mitral valve replacement (mvr) is usually performed in two methods of running and interrupted suturing. in running method, the suturing of the valve is usually with some traction on the annulus and also there is a risk of aortic valve injury. this study was conducted to evaluate a new technique for suturing to avoid these complications and decrease the time of cardiac arrest. one hundred and se...

A 44-year-old woman presented with dyspnea on exertion. Her past medical history included rheumatic heart disease and she had been followed up for rheumatic mitral valve stenosis for the last 4 years. Her symptoms had worsened over the 3 months prior to her presentation. She was evaluated in the emergency department and electrocardiographic examination revealed atrial fibrillation. Sinus rhythm...

Rheumatic tricuspid valve disease (RTVd) remains uncommon. When present, it is almost always associated with rheumatic mitral valve disease (RMVd). Previously reported to occur in 2–22% of patients with RMVd, it appears to be less common today. A reported incidence of RTVd in patients with RMVd was 9.5% (14 of 147) in 1984, from a North American medical center. It now appears to be less common....

Disorders of the Pericardium Pericardial Effusion Pericarditis Acute Pericarditis Chronic Pericarditis With Effusion Constrictive Pericarditis Coronary Heart Disease Coronary Circulation Pathogenesis of Coronary Heart Disease Chronic Ischemic Heart Disease Stable Angina Variant Angina Silent Myocardial Ischemia Acute Coronary Syndromes Unstable Angina/Non–ST-Segment Elevation Myocardial Infarct...

Diagnostic and therapeutic problems commonly arise in patients with rheumatic heart disease despite the use of all available clinical data, including electrocardiographic and roentgenographic studies. The deficiencies of the conventional aids have become more apparent with attempts to define the physiological significance of mitral valve lesions. Since its introduction by Cournand and associate...

BACKGROUND Functional tricuspid regurgitation (TR) occurs in patients with rheumatic mitral valve disease even after mitral valve surgery. The aim of this study was to analyze surgical results of TR after previous successful mitral valve surgery. METHODS From September 1996 to September 2008, 45 patients with TR after previous mitral valve replacement underwent second operation for TR. In tho...