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Riggs T W - - 1983
Two-dimensional echocardiograms and angiocardiograms were obtained in six infants and children, each with complete transposition of the great arteries, a ventricular septal defect and subvalvular pulmonary stenosis. In each case, the subpulmonary stenosis resulted from redundant tricuspid valve tissue which protruded through the ventricular septal defect and into the left ...
Longhini C - - 1983
Four patients with post traumatic tricuspid incompetence underwent complete two-dimensional echocardiographic study. Systolic intra-atrial protrusion of the anterior tricuspid leaflet beyond the valvular ring, with total loss of coaptation with the other leaflets, was documented in all patients. These abnormalities were not evident in all transducer locations suggesting the possibility ...
Dianzumba S B - - 1983
We describe a patient with massive pulmonary embolism and resultant acute cor pulmonale and severe tricuspid incompetence. Fine systolic tricuspid valve flutter was detected by echocardiography during the acute phase, but the flutter disappeared as the patient improved clinically and the signs of tricuspid incompetence were no longer observed. Systolic ...
Robertson W S - - 1983
Systolic ejection clicks, often associated with cardiac disease, can be distinguished from mid-systolic clicks of mitral and tricuspid origin, which are frequently benign. A different mid-systolic sound has been recognized, with timing similar to the mid-systolic clicks, which is associated with aortic insufficiency. This report describes a case in which ...
De la Cruz M V - - 1983
The contribution of the inferior endocardial cushion of the atrioventricular canal to cardiac septation and to the development of the atrioventricular valves was studied in the chick embryo by in vivo labelling techniques. The study was performed in White Leghorn chick embryos in which the dorsal cushion was labelled at ...
Gallo P - - 1983
This paper describes 2 cases of tricuspid valvular dysplasia (TVD) associated with aortic stenosis and mitral incompetence in newborns. Mitral regurgitation was due to dysplasia, which resembles its tricuspid counterpart and should be termed 'mitral valve dysplasia'. This association of tricuspid and mitral valve dysplasia has been reported only once ...
DeLeon S Y - - 1982
In 2 patients (single ventricle and dextrotransposition of the great arteries with hypoplastic right ventricle) who underwent a modified Fontan procedure, significant disruption of the tricuspid patch developed. The valved conduits remained patent until reoperation at two and six months, respectively. At the time of reclosure of the tricuspid patch, ...
Howard R J - - 1982
We prospectively studied 14 patients with the carcinoid syndrome to determine if two-dimensional echocardiography could detect the nature and extent of valvular abnormalities. Eight of the 14 patients had definite abnormalities of the right-sided cardiac valves. The tricuspid valve had a characteristic appearance, similar to previously described pathologic findings. The ...
Miyatake K - - 1982
We analyzed tricuspid regurgitation noninvasively using ultrasonic pulsed Doppler and two-dimensional echocardiography in 66 patients in whom tricuspid regurgitation was suspected from routine clinical evaluation. All of the patients also underwent right ventriculography. Ten healthy subjects served as controls. In 62 of 66 patients, the study was adequately performed. In ...
Shore D F - - 1982
Two cases of pulmonary atresia with intact ventricular septum and severe tricuspid stenosis are described in which the initial angiographic diagnosis was tricuspid atresia and pulmonary atresia. Two dimensional echocardiography showed the features of an imperforate tricuspid valve because in each case contrast echocardiography failed to show anterograde flow from ...
Vallejo J L - - 1982
We recently saw a patient with endomyocardial fibrosis of the left ventricle, with aortic, mitra, and tricuspid valve involvement. The patient resided in Madrid and had never been to Africa. There was no history of filariasis. The patient underwent left ventricle endocardiectomy, aortic and mitral valve replacement with tricuspid valve ...
Dancy M - - 1982
Twenty-seven patients with complete right bundle-branch block as the only abnormal finding were studied using high speed M-mode echocardiography to determine the effect of the electrical delay on the mechanical events of right ventricular systole. Pulmonary valve opening (PVOm) was delayed in all cases. In some the delay was mainly ...
Revuelta J M - - 1982
It is desirable to repair coexistent tricuspid valve pathology at the time of mitral valve corrections. Conservative tricuspid repair may consist of commissurotomy, annuloplasty, or both. It is important that the repair be appropriate or tricuspid valve replacement may be necessary. A simple reproducible method of intraoperative testing for tricuspid ...
Tei C - - 1982
The tricuspid valve leaflets and their annular attachments were recorded by two-dimensional echocardiography from a view of the right ventricular inflow tract obtained by placing the transducer at an intermediate position between the left ventricular apex and the left lower sternal border. The transducer was rotated, and recordings were made ...
George B O - - 1982
M-mode echocardiographic findings are described in 21 patients with endomyocardial fibrosis. Features associated with right ventricular endomyocardial fibrosis include: (i) exaggerated motion and thickening of the anterior right ventricular wall; (ii) increased right ventricular end-diastolic dimension; and (iii) paradoxical septal motion. Pericardial effusion (viz an echo-free space behind the posterior ...
Bull C - - 1982
The dismal outlook for patients with pulmonary atresia with intact ventricular septum may be related to associated right ventricular hypoplasia. Study of 32 autopsy specimens and 46 angiocardiograms of neonates with this lesion suggested that the cavitary hypoplasia was related to massive hypertrophy of the right ventricular wall. This hypertrophy ...
Westerman G R - - 1982
From August 1974 through April 1981, 23 patients, ages 5 months to 40 years (median 11 years) with corrected transposition of the great arteries (C-TGA), underwent repair of associated intracardiac defects: 20 for ventricular septal defect (VSD), 19 for pulmonary outflow tract obstruction, and five for anatomic tricuspid valve regurgitation. ...
Wenink A C - - 1982
The anatomy of 25 hearts with a straddling mitral or tricuspid valve, or both, is described. Malalignment of atrial and ventricular septa is an essential feature of a straddling tricuspid valve, creating an inlet septal defect. Across this defect, the tricuspid valve straddles into the opposite (left ventricular) chamber, where ...
Allan L D - - 1982
The M-mode echocardiogram can be obtained in the developing human fetus from around the 16th week of gestation until term. Errors in interpretation of the M-mode echocardiogram can be avoided by concurrent two dimensional fetal cardiac examination. The pattern of motion of the mitral, tricuspid, aortic, and pulmonary valves and ...
Iwasaki T - - 1982
Echocardiographic findings in five patients with pulmonary embolism were studied. Tricuspid echocardiograms showed abnormalities in valve motion, that is a monophasic triangular wave during diastole in all the patients as well as an increased dimension of the right ventricle. An "a' dip of the pulmonary valve echocardiogram was also recognised ...
Eijgelaar A - - 1982
Up to December 1980 we performed 21 Fontan operations: 8 for tricuspid atresia and 13 for a functional monoventricle. Although palliative, the operation is currently a good method of treating tricuspid atresia. In our experience, the use of a sufficiently large atriopulmonary valved conduit assures a more satisfactory immediate postoperative ...
Rigby M L - - 1982
The majority of hearts in which selective right or left atrial angiography shows no direct communication between one atrium and a ventricular chamber are considered to be examples of atresia of the right or left atrioventricular valves. Most patients presenting with the clinical features of tricuspid atresia have an absent ...
Huhta J C - - 1982
Structural abnormalities of the tricuspid valve were encountered in 38 of 121 autopsy specimens of complete transposition of the great arteries (TGA) with ventricular septal defect (VSD) (31%). Forty abnormalities were identified, including severe straddling of the tricuspid valve tensor apparatus in two, valvular dysplasia in two, left ventricular outflow ...
Friedman J M - - 1982
A 23-year-old woman and her 2 1/2-year-old son both had large hernias, positional foot deformities, abnormal thoracic shape, asthma, and severe eczematoid dermatitis. Their facial appearance was quite similar and included asymmetry with prominent nasal bridge and small jaw. In addition, the mother had severe thoracolumbar kyphoscolosis and "cigarette paper" ...
Goessler M C - - 1982
A previously healthy 8-year-old girl with a normal heart had development of tricuspid valve staphylococcal endocarditis. Serial two-dimensional echocardiograms first demonstrated an enlarging vegetation and later showed reduction in its size coincident with a pulmonary embolus. The occurrence of the pulmonary embolus along with persistent fevers, despite adequate antibiotic treatment, ...
Mattila S - - 1982
During the ten-year period 1972-81 four patients, two men and two women, with Ebstein's disease underwent operation at our institution. Their average age was 34. Central cyanosis at rest, clubbing and polycythaemia were the most common clinical features of the patients. Enlarged heart, a small pulmonary arterial arch and transluminal ...
Saito A - - 1981
Right ventricular (RV) volume was calculated by two-dimensional echocardiography (2DE) using a subxiphoidal approach in 31 patients with congenital heart disease. Using 2DE, two views which were equivalent to the frontal and lateral views of RV angiocardiograms were obtained. Frontal view was defined as the plane which included the apex ...
Lumia F J - - 1981
In a retrospective study correlating the degree of tricuspid regurgitation seen on first-pass radionuclide angiography with that seen on contrast right ventriculography in 51 patients, ten had no tricuspid regurgitation by contrast ventriculography, whereas by radionuclide angiography nine had no regurgitation and one had minimal regurgitation. Of eight patients with ...
Smallhorn J F - - 1981
Sixteen patients with a straddling tricuspid and two with a straddling mitral valve were identified by two dimensional echocardiography. In all but one the atrioventricular valves appeared at the same level, indicating absence of the ventriculoatrial septum. A straddling valve was diagnosed by identifying subvalvular apparatus from one atrioventricular valve ...
Ben-Shachar G - - 1981
A nine-year-old patient with tricuspid atresia and normally related great vessels underwent a Fontan procedure, in which a porcine valved Dacron conduit was interposed between the right atrium and pulmonary trunk. After death, 6 months postoperatively, pathological examination revealed a thick layer of neointima (peel) lining the conduit. The peel ...
Laks H - - 1981
Although pulmonary regurgitation is generally well tolerated, reconstruction of the right ventricular outflow tract and insertion of a pulmonary valve are indicated in some patients. This procedure was performed in 12 patients, ages 1 1/2-17 years (mean 10 years). Seven had tetralogy of Fallot; of these, one underwent primary repair ...
Coto E O - - 1981
We present three hearts showing right atrial outlet atresia with straddling left atrioventricular valve; clinical data of two of the patients are reported. For semantic and practical reasons we believe the terms tricuspid or mitral atresia should not be used in these cases, and atrial outlet atresia is preferable; for ...
Caralps J M - - 1981
Two patients with Ebstein's anomaly and severe cardiac impairment underwent surgical repair with tricuspid valve replacement and closure of associated congenital septal defects. No attempt was made to plicate the atrialized right ventricle. Good cardiac function was obtained at the end of the procedure, with uniform contractions of the whole ...
Asinger R W - - 1981
Observations made in detecting left ventricular thrombus with two dimensional echocardiography in 25 patients are reviewed. In 20 patients thrombus was documented on angiography, surgery postmortem examination or serial two dimensional echocardiographic findings; in the remaining five patients two dimensional echocardiographic findings of thrombus were unequivocal. In all 25 patients ...
Anderson R H - - 1981
In this paper we have reviewed the salient features of the anatomy of mitral atresia which should be of interest to the clinician. In the preceding paper, we reviewed the comparable features of tricuspid atresia, defined as lack of exit from the systemic venous atrium, even though some of the ...
Ubago J L - - 1981
The value of right ventriculography in the diagnosis of tricuspid insufficiency (TI) is often questioned because of 1) the high incidence of premature ventricular contractions (PVCs) during injections and 2) interference of the catheter in the valve closure mechanism. In 168 patients a commercially available, not preshaped, balloon-tipped catheter was ...
Semb B K - - 1981
In eight patients from 1976 until 1980, tricuspid atresia (TA) was corrected with valved xenograft conduits between either the right atrium and the main pulmonary artery or between the right atrium and the rudimentary right ventricle. All patients suffered from transient right-heart failure postoperatively and eventually developed normalized cardiac function ...
Borow K M - - 1981
Echocardiographic, phonocardiographic, and pulse tracing recordings demonstrated clinically unsuspected tricuspid stenosis in a 53-year-old man with a prosthetic mitral valve and signs of right heart failure. Physiologic correlates of the patient's heart sounds and diastolic murmur were studied by simultaneous M-mode echocardiograms and phonocardiograms. Cardiac catheterization and subsequent valve surgery ...
D'Cruz I A - - 1980
Echocardiography (M-mode and cross-sectional) disclosed premature opening of the pulmonary valve (very deep "a" wave) in a young man who underwent tricuspid valvulectomy without valve replacement 32 months before for refractory bacterial endocarditis. Cardiac catheterisation showed a prominent atrial wave on the pulmonary artery pressure curve. Thus, part of the ...
Alipour M S - - 1980
Clinical, hemodynamic, angiographic, and echocardiographic as well as operative findings of a 19 years old girl are presented who had the unique combination of severe pulmonary valvular and infundibular stenosis with Ebstein's anomaly of the tricuspid valve. Pulmonary stenosis was relieved by infundibular resection and valvotomy. The atrial septal defect ...
Kaul U - - 1980
An acyanotic 4-year-old male child who failed to thrive presented with signs of persistent right heart failure and no cardiac murmurs. There was radiologic evidence of gross cardiomegaly with unremarkable lung fields. Cardiac catheterization and cineangiographic features helped in arriving at the diagnosis of parchment right ventricle with normal tricuspid ...
Koiwaya Y - - 1980
Echocardiographic studies of a 23-year-old man with Ebstein's anomaly and type B Wolff-Parkinson-White syndrome showed almost simultaneous closure of the tricuspid and mitral valve. After administration of edrophonium chloride, the tricuspid valve closed 20 msec earlier than the mitral valve. However, the closure of the mitral valve preceded that of ...
Crupi G - - 1980
Protein-losing enteropathy occurred in a 7-year-old girl with tricuspid atresia, concordant ventriculo-arterial connexions and a relatively large hypoplastic right ventricle, one year after an atrio-ventricular type of Fontan operation by means of a valveless woven Dacron conduit. Severe conduit regurgitation and a marked enlargement of the hypoplastic right ventricle were ...
Skorton D J - - 1980
A case of infective endocarditis is reported in which a fistulous communication developed from the septal tricuspid valve leaflet, throught the membranous ventricular septum, into the non-coronary aortic cusp. From a nidus of infection in the uterus, the tricuspid valve was seeded, leading eventually to the fistula. The particular course ...
Pepper J R - - 1980
A case is reported in which acute tricuspid regurgitation developed in a child with a ventricular septal defect resulting in a left ventricular-right atrial shunt. This was successfully treated by closure of the defect and tricuspid valve replacement. The anterior leaflet of the tricuspid valve was almost completely destroyed by ...
Becker A E - - 1980
Four hearts are described in which the right atrioventricular valve, draining a morphologically right atrium, straddled and overrode a septum between a right-sided chamber of left ventricular morphology and a left-sided chamber of right ventricular morphology. The degree of override varied between the straddling valve and was committed by 20-45% ...
Jennings R B RB - - 1980
A 13-year-old patient with visceral and atrial situs solitus, dextrocardia, dextro (D) transposition of the great vessels with subaortic conus, tricuspid atresia, massive mitral valve insufficiency, and previously performed pulmonary artery banding was seen at our hospital. A right atrial to pulmonary artery conduit procedure and mitral valve replacement successfully ...
Annecchino F P - - 1980
Five patients with tricuspid atresia, normally related great arteries, and decreased pulmonary flow underwent reconstruction of the right ventricular outflow tract on enlargement of the ventricular septal defect (VSD) (outlet foramen) or both in order to increase pulmonary blood flow. The age of the patients ranged from 9 months to ...
Lopez-Majano V - - 1980
In two cases of tricuspid atresia and one of severe tricuspid stenosis the Glenn and Fontan operation was performed. These patients were evaluated post-operatively by studying the distribution of the ventilation with Xe-133 on a gamma camera; the pulmonary circulation was evaluated by injection through antecubital and pedal veins of ...
Vancini M - - 1980
Seven cases of pulmonary valve stenosis due to congenital dysplasia of the valvular apparatus have been corrected by patch-graft enlargement of the right ventricular outflow tract. The six surviving patients (85%) are now leading normal lives with good exercise tolerance. The satisfactory right ventricular performance, manifested by these subjects after ...
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