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Baldwin R T - - 1991
We describe 2 patients who experienced right-to-left shunting during support with a left ventricular assist device as a result of patent foramen ovale. In the first patient, the patent foramen ovale was not found until autopsy. In the second patient, fluctuations in continuous mixed venous oxygen saturations caused us to ...
Hagar J M - - 1991
BACKGROUND AND METHODS: Chagas' heart disease is believed to be rare in the United States, although many persons from countries where the disease is endemic reside here. We performed a retrospective case review and prospective follow-up of 25 patients with Chagas' heart disease and no obstructive coronary artery disease on ...
Zisbrod Z - - 1991
Aneurysms of the left ventricle may be congenital or may occur after a myocardial infarction, trauma, or endocarditis. Infective endocarditis can cause destructive injury to the heart in various ways. This report describes the formation of an aneurysm of the left ventricle from trauma of a bacterial vegetation of the ...
Swinton N W NW - - 1991
Modern surgical techniques permit repair of abdominal aortic aneurysms and prevent eventual rupture, with a mortality rate of only a few percent. Coronary heart disease is the chief cause of death, depriving the patient of an assumed improved life expectancy after successful operation for aneurysm. Therefore, aggressive preoperative cardiac evaluation, ...
Yuki K - - 1991
A patient with subarachnoid hemorrhage was found to have electrocardiographic abnormalities resembling an acute myocardial infarction as well as left ventriculographic findings of cardiac dysfunction. These cardiac abnormalities resolved following surgical clipping of the aneurysm and the patient recovered well from the operation. She died 2 months later from cancer ...
Vijayanagar R - - 1991
Formation of a left ventricular aneurysm and intraventricular thrombus represents one of the dreaded sequelae of coronary artery disease and acute myocardial infarction. The present emphasis is to reduce the incidence by reduction of cholesterol and fats, elimination of smoking, improved detection and control of hypertension and diabetes mellitus. Earlier ...
Weston M W - - 1991
At times, visualization of a ventricular pseudoaneurysm by two-dimensional echocardiography can be difficult. This case report describes the unique diagnostic potential of color flow echocardiography in the diagnosis of an unknown extra cardiac echo-free space, a left ventricular pseudoaneurysm. Using color Doppler echocardiography flow can be seen communicating between the ...
Vitiello R - - 1991
Catheter occlusion of the persistent ductus arteriosus recently became clinically available with a Rashkind (USCI Bellerica, Massachusetts, USA) umbrella occluder system. A few patients, however, had residual left to right shunting after the procedure. The impact of soaking the foam of the device in a thrombin solution to enhance clotting ...
Chazov E - - 1991
A case of a patient presenting a giant size mass compressing the SVC and IVC is presented. Chest X-ray, substernal echo-scanning, magnetic resonance tomography, etc. led to the hypothesis of a benign cardiac tumor or cardiac echinococcosis. However, surgical examination revealed a giant aneurysm of the coronary artery which was ...
Iwasaki K - - 1991
We report on the disappearance of a left ventricular aneurysm after myocardial infarction in three cases. Coronary blood flow was restored by spontaneous recanalization in two cases and by angioplasty in one case. When the aneurysm was observed, the findings in these cases were (1) no or limited abnormal Q ...
Thompson R C RC Division of Cardiovascular Diseases, Mayo Clinic Jacksonville, FL - - 1991
Cardiac tamponade can manifest as profound hypoxemia from intracardiac shunting across a patent foramen ovale. As a consequence, pulmonary embolus can be erroneously diagnosed. As demonstrated in the case described herein, transesophageal echocardiography can be useful in determining the correct diagnosis, especially if transthoracic echocardiography is technically limited. In our ...
Shen W K - - 1991
Communication between the left ventricle and right atrium has a reported prevalence of less than 1%. Acquired left ventricular--right atrial shunt is caused by chest trauma or valvular surgery. A case of acquired left ventricular--right atrial shunt after aortic valve surgery is reported. The detection was possible by use of ...
Lee C C - - 1991
Three female patients of two generations in one family each had patent ductus arteriosus (PDA) that was proved by echocardiography and cardiac catheterization. Two of them received surgical ligation of the PDA because of large left to right shunt (Qp/Qs of 3.8 and 2.7, respectively), while the third patient with ...
al-Harthi S S - - 1991
In order to define the clinical features, clinical patterns and significance of aneurysmal dilatation of the coronary arteries, five cases are presented which were diagnosed by coronary angiography. Three cases presented with left ventricular dysfunction secondary to coronary arterial occlusive disease and the fourth patient presented with thromboembolic cerebrovascular disease. ...
Konstadt S N - - 1991
This study reports the intraoperative use of contrast and Doppler echocardiography techniques to diagnose patent foramen ovale (PFO). Fifty patients without known atrial septal defects undergoing elective cardiovascular surgery were studied. A 5-MHz esophageal echocardiographic probe was used to image the fossa ovalis (FO) and 10 ml agitated saline was ...
Kato H - - 1991
The main cause of death in Kawasaki disease is myocardial infarction due to thrombotic occlusion of a coronary aneurysm. Intracoronary thrombolytic treatment was performed in 15 patients with Kawasaki disease with giant coronary aneurysms. Three patients had acute myocardial infarction, four demonstrated silent myocardial infarction, three suffered chest pain and ...
Sinyov A F - - 1991
Specific features of surgical anatomy of the atrioventricular conduction system (AVCS) in true and false aneurysms of the membranous part of the ventricular septum were studied on 126 heart specimens. The authors succeeded in localisation and dissection of the CS with the aid of an original method of anatomical microdissection ...
Decker R E - - 1991
Two cases of neurological deterioration and coma after the transsphenoidal decompression of a pituitary adenoma with marked suprasellar extension and invasion of the 3rd ventricle are presented. Emergency ventricular shunting led to prompt neurological improvement, which, supplemented by radiation therapy, allowed long-term amelioration of symptoms. Three possible explanations for this ...
Antonelli Incalzi R - - 1991
The prognostic implication of a right ventricular aneurysm after a first acute myocardial infarction (AMI) was assessed on a series of 137 AMI patients 12 of whom had a right ventricular aneurysm detected at radionuclide angiocardiography. The follow-up lasted 36 months. Mortality was 50 and 18.4% in patients with and ...
Benediktsson R - - 1991
In order to evaluate the morbidity and mortality of chronic left ventricular aneurysm a population based cohort study was carried out. All cardiac catheterizations performed in Iceland during the years 1983-1985 were examined (n = 1261). Sixty seven patients with left ventricular aneurysm defined as: (1) normal diastolic contour with ...
Wilansky S - - 1991
The value of echocardiography as a tool for evaluating the prognosis of patients after myocardial infarction lies in its ability to define the region and extent of ischemic damage. Additionally, echocardiography is useful in assessing and predicting postinfarction complications. Wall motion abnormalities, pericardial effusion, left ventricular thrombi, and left ventricular ...
Kahn J - - 1991
The purpose of this paper is to review the spectrum of pathology revealed by cardiac magnetic resonance (MR) in the evaluation of myocardial infarction. In addition, the paper is intended to provide a concise introduction to the capabilities and limitations of MR in the evaluation of myocardial infarction and its ...
Nozaki E - - 1991
It has been reported that left ventricular end-systolic volume decreases during arteriovenous shunt and increases during subclavian artery-left atrium shunt at a constant end-systolic pressure. The mechanism of the opposing changes in end-systolic volume during the two types of shunt is not clear. One possible cause is that left ventricular ...
Mariotti R - - 1990
Clinical and hemodynamic data of 30 patients with left ventricular aneurysm (27 men, 3 women, mean age 54.9 years) were compared with those of 30 patients with previous myocardial infarction and segmental hypo- or akinesis (28 men, 2 women, mean age 51 years). In each group, 10 patients were affected ...
Stümper O - - 1990
Intraoperative epicardial two-dimensional echocardiographic imaging, color flow mapping and contrast echocardiography were used in 31 patients after patch closure of a ventricular septal defect to determine their respective values in the assessment of residual shunting after cardiopulmonary bypass and for the prediction of long-term results. Epicardial imaging showed no incidence ...
Couper G S - - 1990
From 1971 to 1988, 303 patients underwent left ventricular aneurysm resection. We analyzed preoperative and procedure-related variables to ascertain risk factors for surgery. A distinction was made between akinetic and dyskinetic aneurysms to assess potential relation with postoperative outcome. Indications for surgery were arrhythmia in 20 patients, congestive heart failure ...
Nicolosi A C - - 1990
Patch reconstruction of left ventricular aneurysm may be superior to linear closure, but this hypothesis has not been tested experimentally. Accordingly, six anesthetized domestic pigs were instrumented to measure regional left ventricular wall thickening, stroke volume, systolic left ventricular pressure, and myocardial oxygen consumption. With total bypass and cardioplegia, a ...
Lundar T - - 1990
Resorption of the ventricular fluid was studied by measuring ventricular fluid outflow resistance during steady state 1.5 and 5.0 ml/min infusions in 26 patients with substantial enlargement of the supratentorial ventricular system. This test may avoid unnecessary use of shunts, but a shunt could be introduced during the same procedure.
Curiel P - - 1990
A rare case of coronary artery dissection was observed in a 33-year-old woman on the fourth postpartum day. The ischemic syndrome was followed by aneurysmal dilatation of the left ventricle and progressive heart failure that necessitated cardiac transplantation. The patient is alive and well 3 years after the transplantation.
Lim R - - 1990
We report a patient who presented with prominent gastrointestinal symptoms in whom a confident clinical diagnosis of acute posterior myocardial infarction was facilitated because the fresh electrocardiographic changes of true posterior myocardial infarction abolished the old pattern of left ventricular aneurysm. This interesting electrocardiographic phenomenon has not, to our knowledge, ...
Koike R - - 1990
Coronary artery aneurysm is a relatively rare disease, which may cause angina, myocardial infarction, or sudden unexpected death due to thrombosis, embolization or rupture. This report describes a case of a 46 year old male who suffered an inferior myocardial infarction with right ventricular involvement, third degree atrioventricular block, cardiogenic ...
Hederström E - - 1990
Thirty-four patients with portal hypertension of various etiologies were operated upon with an interposition mesocaval Goretex graft. During a period of 6 years 84 angiographic and ultrasonographic (US) examinations (53 B-mode, and 31 Doppler Duplex) were performed, with few exceptions within 3 days. Angiography served as the 'gold standard'. Shunt ...
Niwa K - - 1990
We performed magnetic resonance imaging in patients with Kawasaki disease following myocardial infarction to assess the usefulness of the technique in detecting myocardial infarction and coronary artery lesions. In six patients (group A), the interval after myocardial infarction was from 7 days to 7 months, and in five patients (group ...
Hill D B - - 1990
Complications of peritoneovenous shunt for intractable ascites include a high propensity to malfunction, facilitation of infection, and the induction of coagulopathies. Right heart thrombosis is a rarely encountered adverse effect, the management of which has not yet been defined. We report a patient with an extensive right heart thrombus in ...
Grande J P - - 1990
An 83-year-old man, 9 years after repair of a postinfarction aneurysm of the left ventricle, developed fever, anemia, and congestive heart failure. Extensive evaluation of the gastrointestinal tract revealed no evidence of ulcer disease. While in the hospital, he developed massive hematemesis and melena and died 2 days later. At ...
Said S A - - 1990
Eleven cases with 13, incidentally found coronary-pulmonary fistulous communications were discovered out of about 11,000 diagnostic coronary angiograms performed in different patients, over the period 1968 to 1989. These patients were followed-up for an average period of 4.4 years (range 2-11 years). The majority had a fistulous malformation originating from ...
Heras M - - 1990
To test whether left ventricular aneurysm independently influences survival after acute myocardial infarction, a series of 386 consecutive men aged 60 years or less, were followed up for 57 (40-100) months. Catheterization was performed 1 month following the infarct. Aneurysm, defined as a diastolic outward bulging with akinetic or dyskinetic ...
Benzel E C - - 1990
A series of adult patients with idiopathic hydrocephalus in whom shunts were placed are presented. Preoperative diagnostic and prognostic criteria were evaluated. Findings on computed tomographic scans (significant ventricular enlargement, the absence of gyral atrophy, and the absence of sylvian fissure enlargement) and the clinical triad associated with hydrocephalus in ...
Goudevenos J - - 1990
This report describes a patient with viral myocarditis who developed acute dilated cardiomyopathy. The patient recovered well but a left ventricular aneurysm was detected angiographically. There was no history of myocardial infarction and the coronary arteries were normal. This is the first reported case of left ventricular aneurysm due to ...
Hirakawa Y - - 1990
Two siblings presented with symptoms of left ventricular dysfunction and ventricular arrhythmias. Echocardiography and left ventriculography revealed dilatation, diffuse hypokinesis and apical aneurysm of the left ventricle in both cases. Myocardial infarction was unlikely by history and examinations. We diagnosed them as cases of familial dilated cardiomyopathy complicated by left ...
Sapin P - - 1990
A coronary artery fistula is an abnormal communication between a coronary artery and a cardiac chamber, great vessel, or other vascular structure. It is an infrequent but potentially important abnormality that can affect any age group. Most are congenital in origin, although other etiologies, in particular trauma, have been identified. ...
Chobot V - - 1990
The foramen ovale is an important communication between the two sides of the heart prenatally, allowing the left ventricle to carry its share of the prenatal circulation and providing flow for growth of left ventricular structures. Restriction of the foramen ovale appears to be a serious disorder of the fetus ...
Imakita M - - 1990
A 37-year-old female with Marfan's syndrome developed myocardial infarction during a cardiac operation for annuloaortic ectasia and chronic dissecting aneurysm of the aorta. At autopsy, a chronic dissecting aneurysm of the left coronary arterial system (the left main stem, anterior descending branch, first diagonal branch, and circumflex branch) showing a ...
Markovitz L J - - 1989
In 28 Dorsett sheep, ligation of the distal homonymous (equivalent to human left anterior descending) and second diagonal coronary arteries produced a constant transmural infarct of 22.9% +/- 2.5% (mean +/- standard deviation) of the left ventricular mass. Serial left ventriculograms showed that within four hours the infarct segment expands, ...
Tai Y T - - 1989
Left ventricular pseudoaneurysms, with or without overt ventricular rupture, are usually fatal in the absence of prompt surgical intervention. This report details the long-term survival of a patient who developed a left ventricular pseudoaneurysm following repair of ventricular rupture subsequent to replacement of the mitral valve, with spontaneous closure of ...
Harrow A S - - 1989
Platypnea is a clinical syndrome of dyspnea worsened by assuming an erect position and is associated with a postural arterial oxygen desaturation known as orthodeoxia. The clinical incidence of this syndrome may be underestimated by its occurrence in the medical literature. Several subgroups have been identified: patients with basal pulmonary ...
Mangschau A - - 1989
We analyzed data from 26 patients with left ventricular aneurysm and severe congestive heart failure to evaluate our selection criteria for aneurysm surgery and heart transplantation. The operative results for patients who underwent aneurysm resection (group A, n = 14) were compared with those of patients who were accepted for ...
Halligan P W - - 1989
A patient with severe left neglect after surgery for basilar aneurysm is described. Her performance on freehand line bisection was compared and contrasted with the results from computerised visual display unit (VDU) presentation. In the latter format the patient makes her transections with a "mouse" controlled cursor arrow. The technique ...
Cooley D A - - 1989
We recently repaired six large ventricular aneurysms using a technique that emphasizes restoring function rather than excising diseased tissue, or endoaneurysmorrhaphy. An elliptical woven Dacron patch is tailored to fit the defect in the left ventricular wall, making the length and width conform to the normal left ventricular volume. In ...
Gussenhoven E J - - 1989
Intraoperative two-dimensional contrast echocardiography was used to detect a residual shunt in 50 patients after surgical repair of ventricular septal defect. Contrast injections were performed following termination of the extracorporeal circulation. In the presence of a shunt the intensity of opacification of both left and right ventricular cavities was compared. ...
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