IN 21 INFANTS, each with symptomatic congenital aortic stenosis and left ventricular cavity of nearly normal size studied clinically,' evidence for mitral insuffiiegncy was frequently encountered. In five of the patients left ventriculography was done and, in each, mitral insufficiency was demonstrated. This background of experience led us to study, in particular, the mitral valve in specimens ...

Debate continues regarding the long-term clinical and hemodynamic benefit of homograft replacement of the diseased mitral valve. The results of valve replacement with mitral homografts in the 120 patients who have had operation at the Stanford Medical Center from May 1967 to November 1970 are given. The operative mortality rate has been 5% and the late mortality rate 6%. Anticoagulants were sto...

prolapsed mitral valve syndrome is a common, benign disorder with prevalence of %0.3-6 in population. this syndrome also is known as barlows syndrome and flaapy mitral valve syndrome. prolapsed mitral valve is the dropping of one or two mitral valve leaflet(s) into the left atrium during ventricular systole. this malformation leads to incomplete closing of mitral valve and regurgitates the bloo...

I thank Alpat and Yilmaz [1] for their interest in my article published in the journal. It is my pleasure to respond. In our hypertrophic obstructive cardiomyopathy (HOCM) group with severe hypertrophy and obstruction of the right ventricular outflow tract (RVOT), we had no cases with severe mitral incompetence [2]. A systolic anterior movement of the mitral valve (SAM) after surgery was noted ...

The valvular disease usually involves two conditions: valvular stenosis and valvular insufficiency. Valvular stenosis occurs when a valve opening is smaller than normal due to stiff or fused leaflets. The narrowed opening may make the heart work very hard to pump blood through it. This can lead to heart failure. All four valves can be stenotic (hardened, restricting blood flow); the conditions ...

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...

In the aortic stenosis group, the left ventricular (LV) muscle mass index was a good parameter for predicting the prognosis. Associated mitral valve disease had no influence on long term survival after aortic valve replacement. In the aortic insufficiency group, associated mitral valve disease had a marked influence on the results of aortic valve replacement. In general, the aortic insufficienc...

OBJECTIVE To analyze the short-term and mid-term follow-ups of patients with heart failure and moderate to severe mitral valve insufficiency and who have undergone mitral valve replacement with crossed papillopexy and annular constriction. METHODS Thirteen patients in NYHA functional class III or IV, with a mean age of 54.1 years and with idiopathic etiology, underwent mitral valve replacemen...

A total of 14 cases of infective endocarditis (IE) in children aged 6 months to 10 years were seen from December 1987 to December 1992 at the pediatric unit of Ayatollah Taleghani Medical Center. The majority of patients (12 of 14) were between 5 and 10 years of age. Acyanotic congenital heart disease was known to preexist in 78.6% and rheumatic valvular heart disease in 21.4% of cases. Or...