[A problem with qualifying for heart surgery for a patient with severe congestive heart failure in both ventricles in the course of left aortic stenosis].

A case of a patient 62 years old with a severe congestive heart failure in the course of aortic stenosis and after myocardial infarction was presented. A concomitant mitral insufficiency, tricuspid insufficiency and pulmonary hypertension was also observed. An excellent improvement after aortic valve replacement was reached.

Mitral and aortic valve replacement in a patient with ectodermal anhydrotic dysplasia. A case report.

Ectodermal anhydrotic dysplasia is a rare, usually X-linked recessive malformation of ectodermal tissues and organs. The case of a 17-year-old boy with ectodermal anhydrotic dysplasia and concomitant combined mitral valve disease and aortic insufficiency is described. The surgical risk was considered to be high due to severe atrophia of the laryngo-pharyngeal mucosa complicating endotracheal intubation and the possibility of postoperative temperature control disturbances.

[Concurrent coronary artery disease and acquired rheumatic mitral valve disease].

The aim of this study was to estimate coincidence of coronary artery disease (CAD) and rheumatic mitral valve disease in 264 patients treated in the National Institute of Cardiology (1976-1990). Severity of stenoses on coronary angiography with respect to age, sex, symptoms and risk factors were also estimated. Stenoses over 70% of artery lumen in relation to artery diameter before lesion and over 50% for left main coronary artery were stated as severe.

[Surgical treatment of bacterial endocarditis of the tricuspid valve].

We present a rare case of bacterial endocarditis of tricuspid valve caused by temporary intracardiac pacing. The 48-year old male patient developed complete a-v block during the 1st day of acute inferior myocardial infarction. Intracardiac electrode was inserted for temporary pacing.