[MORPHOLOGICAL COMPARISON BETWEEN MAESTRINI'S RIGHT LEADS AND CONVENTIONAL THORACIC AND PERIPHERAL LEADS].
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Pulmonary hypertension frequently complicates mitral stenosis. Increased pulmonary artery pressure results from raised left atrial pressure, pulmonary arteriolar constriction, and obliterative changes in the pulmonary vascular bed, and usually responds to surgical relief of mitral stenosis. However, severe pulmonary hypertension may persist after surgical treatment of mitral stenosis. We describe a patient whose severe pulmonary hypertension following mitral valve replacement was treated successfully with continuous intravenous epoprostenol.
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Three cases in adults of corrected transposition of the great arteries (CTGA) with concomitant fairly rare cardiac anomalies are described; a 54-year-old man with left sided atrio-ventricular valvular (tricuspid) regurgitation, a 31-year-old woman with atrial septal defect and a 21-year-old man with partial dysplasia of pulmonary valve with mild pulmonary stenosis. Clinical findings and diagnostic methods including two-dimensional echocardiography and computed tomography are discussed briefly.
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