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DeLeon S Y - - 1986
Twenty-five of 49 patients who underwent a Fontan type operation had complex lesions other than tricuspid atresia with ventriculoarterial concordance. Three patients had significant subaortic stenosis. Thirty-four palliative operations, including nine Glenn shunts, were performed before the Fontan operation. Direct atriopulmonary anastomosis was performed in 21 patients. In four, valved ...
Scheck-Krejca H - - 1986
The clinical diagnosis of tricuspid regurgitation is difficult in patients after mitral valve replacement. We therefore studied the value of the jugular venous pulse tracing, liver pulse tracing and right atrial size estimated from a two-dimensional echocardiogram for diagnosing tricuspid regurgitation in 57 patients with a Björk-Shiley prosthesis in the ...
Cowgill L D - - 1986
A 3 1/2-year-old boy experienced right ventricular failure approximately two years after an operation for critical pulmonic stenosis. Severe pulmonary and tricuspid valvular insufficiency was documented echocardiographically and at cardiac catheterization. Treatment consisted of a tricuspid valve annuloplasty and creation of an autologous monocusp valve using the anterior wall of ...
Ishizawa E - - 1986
Our experience with the surgical management of hypoplastic right ventricle with intact ventricular septum has included 20 patients with pulmonary atresia and 3 patients with critical pulmonary stenosis. Group 1 consisted of 7 infants who were treated by transarterial pulmonary valvotomy. Four of them were lost shortly after surgery. Group ...
Merrill W H - - 1986
Pulmonary valve dysplasia is a distinct pathological entity consisting of markedly thickened, deformed, and largely immobile pulmonary valve leaflets. The clinical features and surgical management of 21 consecutive patients operated upon between 1975 and 1985 were reviewed. Mean age at operation was 26.7 months (range: 1 month to 9.5 years). ...
Marino B - - 1986
The anatomy of crisscross heart was studied in 14 patients, aged 2 days to 26 years, using 2-dimensional (2-D) echocardiography. The visceroatrial situs was solitus in all 14 patients. Crossing of the atrioventricular (AV) valves could be seen in each case by scanning in a subxiphoid or apical 4-chamber view. ...
Bernal J M - - 1986
A heroin addict who appeared to have recovered clinically from infective endocarditis of the tricuspid valve as judged by the usual criteria underwent prophylactic resection of a large vegetation on the tricuspid valve in order to prevent severe pulmonary embolism. Prophylactic surgery was justified by the size and as judged ...
Roby K A - - 1986
A 15-year-old, Standardbred broodmare with an aortic sinus aneurysm developed rupture of the aneurysm with subsequent rupture of a tricuspid valve chorda tendinae, tricuspid regurgitation, acute right-sided congestive heart failure, and pulmonary thromboembolism. Shunting of blood from the aorta through the ruptured aneurysm into the right ventricle resulted in decreased ...
Bier A - - 1986
A young intravenous drug user presented with Staphylococcus aureus endocarditis involving the tricuspid valve, which was replaced with a Hancock bioprosthesis. She presented again with fever and dyspnea five months later and was found to be cyanotic. Recurrent endocarditis involving the prosthesis with right-to-left shunting through a patent foramen ovale ...
Fujii S - - 1986
The case of a 73-year-old man with right heart failure and systolic and diastolic murmur at the fourth left intercostal space is described. There was a history of rheumatic fever. Two-dimensional echocardiography showed rheumatic change of the tricuspid valve with giant right atrium and ventricle, which was confirmed during operation. ...
He G W - - 1986
Twenty-five dogs were divided into three experimental groups. In each animal of Group I (10 dogs), one pulmonary valve leaflet was resected and a monocusp-bearing bovine pericardial patch was sewn into the right ventricular outflow tract. The monocusp was retracted to the patch with plicating sutures, and when the sutures ...
Craig B G - - 1986
The more common associated cardiac anomalies in any cohort of patients with discordant atrioventricular and ventriculo-arterial connexions (congenitally corrected transposition) include ventricular septal defect, left ventricular (subpulmonary) outlet obstruction, and displacement and/or dysplasia of the morphologically tricuspid valve. There is scant mention in the literature of severe obstruction to systemic ...
Waller B F - - 1986
Despite recent renewed interest in the detection of tricuspid valve regurgitation by echocardiographic and Doppler techniques, little morphologic information is available on dysfunctioning tricuspid valves. This report describes 45 necropsy patients with clinical and morphologic evidence of pure (no element of stenosis) tricuspid regurgitation and provides morphometric observations (anular circumference, ...
Amidi M - - 1986
A palpable venous systolic thrill and murmur at the base of the neck are described as new physical findings in five patients with severe tricuspid regurgitation. In two of these patients, the tricuspid valve had been resected as treatment for infective endocarditis related to intravenous drug abuse. The third patient ...
Gussenhoven E J - - 1986
Catheterization and anatomical data are presented of an infant with cyanosis due to a most unusual variant of unguarded tricuspid valve orifice in association with a two-chambered right ventricle. The inlet portion of the right ventricle ended blindly and was completely separated from the outlet portion by a muscular wall. ...
Butto F - - 1986
Fifty-four specimens of heart with persistent truncus arteriosus (PTA) were reviewed anatomically. According to the Collett-Edwards classification there were 28 examples of type I and 26 type II. The sex distribution was equal. The number of the truncal cusps ranged from one to four (42% tricuspid, 30% bicuspid, 24% quadricuspid, ...
Tazelaar H D - - 1986
Five patients with ventricular inversion, corrected transposition of the great arteries, and atresia of the left-sided atrioventricular (tricuspid) valve have been observed. Three patients died in infancy, two had large interatrial communications, one with an early stage of arterial-type hypertensive pulmonary vascular disease, and the third patient had a very ...
Zaretskii V V - - 1986
The authors studied the diagnostic possibilities of contrast echocardiography in tricuspid (TVI), mitral (MVI) and aortic (AVI) insufficiency. In 29 patients with TVI the contrast medium was injected into the cubital vein, in 12 patients with MVI and in 13 patients with AVI it was injected into the left ventricle ...
Kafka H - - 1985
A 42 year old woman with symptomatic double chambered right ventricle had the additional features of an anomalous left anterior descending coronary artery and attachment of the tricuspid valve to the area of subinfundibular stenosis which precluded conventional repair. A non-valved Dacron conduit was used to bypass the obstruction. The ...
Coralli R J - - 1985
A patient with a ruptured sinus of Valsalva aneurysm (RSVA) demonstrated an unusual two-dimensional echocardiographic manifestation of this entity. A discrete mass of echoes, appearing attached to a posterior leaflet of the tricuspid valve, moved to and fro into the right ventricle during diastole and into the right atrium in ...
Zahler R - - 1985
Echocardiography is a key diagnostic tool in the recognition of pericardial tamponade. A 56-year-old man in whom severe dyspnea developed 22 days after cardiac surgery is described. Echocardiography suggested tricuspid valve disease but showed no pericardial abnormalities. Catheterization revealed functional stenosis of a normal tricuspid valve caused by loculated serous ...
Muster A J - - 1985
The criterion for the diagnosis of functional atresia of a patient semilunar valve is met when the pressure in a ventricle remains lower than that in the related great artery throughout systole so that no forward flow can occur. Functional pulmonary valve atresia has been well recognized in infants with ...
Folger G M GM - - 1985
Hypoplasia of the right ventricle occurring as an isolated abnormality is an uncommon cause of cyanotic congenital heart disease. Its presentation in the newborn may mimic the ductus dependent and less stable right ventricular hypoplasias such as tricuspid atresia and pulmonary atresia. However, the natural history of this abnormality contrasts ...
Grande A M - - 1985
The occurrence of valvular lesions alone as a result of nonpenetrating trauma is not common. Most reports have shown mainly isolated rupture of the aortic valve, whereas, reports of traumatic rupture of the tricuspid valve without associated injuries are rare in the literature. At our center, three patients were treated ...
de Leval M - - 1985
Data from 51 patients with small right ventricle who underwent a definitive repair were analyzed retrospectively. The repair was considered complete (29 patients) when it resulted in relief of the right ventricular outflow tract obstruction by closure of intracardiac (atrial septal defect) and extracardiac (when present) shunts. The repair was ...
Trowitzsch E - - 1985
Critical pulmonary stenosis or atresia with intact ventricular septum represents a congenital cardiac lesion for which the long-term prognosis appears to depend partly on the size of the right ventricle. Thus, the capability of noninvasive assessment of right ventricular size to predict operative outcome was examined in 15 infants (aged ...
Brown A K - - 1985
A 78 year old woman with congestive cardiac failure developed pulmonary embolism. Cross sectional echocardiography detected an undulating fusiform mass attached to the lateral wall of the right atrium and protruding through the tricuspid valve. Serial cross sectional echocardiograms showed a reduction in the size of the mass, and by ...
Bowles C R - - 1985
Dense opacification of coronary arteries in pediatric coronary cineangiograms led to the observation of a small branch of the main septal artery that is directed into the right ventricle and gives a fan-shaped blush. This vessel passes through the moderator band and into the anterior papillary muscle, which anchors the ...
Skjaerpe T - - 1985
Fifty-one patients underwent Doppler studies of tricuspid flow and 2-D derived M-mode studies of the inferior vena cava (IVC) during upper extremity contrast injections. Tricuspid regurgitation (TR) was diagnosed with Doppler when reverse flow in systole was recorded at and behind the closure level of the tricuspid valve. TR was ...
Juaneda E - - 1985
The lung was biopsied in 20 children with double inlet ventricle and pulmonary hypertension aged 2 months to 14 years. Eleven patients had two patent atrioventricular valves, three atresia of the right valve, and six hypoplasia of the left valve. Severe pulmonary arterial medial hypertrophy occurred in the nine children ...
Revuelta J M - - 1985
The technique of tricuspid commissurotomy is based on principles different from those employed in mitral valve commissurotomy. In performing tricuspid commissurotomy, it is essential to identify and split the fan chordae, which are always fused and which clearly delineate the fused commissures. Failure to do this can result in an ...
DeVore G R - - 1985
Eighty-two normal fetuses were scanned from 18 to 41 weeks of gestation. The following M-mode measurements were correlated with the abdominal circumference: diastolic biventricular outer (r = 0.951) and inner (r = 0.948) dimensions; diastolic right (r = 0.942) and left (r = 0.925) internal dimensions; tricuspid (r = 0.916) ...
Ottenkamp J - - 1985
An anatomic study of 28 heart specimens with tricuspid atresia showed 15 hearts with ventriculoarterial concordance and a right-sided anterior outlet chamber. Of these 15 hearts, 12 showed evidence of restricted pulmonary blood flow. In eight of these 12 specimens, an anterior deviation of the outlet septum, relative to the ...
Gowda S - - 1985
Two patients with biopsy-proven amyloid restrictive cardiomyopathy were presented. Both cases showed ventricularization of an elevated right atrial pressure wave form in absence of tricuspid regurgitation. Possible explanations for this finding as well as its clinical implications are discussed. This observation indicates that ventricularization of right atrial pressure wave form ...
Benson L N - - 1985
Percutaneous balloon valvuloplasty (BV) for pulmonic valve stenosis (PS) is increasingly becoming a nonsurgical alternative in patient management. However, the mechanism by which BV dilates the obstructive lesion has not been firmly established. We have had the opportunity to examine the effects of BV in the setting of PS and ...
Felner J M - - 1984
In six patients with clinically unsuspected right atrial thromboemboli the diagnosis was made with two-dimensional echocardiography. Five patients had pulmonary emboli, and one had systemic embolization. Three patients had congestive cardiomyopathy, two with tricuspid regurgitation; of the remaining three, one had cor pulmonale complicated by tricuspid regurgitation, one had thrombophlebitis ...
Henry G W - - 1984
The velocity profile of the main pulmonary artery was determined in nine adult, open-chested, mechanically ventilated mongrel dogs using an intraluminal, needle-mounted, range-gated, pulsed Doppler technique. Mean phasic point velocities were determined at 2 mm intervals across the lumen of the vessel, 2 cm above the pulmonary valve, by recording ...
Ishikawa T - - 1984
This study was performed to demonstrate the hemodynamics in three patients who underwent the Kreutzer procedure for repair of tricuspid atresia at the ages of 3, 12, and 18 months, with particular reference to the function of the pulmonary valve. Each patient underwent clinical review and cardiac catheterization 4 to ...
Ekici E - - 1984
Angiocardiographic appearance of a criss-cross heart with straddling tricuspid valve has been presented. Atrial situs was normal and the right atrium was connected to the morphological right ventricle situated superiorly and to the left of the left ventricle. The left atrium was connected to the morphological left ventricle situated inferiorly ...
Painvin G A - - 1984
An extracardiac, transepicardial approach to the atrioventricular junction, allowing selective cryoablation of the bundle of His, was performed in 10 mongrel dogs. This technique appears to minimize dissection complications, the risk of endocardial damage, and injury to the tricuspid valve, which are reported with endocardial cryoablation. All dogs survived this ...
Loeber C P - - 1984
Cardiac flows measured by the Doppler technique and invasive methods correlate well, but no prior study has correlated Doppler flows obtained distal to the four cardiac valves in the same individual. The purpose of this investigation was to measure the four flows in normal subjects using the range-gated pulsed Doppler ...
Gussenhoven E J - - 1984
The M-mode echocardiographic diagnosis of overriding tricuspid valve rests on the ability to demonstrate simultaneously two atrioventricular valves with no intervening septal echo [6, 13]. When scanning inferiorly toward the body of the ventricles, a distinct septal echo at the level of the midportion of the tricuspid valve can be ...
Nakano S - - 1984
A simple and effective adjunct to annuloplasty is presented for use in patients in whom dilatation of the annulus may not be sufficient to convert the tricuspid valve into a bicuspid valve. Several interrupted sutures are placed on the leaflets adjacent to the commissural zone between the anterior and posterior ...
Baughman K L - - 1984
The long-term survival rate of 74 consecutive patients who underwent multiple cardiac valve surgery including tricuspid valve surgery was analyzed to identify predictive preoperative clinical variables. Univariate analysis revealed that male sex (P less than 0.04), symptoms of New York Heart Association functional class IV heart failure (p less than ...
Gussenhoven W J - - 1984
In 23 patients with Ebstein's anomaly of the tricuspid valve, the functional class of the patients has been related to the echocardiographic parameters generally used to diagnose this disorder. These are the extent of apical displacement of the tricuspid valve and the delay in tricuspid valve closure time related to ...
Mattleman S - - 1984
An 84-year-old female who previously underwent repair of an atrial septal defect had evidence of increased reflectiveness of the posterior tricuspid anulus in the apical four-chamber view and the right ventricular two-chamber view. In addition, the inferior vena cava was dilated and during contrast echocardiography, contrast echoes appeared during systole ...
Miyamura H - - 1984
Duplication of the tricuspid valve is a rare congenital cardiac anomaly. We experienced one infant case with Ebstein anomaly, who died at seven months of age. At autopsy, the clinical diagnosis was confirmed, and also the patient was found to have double tricuspid valve orifices, each of which were accompanied ...
Daliento L - - 1984
Clinical, vectorcardiographic, and echocardiographic data from two siblings with atrial septal defects and dysplasia of the mitral and tricuspid valves are reported. Vectorcardiograms showed that both siblings had abnormal ventricular activation with initial electrical forces directed posteriorly. One sibling died after surgery, and necropsy showed incomplete differentiation of the leaflets ...
Davies M K - - 1984
In a patient with severe tricuspid regurgitation and mild pulmonary stenosis due to carcinoid heart disease cross sectional echocardiography showed nodular thickening and coaptation of the tricuspid leaflets at the beginning of systole. The leaflets were, however, seen to be increasingly pulled apart as right ventricular systole proceeded. This finding, ...
Veyrat C - - 1984
It is now possible with pulsed Doppler to grade the severity of aortic, mitral and tricuspid regurgitations on a quantitative basis. "Indices" were devised, using the measurement of the spatial extent of abnormal Doppler signals. For aortic regurgitation: (1) at the aortic valvular orifice area, by measurement of the regurgitant ...
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