Ruptured sinus of Valsalva is a rare lesion in pediatric age group. We are reporting a twelve year old child with hyperdynamic circulation being diagnosed and treated as Rheumatic heart disease.

The pericardial sac of the newborn infant is frequently found at necropsy to contain a small quantity of thin, serous fluid, usually greenish; in the full-term infant this may amount to as much as 3 or 4 ml. When, in an attempt at resuscitation, an intracardiac injection has been made shortly before death, this pericardial effusion may be tinged with a variable amount of blood, and the site of ...

OBJECTIVES We analyzed the possible relation between the presence of a hospital admission delay (> or =24 h), undue physical effort or recurrence of anginal pain, alone or in combination, with the development of free wall rupture (FWR), septal rupture (SR) or papillary muscle rupture (PMR) in patients with an acute myocardial infarction (AMI). BACKGROUND Physical activity as a trigger of FWR ...

T he debate about the advantages of fibrinolytic therapy or primary percutaneous coronary angioplasty (PCI) as a superior reperfusion strategy for ST-elevation myocardial infarction (STEMI) has continued for 30 years. In the first decade, primary PCI was limited by first-generation equipment, inadequate radiographic imaging systems, suboptimal adjunctive antithrombotic therapy, and delays in ti...

Aneurysm of the sinus of Valsalva is a rare cardiac abnormality. Unruptured sinus of Valsalva aneurysm is usually asymptomatic, however, a ruptured aneurysm typically leads to an aortocardiac shunt and progressively worsening heart failure. We report a case of a 17-year-old male who suffered an aneurysm of the sinus of Valsalva rupture into the right atrium who manifested sudden dyspnea and acu...

t one time, patients with acute myocardial infarction (AMI) would have has as poor a prognosis as fatal arrhythmia, cardiac rupture or left ventricular dysfunction. In modern countries, mortality after AMI has been greatly decreased by developments in coronary revascularization, antiarrhythmic agents and the treatment of hypertension and congestive heart failure using angiotensin-converting enz...