The authors report a case of bacterial endocarditis from unidentified bacteria, responsible for a rupture of chordae of the mitral valve in a 4 month-old infant with a previously normal heart. Bidimensional echocardiography led to diagnosis. The importance of the mitral loss thus created made a mitral plasty necessary with cardiopulmonary by-pass at age 2 years. Ultrasonographic data were then confirmed. Postoperative result was excellent. The features of acute bacterial endocarditis in infancy are reviewed.

Acute Disease↗

PubMedDate not supplied

[Value of the ninhydrin test in objectivization of alleged sensory disorders in the fingers].

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Disability Evaluation↗

PubMedDate not supplied

[Angiosarcoma localized in the right cardiac cavities. Apropos of a case].

The authors report the case of a young 26 years old man admitted for abundant fluid pericarditis which was rapidly recurrent, requiring two perocardial punctures and a surgical drainage. The two dimensional echocardiogram demonstrated a large right atrio-ventricular tumour with infiltration of the right ventricular wall, suggesting its malignant nature. After confirmation by right angiography and in view of the rapid cardiovascular deterioration, it was decided to operate. The surgery was only exploratory; not even palliative surgery was possible for this tumour mass invading the right atrium, the right ventricle and the pericardium. Histology revealed it to be an angiosarcoma.

Adult↗

PubMedDate not supplied

[Multiple coronary-left ventricular fistulae. Apropos of a case].

The authors report the case of a 57 years old man who was admitted for angina unresponsive to medical treatment. Coronary angiography revealed significant atherosclerotic lesions in the right coronary artery and also revealed multiple left coronaro-ventricular fistulae, hence the interest of this case. The fistulae were filiform and originated in the circumflex and posterior interventricular arteries. Coronaro-cardiac fistulae are rare, but this type of left-sided coronaro-ventricular fistula is exceptional. The patient was asymptomatic following surgical correction of the atheromatous lesions of the right coronary artery.

Coronary Angiography↗