral valve, the add...

HYPOTHESIS Resection of the gallbladder together with the dilated bile duct is the preferred treatment for pancreaticobiliary maljunction (PBM) with bile duct dilatation, whereas this treatment for PBM without bile duct dilatation is still controversial. DESIGN Retrospective study of 196 patients from January 1979 to November 2004. SETTING Two university hospitals. PATIENTS One hundred ni...

The notion of a dilatation structure stemmed out from my efforts to understand basic results in sub-Riemannian geometry, especially the last section of the paper by Belläıche [2] and the intrinsic point of view of Gromov [5]. In these papers, as in other articles devoted to sub-Riemannian geometry, fundamental results admiting an intrinsic formulation were proved using differential geometry too...

Although dilated coronary arteries are uncommon in children, three cases are presented which, even more unusually, were not associated with Kawasaki's disease

Haemorrhoids are one of the commonest ailments that afflict mankind. It is difficult to find out the true incidence. Undoubtedly many people suffer from haemorrhoids and many more have some degree of the condition without symptoms. It is common to find haemorrhoids in symptomless patients and Buie (1960) reports an incidence of 52 per cent in a large series of unselected patients examined by pr...

opting out would negate much of the enterprise. The public must be told repeatedly about the likely consequences of the proposals, and the BMA council has launched this exercise. And negotiation must take place-and on equal terms, with flexibility and without the duress of a short timetable which owes more to political expediency than to the issues at stake. In the negotiations the BMA and the ...

A case of intrapericardial aneurysmal dilatation of the left atrial appendage occurring in a young woman is described. The patient presented with recurrent arrhythmia, which on one occasion was documented to be a supraventricular tachyeardia. Routine chest x-ray revealed an abnormal configuration of the left heart border. A precordial scan with 1311-labeled albumin provided evidence that the ma...

Acute massive gastric dilatation is a rare event and though it can occur in a multitude of medical conditions, its pathogenesis is still debated. It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. We present the case of a 22 year-old male patient of normal weight with acute massive gastric dilatation due to a binge eating epi...