Fouad Bashour

Myotonia atrophica and cyanosis.

IN 1909, Steinert described a familial, chronic, slowly progressive disease characterized by visual and glandular disturbances combined with muscular atrophy. This has been called myotonia atrophic...

Ventricular septal defect with aortic incompetence simulating patent ductus arteriosus

Abstract 1.1. High ventricular septal defect with downward displacement of an aortic cusp can closely simulate a patent ductus arteriosus. 2.2. Catheterization studies are very helpful in reaching a tentative diagnosis. 3.3. The differential diagnosis includes aneurysm of the sinus of Valsalva with rupture into the right ventricle, any communication between the pulmonary artery and aorta plus pulmonary valvular insufficiency, and simple ventricular septal defect with acquired aortic insufficiency. 4.4. The most common complications of this lesion include pulmonary hypertension, congestive heart failure and bacterial endocarditis. 5.5. This lesion may be a surgically correctible disease in the near future.

POST PARTAL HEART DISEASE—A SYNDROME?

Excerpt Heart failure developing abruptly during the last month of pregnancy or within a few weeks following delivery has been observed in the absence of any known preexisting cardiac lesion. The c...

Some physiologic features of atrial septal defect; observations in 38 adult patients.

Abstract 1. (1) Thirty-eight adult patients with atrial septal defect have been studied before operation, and 20 have been restudied postoperatively. 2. (2) Of the group, two had significant mitral valve disease and two were of the ostium primum type although they could not be separated from the secundum defects by their hemodynamic findings. 3. (3) The major physiologic findings before operation were: (a) marked increase in pulmonary blood flow; (b) normal systemic blood flow; (c) mild elevation of pulmonary artery pressure; (d) lower than normal total pulmonary vascular resistance; (e) increased right ventricular pressure work; (f) normal systemic arterial blood oxygen saturation. 4. (4) Surgical correction of the atrial septal defect resulted in a reversion of the physiologic abnormalities towards or to normal. 5. (5) “Relative” pulmonary stenosis may be present in the face of marked increases in the pulmonary blood flow. 6. (6) The genesis of pulmonary hypertension in certain cases is not totally understood but may be related to: (a) pulmonary arteriolar sclerosis; (b) residual fetal pulmonary hypertension; (c) associated mitral valve disease; (d) “spasm” of the pulmonary arterioles.

Atrial septal defect with mitral valvulitis: clinical and catheterization diagnosis.

Excerpt Criteria for the clinical differentiation of atrial septal defect in combination with mitral valvular disease from isolated septal defect have been suggested, based upon the degree of cardi...

PREPONDERANT LEFT-TO-RIGHT FLOW THROUGH A VENTRICULAR SEPTAL DEFECT IN THE PRESENCE OF PULMONARY STENOSIS

Excerpt Until recently there have been few reported cases of a left-to-right shunt through a ventricular septal defect in the presence of pulmonary stenosis. There are now available several papers ...

HYDATID CYST OF THE LUNG WITH CLUBBING

Excerpt Clubbing of the fingers and toes accompanies a variety of clinically unrelated diseases. It is present in certain pathologic conditions of the lung and pleura, in cyanotic heart disease, in...