BACKGROUND The mechanism of the late complications after coarctation repair remains unclear, and this common congenital heart disease affects patients and perplexes physicians in terms of prevention and treatment. METHODS From 2004 to 2008, 13 patients (1 adolescent and 12 adults) with repaired or unrepaired coarctation of the aorta were operated on in this department due to valve disorder or...

An 82-year-old man suffering from shortness of breath for more than 10 days, was diagnosed with acute heart failure, New York Heart Association functional class IV. Grade IV systolic murmur at the apex as well as grade II diastolic murmur over the left second intercostal space and engorged jugular veins were noted on presentation. Transthoracic echocardiography showed an incomplete closure of m...

Although aneurysm of the heart is still thought to be a somewhat rare and unusual pathological condition, recent work shows that it occurs not infrequently after coronary occlusion and infarction. Parkinson, Bedford, and Thompson (1938) estimate that it occurs in 9 per cent. of cases of cardiac infarction examined at necropsy. In the absence of coronary disease, aneurysm of the heart appears to...

A 56-year-old female with history of mitral valve replacement and automated implantable cardioverter-defibrillator placement presented with dyspnea on exertion for two years and recurrent ascites. Imaging studies, including transthoracic and transesophageal echocardiograms as well as 64-slice computed tomography (CT) angiogram revealed a large mass encasing the entire heart consistent with lipo...

1 of 2 DESCRIPTION Rupture of mitral-aortic intervalvular fi brosa aneurysm is a rare complication of aortic valve endocarditis. 1 A 43-yearold man presented with persistent fever and progressive dyspnoea of 3 months duration. On admission, he was in fl orid pulmonary oedema and clinical examination showed fi ndings of severe aortic regurgitation. His electrocardiogram revealed complete heart b...

A 26 year old man who presented with the first signs of right heart failure was found to have a large congenital aneurysm of the aortic sinus of Valsalva and of the left coronary sinus. These were combined with left heart anomalies in the form of a bicuspid aortic valve, a rare variant of a persistent left superior vena cava with blood flow from the left atrium through the brachiocephalic vein ...

Our objective was to investigate different cardiopulmonary bypass (CPB) techniques for thoracic aortic aneurysm retrospectively. Four hundred and eighty-eight patients with thoracic aortic aneurysm received surgical treatment. Total CPB was used routinely in 331 cases with ascending aortic aneurysm. When the aneurysm expanded to the aortic arch, brain protection was executed by adopting deep hy...

The aim of this study was to evaluate the role of echocardiography in the diagnosis of sinus of Valsalva aneurysms projecting toward the right heart cavities. Three patients who had a ruptured aneurysm of a sinus of Valsalva diagnosed by echocardiography and confirmed by catheterization underwent cardiac surgery. In two patients, the aneurysm originated from the right coronary sinus and had per...

A 52-year-old Japanese man who had suffered from Behçet's disease since the age of 45 years was admitted to hospital for evaluation of syncope and heart murmur. Echocardiography and aortography revealed severe aortic regurgitation and cystic masses under the right coronary cusp and the left ventricular outflow tract, but no shunt jet. He was diagnosed with unruptured aneurysm of the sinus of Va...