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Biomedical subjects

I Kronzon

Publications and source records attributed to I Kronzon.

At least 253 records · Page 14Linked to original sources

Patent ductus arteriosus in adult patients with aortic valvular disease: the importance of routine screening for a left-to-right shunt at cardiac catheterization.

Two patients, catheterized primarily for the preoperative assessment of clinically apparent aortic stenosis and insufficiency, were found to have a patent ductus arteriosus as well at cardiac catheterization. The association of aortic valve disease and patent ductus arteriosus is reviewed, and the importance of making the diagnosis prior to aortic valve replacement is stressed, emphasizing the routine use of the hydrogenplatinum electrode system.

Cardiac Catheterization↗

Bacterial endocarditis in a patient with Marfan's syndrome.

A patient with Marfan's syndrome and subacute bacterial endocarditis is presented. Echocardiographic studies demonstrated dilatation of the aortic root, prolapse of the posterior leaflet of the mitral valve, and the appearance of shaggy echoes on the anterior miltral leaflet, of the kind previously described as representing bacterial vegetations.

Adult↗

The echocardiographic diagnosis of "concealed" tricuspid stenosis.

A case is presented of a 42-yr old woman with rheumatic heart disease in whom cardiac catheterization revealed severe mitral stenosis and a low cardiac output, but no gradient across the tricuspid valve. Echocardiography clearly demonstrated the presence of tricuspid stenosis and the valve was found to be severely stenotic at surgery. This establishes the value of echocardiography in detecting tricuspid stenosis and suggests that, in some cases, it may be more sensitive than cardiac catherization in detecting this lesion.

Adult↗

Malfunctioning electrocardiographic monitor simulating sinus arrest.

A 64-year-old patient was admitted to the hospital with a history of two syncopal episodes. The results of the physical examination, resting electrocardiogram and His-bundle study were all normal. Study with a 24-hour ECG monitor (Holter) was at first interpreted as demonstrating periods of sinus arrest. However, more careful examination revealed that these actually represented transient speeding of the monitor tape, perhaps secondary to a semiconductor malfunction. Such monitor malfunction may stimulate severe rhythm disturbances.

Diagnostic Errors↗

Tricuspid atresia.

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Echocardiography↗

Cystic thymoma simulating contrictive pericarditis. The role of echocardiography in the differential diagnosis.

A case is presented of a 60-year-old woman with fatigue, dyspnea, and chest pain. A chest x-ray film revealed an abnormal cardiac silhouette. Echocardiography revealed a large, echo-free area with well-demarcated, discrete borders adjacent to the right heart border. This structure decreased in size with inspiration and did not show pulsatile cardiac motion. Cardiac catheterization confirmed the extracardiac nature of the lesion and also showed a "constrictive" pattern with equalization of diastolic pressures. Surgical exploration revealed a large cystic thymoma. With removal of the tumor, intracardiac pressures returned to normal.

Cardiac Catheterization↗

Giant left atrium.

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Cardiomegaly↗