repair of the mitral valve is the treatment of choice for mitral valve regurgitation when the anatomy is favorable. it is well known that mitral valve repair enjoys better clinical and functional results than any other type of valve substitute. this fact is beyond doubt regardless of the etiology of the valve lesion and is of particular importance in degenerative diseases. this review analyzes ...

FIGURE 1. M-mode scan from aorta (Ao) to apex of left ventricle (LV) performed with uniform speed of transducer. Note length of narrowed left ventricular outflow tract (OT). IVS, interventricular septum; c, cusps of aortic valve; F, fluttering of mitral valve; LA, left atrium; aML and pML, anterior and posterior leaflets of mitral valve; IVS, interventricular septum; ppm, posteromedial papillar...

The results of investigation in 5 children with congenital deformities of the mitral valve region characteristic of the 'parachute mitral valve complex' were reviewed. Three patients had parachute mitral valve, i had supravalvar mitral ring, and i had both these lesions. Associated anomalies included ventricular septal defect, double outlet right ventricle, subaortic stenosis, bicuspid aortic v...

17. Shone JD, Sellers RD, Anderson RC, Adams P Jr, Lillihei CW, Edwards JE: The developmental complex of "parachute mitral valve," supravalvar ring of the left atrium, subaortic stenosis and coarctation of the aorta. Am J Cardiol 11: 714, 1963 18. Ellison RC, Restieaux NJ: Vectorcardiography in Congenital Heart Disease. Philadelphia, W.B. Saunders Co, 1972, p 196 19. Heath D, Edwards JE: The pa...

  Background: Embolus is one of the causes of ischemic stroke that can be due to cardiac sources such as valvular heart diseases and atrial fibrillation and atheroma of the aorta. Transesophageal echocardiography (TEE) is superior in identifying potential cardiac sources of emboli. Due to insufficient data on TEE findings in ischemic stroke in Iran, the present study was done to evaluate TEE in...

Congenital quadricuspid aortic valve is a rare cardiac anomaly. More than half of the patients with this abnormality will develop aortic insufficiency in adulthood. It is vital that patients with quadricuspid aortic valve who present with progressive aortic regurgitation undergo valve replacement or repair at appropriate time. Here, we present two cases of quadricuspid aortic valve. We first de...

While prosthetic valves are acceptable in the subcoronary position, their use for mitral or tricuspid replacement is less satisfactory. Introduced by Ross in I962, aortic homografts for aortic valve replacement have found a definite place in the modem surgical armamentarium and have paved the way towards heart valve grafting. Naturally, for an improved mitral valve substitute, attention was dir...

Currarino-Silverman syndrome is a rare disorder characterized by premature fusion of manubrio-sternal joint and the sternal segments, resulting in a high carinate chest deformity; it is frequently associated with congenital heart disease. Among the various heart lesions reported in this syndrome, mitral valve disease and coarctation of the aorta have not yet been described (to our knowledge). O...

Simultaneous records of wedged pulmonary capillary pressure and left atrial pressure have been made in I2 patients. The pressure changes in the left atrium preceded those in the pulmonary capillary bed by o-o6 to O0I4 sec. This delay, together with the damping of the wedged pulmonary capillary pressure, may result in a false appearance of an end-diastolic gradient between the left atrium and th...

We report the case of a patient with mitral regurgitation complicated by type B dissection and Marfan syndrome (MFS) who was managed successfully with minimally invasive mitral valve repair. Without type A aortic dissection or aortic root dilation, MFS patients may develop mitral valve regurgitation, as in this case, and need valve surgery to improve their symptoms and long-term survival. Howev...