Five patients with Marfan’s syndrome and heart failure, their ages ranging from three to 49 years, were operated upon between September, 1966 and October, 1967. In four, aneurysm of the ascending aorta with aortic regurgitation, and in one severe mitral regurgitation were present. In three patients the aneurysmatic part of the ascending aorta was excised and replaced by a Dacron graft and the a...

© 2017 Annals of Cardiac Anaesthesia | Published by Wolters Kluwer Medknow The Editor, A 45‐year‐old female patient presented with the shortness of breath on mild exertion and palpitation for 6 months. Patient’s echocardiographic examination revealed severe mitral stenosis with enlarged left atrium. The patient was also found to have severe tricuspid regurgitation with moderate pulmonary hypert...

introduction: infective endocarditis is well known to produce neurologic complications from septic emboli, which mandates a multidisciplinary approach between neurosurgery and cardiac surgery. however, literature is not clear as to the optimal interval length between neurosurgery and cardiac surgery.presentation of cases: the first case involves a 60-year-old woman with significant past medical...

A 76-year old female, was admitted in our cardiac surgery clinic to perform surgical aortic valve replacement due to a severe aortic regurgitation with symptoms of congestive heart failure. Her past medical history included moderately impaired renal function (GFR 48 mL/min) and arterial hypertension.  The thoracic-CT scan revealed a serious calcification of the entire thoracic aorta (Figure 1)...

Randhawa MS, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-223278 Description This is a 68-year-old man with known type A aortic dissection, post ascending aorta repair and mechanical aortic valve who presented with symptomatic severe mitral regurgitation secondary to a degenerative valve. Due to prohibitive surgical risk, the patient underwent transcatheter mitral clip placement under the gui...

Late failures of fascia lata mitral valves are reported (Ross, 1972) where the aortic-related cusp remains flexible and functional, but the other two cusps are retracted and tend to fuse across their common commissure. These valves consisted of three equal cusps mounted on a rigid frame, and the reduction in valve orifice diameter appears to be small. Ross (I972) suggests that the abnormal flow...

Valve Prolapse To the Editor: I thoroughly enjoyed Hurst’s dissertation on the etiology of a giant left atrium1 and concurred that a giant left atrium seldom results from severe mitral regurgitation due to a nonrheumatic cause such as mitral valve prolapse. Although I would never dare to challenge Dr Hurst on anything he said or wrote, because I consider him not only as the master clinician of ...

T WO UNUSUAL features have prompted us to report the following case of dissecting aneurysm of the aorta. The x-ray shadow of the aneurysm was interpreted as due to a paramediastinal effusion in a patient with known pulmonary tuberculosis. An attempted aspiration led to perforation through the dissection into the lumen of the aorta which resulted in a fatal cardiac tamponade. At necropsy the aor...