Mital valve disease with rheumatic appearance in the presence of left ventricular endomyocardial fibrosis.

This is a report of a nine-year-old boy with both mitral stenosis and regurgitation and extensive endomyocardial fibrosis of the left ventricle. Focus is given to the singularity of the fibrotic process, with an emphasis on the etiopatho-genic aspects.

[Infective endarteritis following aortic coarctation in a 11-year-old boy]. / Endoarterite infecciosa pós-coarctação de aorta em menino de 11 anos.

The authors describe an unusual case of infectious endo-arteritis after aortic coarctation. Clinical and echocardiographic aspects and the excellent surgical results are enhanced.

[Aortic insufficiency and septal hypertrophy in a boy with Down's syndrome]. / Insuficiência aórtica e hipertrofia septal em menino portador da síndrome de Down.

A 9-year-old boy with Down's syndrome and aortic regurgitation. In this patient bicuspid aortic valve and rheumatic fever could not be proved. On echocardiography, basal septal hypertrophy with significantly protrusion into the left ventricular outflow tract was observed. It could explain the aortic regurgitation by ejection flow eccentrically directed to right coronary cuspid, causing a jet lesion.