Giant coronary artery fistula connecting the left coronary sinus with the superior atriocaval junction.

A left Valsalva sinus-right atriocaval junction giant congenital fistula was diagnosed in a young man with recent bacterial endocarditis. Surgical closure of the fistula was performed to correct the left-to-right shunt, to reduce the risk of recurrence of endocarditis and to prevent aortic root distortion. Surgery was preferred to percutaneous treatment because of the perceived risk of coronary complications.

Left ventricular hypertrophy in primary hyperparathyroidism. Effects of successful parathyroidectomy.

Objective: The association between primary hyperparathyroidism (PHPT) and increased mortality mainly from cardiovascular disease is still debated. The increased mortality previously reported in PHPT was not confirmed in a recent population based study. A high prevalence of left ventricular (LV) hypertrophy was, however, reported in this disease.

[Primary angioplasty in acute inferior myocardial infarct with anterior ST-segment depression: the long-term follow-up].

Background: Concomitant anterior ST-segment depression is a marker of severe prognosis in inferior myocardial infarction.

Patients And Methods: Prospective observational study in patients with inferior acute myocardial infarction and ST-segment depression > or = 4 mm in the anterior leads, who were treated with primary angioplasty. Angiography was performed at hospital discharge and at six months, and a clinical follow-up was obtained at one year after the infarction.

[The use of a check list for quality assurance of the treatment of acute myocardial infarction in the coronary care unit].

Unlabelled: The implementation of Quality Assurance programs for the treatment of acute myocardial infarction in the Cardiac Intensive Care Unit may be specially important. In fact several therapeutic options are available in these patients, and delay in treatment must be as short as possible. A Quality Assurance program has been started in our center with a registry of all patients admitted within 24 hours of onset of acute myocardial infarction.

Doppler echocardiographic patterns in patients with acromegaly.

Cardiovascular problems have long been recognized as responsible for an increased morbidity and mortality in patients with acromegaly. The aim of the present study was to evaluate echocardiographically the prevalence of cardiomyopathy in a cohort of acromegalic patients and to analyze the results in relation to demographic, clinical and hormonal data. This study, a retrospective controlled clinical trial, was performed in 25 acromegalic patients, 12 men and 13 women aged 26-66 years (mean: 52.

[Emergency angioplasty in high-risk acute infarct].

Background: Primary coronary angioplasty in acute myocardial infarction yields superior results in terms of effective vessel patency, recurrent ischemia and acute morbidity, as compared to intravenous thrombolysis. Despite obvious logistic and economic limitations, this early invasive approach could be strictly indicated in selected groups of patients.

Aim: A prospective study to test the immediate and short-term results of an early invasive strategy with angioplasty in patients with high-risk acute myocardial infarction.

[A study of the variations in myocardial perfusion induced by systemic thrombolysis in acute myocardial infarct using sequential scintigraphy with 201-thallium].

To assess scintigraphic changes induced by intravenous streptokinase therapy, serial rest redistribution thallium-201 perfusion imaging was performed in 62 patients with acute myocardial infarction lasting less than 6 hours. Twenty-seven patients randomized to treatment with intravenous streptokinase (group A) and 35 to conventional therapy (group B) underwent thallium-201 scintigraphy as soon as possible after admission to the coronary care unit (early study). Regional myocardial perfusion was assessed using thallium-201 scintigraphy 7-9 days later in each patient (late study).

[Risk stratification after uncomplicated myocardial infarct: the usefulness of the echocardiographic-dipyridamole test].

To assess the value and safety of echo-dipyridamole test in risk stratification soon after an uncomplicated acute myocardial infarction, 56 consecutive patients were enrolled in a prospective study with a 1-year follow-up period for new coronary events. Echo-dipyridamole and symptom-limited ECG stress test were performed respectively 14 to 20 days and 4 to 5 weeks after acute event. Echo-dipyridamole test was performed administering 0.

[Contribution of computerized radioisotope angiocardiography to the diagnosis of arrhythmogenic dysplasia of the right ventricle].

Radionuclide angiography phase analysis was performed in two patients presenting with recurrent right-sided ventricular tachycardia without angiographic evidence of valvular or ischemic heart disease. A dilated, poorly contracting (EF = 20%) right ventricle with localized dyskinetic areas was found in contrast with normal left ventricular function. The suggested diagnosis of Arrhythmogenic Right Ventricular Dysplasia was confirmed by right ventricular angiography performed in one patient.

[Treatment using radiofrequency stimulation of supraventricular paroxysmal tachycardia in W.P.W. syndrome].

The case of woman patient suffering from W.P.W.