ABSTRACT
A patient with multiple stenotic lesions of the coronary arteries showed the disappearance of the collateral vessels following the injection of nitroglycerin into the coronary arteries. This paradoxical effect of the drug, which has not previously been reported, may be a consequence of the pressure changes in the distal coronary circulation.
Subject(s)
Collateral Circulation/drug effects , Coronary Disease/physiopathology , Nitroglycerin/pharmacology , Coronary Disease/diagnostic imaging , Humans , Male , Middle Aged , RadiographyABSTRACT
Two patients, 35 and 36 years old respectively, had corrected transposition of the great vessels. They have been added to the nineteen cases above thirty years of age previously reported. The diagnosis and prognosis of the malformation in this age group have been discussed.
Subject(s)
Transposition of Great Vessels/diagnosis , Adult , Female , Humans , Male , PrognosisABSTRACT
Clinical signs of aortic regurgitation were noted after birth in an infant who died suddenly at the age of 18 months. Congenital malformation of the aortic root with an aneurysm of the right aortic sinus and disconnection of the corresponding cusp were found at necropsy.
Subject(s)
Aortic Valve Insufficiency/congenital , Aorta/abnormalities , Aortic Aneurysm/complications , Aortic Aneurysm/pathology , Aortic Valve/pathology , Aortic Valve Insufficiency/complications , Aortic Valve Insufficiency/pathology , Female , Humans , Infant, NewbornSubject(s)
Heart Atria , Heart Neoplasms/diagnosis , Myxoma/diagnosis , Angiocardiography , Cardiac Catheterization , Echocardiography , Electrocardiography , Female , Humans , Male , Middle Aged , PhonocardiographyABSTRACT
A case of aneurysm of the gastroduodenal artery associated with obstruction of celiac axis, is presented. The patient underwent successful surgical correction. The clinical and surgical aspects of this patient are discussed.
Subject(s)
Aneurysm/surgery , Duodenum/blood supply , Stomach/blood supply , Aged , Aneurysm/diagnostic imaging , Angiography , Blood Vessel Prosthesis , Celiac Artery/diagnostic imaging , Female , Hepatic Artery/diagnostic imaging , Humans , Mesenteric Arteries/diagnostic imaging , Splenic Artery/diagnostic imagingABSTRACT
Two cases of left ventricular aneurysm occurring in young patients (23 and 29 years respectively) are reported. Coronary arteriograms were normal. Pertinent literature was reviewed. About 70 cases of left ventricular aneurysm in patients under 35 years of age have been reported: approximately half of them are congenital. They include both diverticuli of the apex, as a part of a syndrome of congenital defects, and those, much rarer, following myocardial infarction in children with anomalous origin of coronary arteries. A few cases may be attributed to trauma or myocarditis. In 26 patients, including the two reported here, etiology was uncertain (idiopathic aneurysm of the left ventricle) in as much as malformation or an infectious disease might have been the underlying cause.