a 45- year old man with a history of aortic valve replacement presented with acute chest pain which was diagnosed to be anterior wall myocardial infarction. he received thrombolytic therapy with streptokinase. echocardiography and fluoroscopy showed normally functioning ball and cage aortic prosthesis. coronary arteriography showed globular filling defect in midportion of left anterior descendi...

Unicuspid aortic valve was first described more than half a century ago (Edwards, 1958). Although reported infrequently, the natural history of unicuspid aortic valve is poorly understood. Developmental abnormalities of aortic valve cusps in decreasing order of frequency include bicuspid (0.9%-1.3%), unicuspid (0.02%), quadricuspid (0.008%0.043%), and pentacupsid aortic valves (Cemri, 2000). De...

Objective: To evaluate the results of two operations, aortic valve-sparing and aortic root replacement, in patients with aortic root aneurysm and the Marfan syndrome. Methods: A retrospective review of 78 consecutive patients with aortic root aneurysm and the Marfan syndrome according to the Gent criteria indicated that 42 patients with normal aortic cusps had an aortic valve-sparing operation,...

Forteza et al from the Hospital Universitario 12 de Octubre described in this issue of the Revista Española de Cardiología their initial experience with aortic valve sparing operations for aortic root aneurysm in 18 patients with Marfan syndrome. The authors indicated that they have done 40 such operations for aortic root aneurysm. The early results reported are excellent and I commend them for...

OBJECTIVES: The effect of performing aortic valve repair in combination with valve-sparing operation on the length of time for which patients are free from reoperation is unclear. The objective of this study was to determine if the performance of aortic valve repair during valve-sparing operation modified the freedom from reoperation time. METHODS: From January 2003 to July 2014, 78 patients ...

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...

background: discrete subaortic stenosis (dss) is a progressive condition. controversy still rumbles on as to whether the subaortic membrane causes aortic regurgitation (ar) and whether membrane resection reduces ar severity. we investigated the association between the left ventricular outflow tract peak gradient (lvot-pg) and ar severity preoperatively and changes in ar severity and obstruction...

Aortic valve rupture, secondary to aortic valve endocarditis, was diagnosed echocardiographically and closely followed preoperatively. The ruptured left coronary cusp of the aortic valve was seen as dense irregular echoes, located anteriorly during ventricular diastole, and protruding into the left ventricular outflow tract in an otherwise normally appearing aortic valve. These echocardiographi...

AIMS To investigate the contemporary clinical course of aortic valve disease types. METHODS AND RESULTS We performed a retrospective population-level epidemiological study of hospitalized care in Scotland from 1 January 1997 to 31 December 2005 using electronic case identification of hospital admissions and deaths. Time-to-event analyses were performed using Cox Proportional-Hazards models. A...

OBJECTIVES To investigate the effects of transvalvar flow rate on aortic valve resistance and valve area after percutaneous transvenous balloon dilatation of the mitral valve in a homogeneous group of patients with rheumatic heart disease. DESIGN Retrospective analysis of 12 patients with combined aortic and mitral stenosis who had undergone balloon dilatation of the mitral valve over a perio...