Retroperitoneal fibrosis is best described as a chronic inflammatory process which may be idiopathic, but can rarely be brought about by medications, such as pergolide, used for treating Parkinson's disease. Pergolide can produce a fibrotic process in heart valves, resulting in valve insufficiency in up to 25% of cases. Herein we describe the case of a 68-year-old man who received pergolide for...

A rare case of an infant with "double inlet right ventricle" (straddling mitral valve) and double outlet right ventricle is described. Coarctation of the aorta was associated. A left-to-right shun*t resulted from part of the mitral valve opening into the right ventricle and also from the presence of a ventricular septal defect. The infant's clinical features reflected the shunt, although the va...

Shone's complex is a rare congenital heart disease consisting of multiple levels of left sided obstructive lesions including supravalvar mitral ring, parachute mitral valve, subaortic stenosis and coarctation of aorta. The present case report describes a case of complete form of Shone's complex that was incidentally detected in an adult.

Background: Primary intra cardiac tumors are rare. In this article, we present papillary fibroelastoma of mitral valve chordae. Case Presentation: A 35-year old man presented with atypical chest pain and palpitation. Physical examination and electrocardiogram were normal. Transesophageal echocardiography (TEE) revealed a mass of 1015 mm attached to chordae of anteromedial papillary muscle of ...

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 d...

M itral valve repair was first suggested in 1902 by Sir Thomas Brunton (1) as a surgical approach to patients with rheumatic mitral valve disease. However, it was not until after the introduction of the heart-lung machine in 1953 by Gibbons (2) that techniques for the repair of pure mitral valve regurgitation were first introduced by Lillehei et al. (3) in 1957. Because of the development of pr...

The angiographic recognition of mitral-semilunar valve discontinuity is a strong indication of origin of both great vessels from the right ventricle. This study shows that the same finding may be elicited by echocardiography, whether the great vessels are normally related or transposed. When mitral-semilunar valve continuity is present, the mitral valve echo at the onset of systole is continuou...

A young woman with unexplained radiographic calcification of the ascending aorta was found at necropsy to have healed idiopathic aorititis. Calcification also involved the aortic valve which was stenosed and the mitral valve. Death was the result of infective endocarditis of these valves with aortic ring abscess, rupture of aortic root, and cardiac tamponade.

Cardiovascular disease in Marfan's syndrome presenting in childhood affects the mitral valve more often than the aortic valve or the aorta, as in adults. Early evaluation of the cardiovascular system is necessary for any child in whom Marfan's syndrome is suspected.

Echocardiograms were performed in thirty-six patients (aged 4 to 36 years) with proven coarctation of the aorta. Nineteen patients (53%) were found to have marked diastolic eccentricities of their aortic valves (Eccentricity Index greater 1.5), indicating the presence of bicuspid aortic valves. One of these patients also had multilayered aortic root echoes in diastole. Five patients had angiogr...