A unique case of two sources of right ventricle enlargement in tetralogy of Fallot.

The most common long-term sequelae of tetralogy of Fallot (TOF) are related to acquired late postsurgical pulmonary valve pathology. This is often in the form of pulmonic insufficiency (PI) ultimately leading to right ventricular (RV) enlargement and failure, which may necessitate pulmonary valve replacement. We present a case of severe PI in TOF with an incidental large circumflex to RV fistula and single-vessel coronary artery stenosis in a patient with an enlarged RV.

Nuisance bleeding with prolonged dual antiplatelet therapy after acute myocardial infarction and its impact on health status.

Objectives: The purpose of this study was to examine the incidence of nuisance bleeding after AMI and its impact on QOL.

Background: Prolonged dual antiplatelet therapy (DAPT) is recommended after acute myocardial infarction (AMI) to reduce ischemic events, but it is associated with increased rates of major and minor bleeding. The incidence of even lesser degrees of post-discharge "nuisance" bleeding with DAPT and its impact on quality of life (QOL) are unknown.

Epidemiological trends of infective endocarditis: a population-based study in Olmsted County, Minnesota.

Objective: To provide a contemporary profile of epidemiological trends of infective endocarditis (IE) in Olmsted County, Minnesota.

Patients And Methods: This study consists of all definite or possible IE cases among adults in Olmsted County from January 1, 1970, through December 31, 2006. Cases were identified using resources of the Rochester Epidemiology Project.