Critical pulmonary valve stenosis (CPVS) and atrial septal defect (ASD) is an uncommon form of congenital heart disease. Concurrent transcatheter pulmonary valvuplasty and closure of secundum atrial septal defect appears to be an interesting alternative to surgical correction. We present the simultaneous balloon valvuloplasty of critical pulmonary stenosis (PS) with supra systemic right ventric...

Four cases are presented to illustrate the echo patterns of pulmonary valve motion in patients with pulmonary regurgitation caused by pulmonary hypertension, idiopathic dilatation of the pulmonary artery, or congenital absence of the pulmonary valve or in association with pulmonary stenosis. Absence of the pulmonary 'a' wave, fluttering of the e-f slope, and midsystolic closure or 'notching' of...

OBSTRUCTION of a stenotic pulmonary valve by the exploring cardiac catheter, a serious and not infrequent complication of cardiac catheterization, has received little attention in the literature.1-4 Experiences in this laboratory indicate that pulmonary valve obstruction can occur both in a manifest, symptomatic form and in a concealed, asymptomatic form in patients with severe pulmonary stenos...

Partial muscular inter-ventricular septal defect (VSD) or Pacman heart is a rare congenital or occasionally acquired anomaly. Concurrent Pacman heart and Shone's complex are extremely rare and have never been reported until now. We described a 37-year-old male patient with congenital Pacman heart, flail mitral valve (FMV), and a history of multiple congenital anomalies, including subvalvular ao...

The aims of this study were to reveal the prevalence of complications associated with PBV over a long-term follow-up, and to investigate the factors related to those complications, especially pulmonary restenosis. Forty dogs who underwent PBV were retrospectively reviewed. Long-term follow-up was available in 22 dogs. Exacerbation of PI and TR after PBV was observed in some dogs; however, right...

LEOPARD multiple congenital anomaly syndrome inherited in an autosomal dominant manner. LEOPARD is an acronym for Lentigines, Eletrocardiographic conduction defects, Ocular hypertelorism, Pulmonary valve stenosis, Abnormalities of the genitalia, Retardation of growth, and Deafness. Clinical diagnosis is primarily based on multiple lentigines, typical facial features, and the presence of hypertr...

We report the case of a 16-year-old pregnant patient with severe aortic stenosis and pulmonary congestion clinically uncontrolled, in whom percutaneous balloon aortic valvuloplasty was used as the first choice of treatment in an emergency procedure. The clinical findings, pathophysiology, diagnostic features, and indications for percutaneous treatment are reported. Severe congenital aortic sten...

The clinical course of 38 patients with congenital mitral stenosis (MS) is reviewed. Associated cardiac defects were present in 28 patients, including tetralogy of Fallot in five. In all but one of the eight patients with supravalvar mitral ring (SVR), there were concomitant abnormalities of the mitral valve. Delay in the diagnosis of MS was common. Serial cardiac catheterizations and pulmonary...

Coronary artery anomalies include the anomalies of origin, termination, and structure or course. Coronary artery fistulas (CAFs) are classified as the anomalies of termination and are considered a major congenital anomaly and are in the subgroup of acyanotic heart disease.1 • Atrial septal defect • Ventricular septal defect • Patent ductus arteriosus • Aortic stenosis • Pulmonary stenosis • Par...