[Atrial septal aneurysm complicated by mitral valve prolapse--two cases]. / Tetniak przegrody miedzyprzedsionkowej skojarzony z wypadaniem platka zastawki dwudzielnej--dwa przypadki.

Atrial septal aneurysm is a rare heart defect. We decided to present two cases of this defect complicated by mitral valve prolapse. The diagnosis was established by transthoracic 2D-echocardiography. Remembering that atrial septal aneurysm often co-exists with atrial septal defect we performed contrast echocardiography. The examination did not show any shunts between atria. Ventricular ectopic beats were observed in both cases. Cardiac arrhythmia was successfully treated with B-blockers.

[Cardiac rupture and tamponade in a pregnant woman with acute myocardial infarction]. / Pekniecie i tamponada serca u ciezarnej z ostrym zawalem serca.

A case is described of a 35-year old pregnant woman (38-th week, tertigravida) with an acute myocardial infarction (AMI). The diagnosis of anterolateral myocardial infarction was based on the clinical, biochemical, ecg and echocardiographical findings. Ventricular premature beats were observed in the tenth day of AMI: Delivery was accomplished by cesarean section without complications. In the second day after the cesarean section the patient died. On autopsy cardiac rupture, tamponade and fresh necrosis of the lateral wall was found.

[Arrhythmogenic right-ventricular dysplasia--a case report]. / Arytmogenna dysplazja prawej komory--opis przypadku.

A case of arrhythmogenic right ventricular dysplasia (ARVD) in a 28 year old man is reported. Diagnosis was based on ECG, echocardiographic and scintigraphic findings. Echocardiography and scintigraphy revealed an enlarged right ventricle and normal left ventricle. The abnormalities specific for ARVD were free wall motion abnormalities, particularly akinetic areas and microaneurysms . Ventricular tachycardia and premature ventricular contractions of left bundle branch block (LBBB) pattern were recorded. A titer against mycoplasma and concentrations of immunoglobulins were normal. Anti-++ smooth muscle antibodies were detected. The patient was treated with amiodarone . There were no clinical, echocardiographic and ECG features of ARVD in the patient's brother.