Subject(s)
Echocardiography, Transesophageal , Fibroma/diagnostic imaging , Heart Neoplasms/diagnostic imaging , Myxoma/diagnostic imaging , Tricuspid Valve/diagnostic imaging , Adenocarcinoma/diagnostic imaging , Aged , Colonic Neoplasms/diagnostic imaging , Diagnosis, Differential , Female , Humans , Neoplasms, Multiple Primary/diagnostic imagingABSTRACT
This case illustrates the utility of two-dimensional color Doppler echocardiography in detecting and localizing multiple atrial septal defects not consistently demonstrated by standard two-dimensional echocardiography.
Subject(s)
Echocardiography, Doppler/methods , Heart Septal Defects, Atrial/diagnostic imaging , Esophagus , Female , Heart Septal Defects, Atrial/pathology , Humans , Middle AgedABSTRACT
A man had weakness of humeroperoneal distribution associated with limited range of motion of the cervical spine and elbows. At age 25 he developed permanent atrial paralysis, and a cardiac pacemaker was inserted. Although this case was sporadic, most others have been transmitted as an X-linked recessive trait. Mixed patterns in electromyography and muscle histology have caused nosological confusion, but the unique clinical signs seem to define a distinct form of muscular dystrophy, warranting the designation "emery-Dreifuss" type.
Subject(s)
Muscular Dystrophies/diagnosis , Adult , Electromyography , Humans , Male , Muscles/enzymology , Muscles/pathology , Muscles/physiopathology , Muscular Dystrophies/enzymology , Muscular Dystrophies/pathology , Muscular Dystrophies/physiopathology , Muscular Dystrophy, Emery-Dreifuss , SyndromeABSTRACT
Diphtheroid endocarditis after aortic valve replacement was cured with penicillin, gentamycin and erythromycin. Infections occur most commonly on the aortic valves of men patients within two weeks after prosthetic insertion. Management with combined drug therapy based on sensitivities and clinical response are suggested. Paravalvular leaks do not necessarily require valve replacement.