A 43-year-old woman presented with shortness of breath. She developed dyspnea on exertion 6 months prior to presentation, with resting shortness of breath for 2 months. Dyspnea was worse in the upright position. She recently noted that her lips were turning blue in color. Her past medical history was significant for intravenous drug abuse, hepatitis C, and tricuspid valve (TV) endocarditis 3 ye...

Embolic occlusion of the peripheral vessels is common in bacterial endocarditis, especially during the terminal stages, but occlusion of the coronary artery in this disease is unusual at any time. Virchow (1856) described coronary embolism in a case of recent endocarditis. Saphir (1933) surveying earlier reports of coronary embolism from all causes, found 35 cases reported since Virchow's origi...

Lutembacher's syndrome is a rare combination of atrial septal defect (ASD) and rheumatic mitral stenosis. Traditionally, this condition is treated surgically. We present a case of Lutembacher's syndrome that was successfully treated with percutaneous transcatheter mitral commissurotomy (PTMC) using the Inoue balloon. Closure of ASD was successfully achieved with an Amplatzer atrial septal occlu...

Pre- and post-operative vectorcardiograms (Frank system) and angiocardiograms in a patient with Lutembacher's syndrome, were correlated. Preoperative vectorcariogram showed the initial conduction delay, complete RBBB, increased QRS voltage, and open QRS loop, while left ventriculography and left atriography demonstrated the markedly posteriorly dislocated left ventricular major axis surrounded ...

Atrial septal defect is one of the common types of congenital heart disease. Although recognized for centuries and receiving increasing attention since 1900, it was the detailed description by Bedford, Papp, and Parkinson in 1941, of the physical, electrocardiographic, radiological, and diagnostic features, the complications, and the clinical course, that brought the salient characteristics of ...

THE association of mitral stenosis with atrial septal defect (Lutembacher's syndrome 1) is well known but, when strict criteria of definition are applied, it is rare. For example, six, one, and no cases, respectively, were found in series of 2,000,` 500,4 and 400) patients undergoing commissurotomy for mi-tral stenosis, and only two cases exist in the pathologic files of the Mayo Clinic." Green...

PARTIAL anomalous pulmoniary venous drainage wvith ani intact iinteratrial septLm associated with mitral stenosis represents an uncommon but interesting hemodynamic problem. There have been 12 such cases published in the literature, 1(0 of which three were diagnosed at autopsy.' 2 The initial clinical diagnosis has usuially been that of Lutembacher's syndrome.4 7, The present case is reported b...

Thirty cases of atrial septal defect proved by cardiac catheterization, surgery, or post-morten examination have been investigated with the technic of intracardiac phonocar-diography, which provided precise localization of the source of heart sounds and murmurs. The site and mechanism of origin of the many auscultatory signs in uncomplicated atrial septal defect and in cases of Lutembacher's sy...