Cardiac myxomas are rare tumors which can mimic other diseases. We describe a 19-year-old man who presented clinically with polyarteritis nodosa (PAN). Muscle biopsy showed vasculitis, but corticosteroid and immunosuppressive therapy was initially effective. Cardiac myxomas were found by echocardiogram when the disease relapsed and were resected surgically. Segmental arterial ...

The first case of 'a metastatic intraluminal myxoma of the aorta' is reported. The patient was a 48-year-old man who had already developed metastases to his skin and brain from a left atrial myxoma. Then, his myxoma grew in his leg and intraluminally in the aorta and caused renovascular hypertension. ...

The authors describe four cases of uncommon surgical findings in patients with the diagnosis of cardiac myxoma. In the first patient an encapsulated tumourous growth in the left atrium was present which was in the mural annulus of the mitral valve and in the adjacent parts of the atrial and ...

The arrangement of the muscular elements in the upper duodenum were examined. Continuity is found between some of the fiber bundles from the outer and inner layers, forming an extensive helicoidal system of bundles. Some fiber bundles from the external layer penetrate the pancreatic stroma while others are related to ...

Nine patients with atrial myxoma in whom selective coronary arteriography had been performed were studied. The angiographic sign of 'tumour vascularity' was found to be present in three patients with highly vascularized atrial myxoma. The clinical significance of the angiographic sign is unknown although highly vascularized myxomata appear to have ...

Double chambered left ventricle is a very rare anomaly within the broader category of "subdivision of the left ventricular cavity," which includes the relatively more common congenital aneurysms and diverticulae. We report a case of an adolescent with double chambered left ventricle that MR clearly delineated, resulting in successful surgical ...

A 74-year-old man was found to have a paralysed left hemidiaphragm within four months of the appearance of a typical herpes zoster rash involving his left shoulder and neck. Investigations, including bronchoscopy and computed tomography of the chest, failed to detect a cause for the diaphragmatic paralysis. We believe that ...

One hundred and fifty-seven patients with complete right bundle branch block (CRBBB) were studied with echocardiography (UCG). In 87 of them, both ECG and UCG of good quality were obtained and analyzed to differentiate the site of the block within the right bundle. Their mean age was 53.2 +/- 17.6 ...

Arterial baroreceptor nerves consist of 2 pairs of nerves, carotid sinus and aortic. The latter nerves differ bilaterally as to size and origin suggesting that central baroreceptor activity could be asymmetrical. This was tested by studying activity of tyrosine hydroxylase (TH), the rate limiting enzyme for catecholamine synthesis, on right ...

This study examined both perceiver and poser asymmetries in processing facial emotion. Posers were left brain-damaged (LBD), right brain-damaged (RBD), and normal control (NC) right-handed males videotaped while expressing happiness and anger. Perceivers rated the facial expressions for asymmetry in original and reversed orientations. Overall, expressions viewed in the reversed ...

A 5-year-old male with right atrial myxoma without interatrial communication who presented with abdominal pain, vomiting, fever, and guaiac positive stool is reported. He was later found to have ischemia of a jejunal segment necessitating segmental resection. Although his symptoms persisted postoperatively, surgical removal of a right atrial myxoma was ...

An adolescent girl presented with fever, headache, and mental status changes. Blood cultures 12 hours after admission were positive for Staphylococcus aureus. The initial evaluation did not reveal a source of the patient's sepsis. Forty-eight hours after admission a cardiac ejection click was detected. The chest radiograph showed ill-defined opacities ...

Left ventricular endocardial fibroelastosis was diagnosed by echocardiographic scanning in a fetus at 20 weeks' gestation. Repeated prenatal examination over the next 20 weeks' gestation showed the development of the left ventricle from a chamber with a dilated cavity to a small cavity with a very thick wall. These findings ...

A left handed, monozygotic, male twin developed schizophrenia, whilst his right handed brother was free of psychopathology. There was no family history of mental illness or left handedness. The affected twin had left side motor weakness and an EEG showed scattered irregularities, particularly on the left. Psychometry indicated left sided ...

Although congenital cardiac defects are infrequently considered a cause of major airway compression in neonates and infants, patients with left-sided cardiac enlargement can develop compression of the left mainstem bronchus. This is a consequence of the intimate relationship of the trachea and left mainstem bronchus to the left atrium, left ...

We describe here a 87-year-old male who came to the emergency room with the chief complaints of dyspnea and chest pain. His electrocardiogram showed a wide QRS tachycardia with a heart rate of 140 beats/min, a left bundle branch block pattern and low voltage in leads I, aVL, V5 and ...

First degree atrioventricular block occurred in a 68 year old man with a large right atrial myxoma. This conduction abnormality resolved within three months of successful surgical removal of the tumour. It is suggested that mechanical compression by the myxoma on either the underlying conduction tissue or the interventricular septum ...

Complete atrioventricular block following radiation is very rare. We present a case which developed after radiation therapy for malignant thymoma. The etiology of conduction disturbances due to radiation is unknown. In our case, serial electrocardiograms showed stepwise progression of the conduction disturbance, and His bundle electrocardiograms revealed new prolongation of ...

The studies were carried out on 100 left lungs taken from dead human bodies of both sexes whose age varied from 16 to 80 years. The pulmonary artery and the bronchus were injected with a 65% solution of duracryl and then digested in sulfuric acid. The specimens obtained were examined ...

Ancient Greeks added vowels to a consonantal language and changed their horizontal writing direction from right-to-left to left-to-right. The idea that the dextral majority in ancient Greece developed left-to-right writing solely because writing efficiency was greater is questioned. Cerebral hemispheric functions that might be involved during fixation pauses in reading ...

In a fetus, examined initially at 22 weeks gestation, we identified the echocardiographic features of a dilated, hypertrophied and poorly contracting left ventricle. The presumptive diagnosis was critical aortic stenosis. Subsequent scans at 32 weeks and at term showed that the left ventricle had not grown since the first study ...

A transformation from the normal elliptical shape of the left ventricle that may accompany various disease states and that may be indicative of myocardial remodeling, has not been completely addressed in part because of the need for a descriptor of shape that is independent of chamber size. Accordingly, the goal ...

A 41-year-old male with a prior left L-5/S-1 radiculopathy developed complete quadriplegia following a gunshot wound to the left anterior neck. He subsequently recovered pinprick sensation over the left side of the trunk and lower extremity; and a right peroneal SEP, suggested sparing of long tracts on the right side. ...

Atrial natriuretic factor (ANF) was determined in pulmonary and systemic arterial plasma during diagnostic left and right heart catheterization in twenty-three patients. In twenty of these patients ANF was subsequently measured in systemic arterial plasma during nuclear magnetic resonance (NMR) imaging of the heart with computation of left heart chamber ...

A 43-year-old female with a chief complaint of palpitation was subjected to clinical electrophysiological studies. Initial standard 12-lead ECG revealed that her palpitation was caused by fascicular parasystole firing at the basic cycle length of 1.25-1.40 seconds, and that both sinus and parasystolic beats were associated with left anterior fascicular ...

In a random-assignment, double-blind, controlled comparison of right versus left unilateral ECT in 30 melancholic men, the two methods were not significantly different in overall antidepressant potency, although there was a significantly faster rate of improvement with left unilateral ECT. These results imply that the antidepressant effects of ECT cannot ...

A 35-year-old man presented with a regular tachycardia having a typical right bundle branch block morphology. Electrophysiological testing revealed inducible tachycardia exhibiting counterclockwise as well as clockwise bundle branch reentry, leading to left and right bundle branch block morphologies. The disappearance of spontaneous episodes of these tachycardias following resolution of ...

The authors present a case of trifascicular block: complete right bundle branch block, tachycardia-dependent left anterior hemiblock, and bradycardia-dependent left posterior hemiblock. There is, in addition, a complicating independent AV junctional rhythm that is in most instances not affected by the conducted sinus impulses. Occasionally, however, this focus is discharged ...

To determine the architecture of the atrioventricular (AV) junctional region, structures in atrial preparations were correlated to those in serial sections made either parallel or perpendicular to the long axis of the AV node (AVN)/AV bundle complex. The results demonstrated the following for the first time: 1) A right medial ...

The left paratracheal reflection, which is found medial to the left subclavian artery reflection, was sought in 302 normal posteroanterior (PA) chest radiographs, 93 conventional chest tomograms, and 113 thoracic computed tomographic (CT) scans. The left paratracheal reflection was visible on 31% of normal PA chest radiographs. Conventional tomography and ...

A neodymium:yttrium aluminum garnet (Nd:YAG) laser was used to study effects of applying laser irradiation transendoscopically to the corniculate process of the arytenoid cartilage in horses. Dosimetry was established initially in vitro in 10 corniculate cartilages that were irradiated and examined histologically to determine penetration depths at selected power settings. ...

The study reported here examined whether left-handedness is an intrinsic advantage in three sports: cricket, tennis, and football (soccer). An analysis of cricket yearbooks showed that over the last four decades there was a relatively high proportion of professional cricketers who bowled left-handed. In contrast, an analysis of handedness in ...

The incidence of inadvertent permanent ventricular pacing from the coronary vein is not known. In a retrospective analysis of 69 patients in whom transvenous pacemakers were implanted between 1979 and 1986, 12 patients were discovered to have right bundle-branch block pattern to the paced complexes on electrocardiogram. In this group, ...

A 62-year-old woman presented with a history of hoarseness. Although stable for ten years, she recently showed signs of deterioration. Investigations revealed left vocal cord paralysis and a large left atrial tumor displacing the left pulmonary artery under the arch of the aorta. The lesion was removed and the normal ...

We report the findings on selective coronary angiography in nine patients with atrial myxomas. The angiograms were obtained because the patients were suspected of having coronary artery disease. In each case, the diagnosis of myxoma had been made earlier by echocardiography. Coronary angiography in five (55%) of the nine patients ...

Three patients are described in whom pacemaker electrodes were unintentionally placed within the left ventricle, followed by considerable delay before the error was recognized. In two cases temporary pacemaker wires were inserted into the subclavian artery and passed along a retrograde course. One patient required urgent surgery for acute arterial ...

Two metastases from an atrial myxoma occurred in the right common carotid artery distribution of a 34-year-old man. One metastasis caused the phenomenon of intracranial pseudoaneurysm in a distal branch of the middle cerebral artery. The other resulted in the unusual radiographic appearance of a tremendous, "bubbly" expansion of the ...

The effects of the bradycardic agents alinidine and falipamil, on atrio-ventricular (AV) conduction were compared with those of other negative chronotropic agents, acetylcholine (ACh), carbachol (CCh), adenosine and verapamil, in open-chest, anesthetized dogs. When each drug was selectively administered into the AV node artery, none of them changed the sinus ...

A case is described of Streptococcus viridans endocarditis involving a left atrial myxoma. The diagnosis was made by echocardiography and the infected tumour was successfully treated by surgical removal. A review of the published literature about left atrial myxomas underlines the importance of performing echocardiography in all patients with suspected ...

We report a patient with three cerebrovascular events involving the posterior circulation, one of which occurred in conjunction with central retinal artery occlusion. The patient had constitutional findings but had a normal cardiac examination, negative echocardiogram, and negative blood cultures. Angiography on two separate occasions revealed left vertebral artery occlusion. ...

An 8-year-old mixed-breed dog was evaluated for caudal paresis. Transient lameness of the left hind and left forelimbs had developed during the preceding week. Clinical findings included conscious proprioceptive deficits, hyporeflexive tendon reflexes and decreased pain perception, coolness in the hind limbs and left forelimb, and absence of femoral pulses. ...

We report a case of severe left visual neglect consequent upon extensive infarction in the territory of the right middle cerebral artery. A detailed analysis is given of the patient's performance on line bisection. The stimuli cover a wider range of lengths than is usually employed in such studies (11'' ...

Several works have concerned themselves with the anatomy of the supraventricular crest, for example, analyzing its role in the physiology of the right ventricle; nevertheless, its structure and arterial supply have been less studied. We have studied the morphogenesis of the architecture and the arterial supply of the supraventricular crest, ...

A left-handed patient who had suffered an ischemic vascular accident in the territory of the right posterior cerebral artery displayed alexia without agraphia. Clinical examination of this alexia revealed semiological characteristics comparable with those observed in cases of left temporo-occipital lesions in right-handed patients. Analysis of these disturbances indicated that ...

A patient with torsion of the remaining left upper lobe following lingulectomy is described. Chest radiographs showed a mass-like homogeneous density in the left upper chest resembling atelectasis but associated with some shift of the mediastinum to the right. This appearance together with the clinical features should suggest the possibility ...

In April 1984, a left atrial myxoma almost filling the left ventricle was discovered in a patient who had no evidence of myxoma at the time of aortocoronary bypass grafting in September 1982. We conclude that the growth rate of a primary cardiac myxoma may be much faster than expected ...

A case is reported of bilateral atrial myxomas diagnosed noninvasively by echocardiography and successfully removed. The excised tumor mass consisted of a mobile right atrial myxoma prolapsing into the right ventricle and a less mobile, not prolapsing myxoma in the left atrium. The operation was performed entirely on the basis ...

Eleven patients with left bundle branch block and chest pain suggestive of coronary arterial disease were analyzed using thallium-201 exercise scintigraphy, M-mode echocardiography and coronary arteriography. The coronary arteries were shown to be normal in all patients. A reversible anteroseptal defect on thallium-201 scintigraphy and an asynchronous septal motion on ...

A 20-year-old woman with a two-week history of palpitations and constitutional symptoms was found to have right atrial and left ventricular myxomas. The myxomas were excised, but the patient had two recurrences of the tumor in the left atrium four and a half years after the initial presentation. The recurrent ...

The onset of bundle branch block during acute myocardial infarction is indicative of ischemia in the distribution of the left anterior descending coronary artery. However, whether patients with chronic coronary artery disease and bundle branch block have a predominance of left anterior descending artery lesions is not known. Similarly, the ...