Browsing by Author "Hunter, J."

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    Mitral stenosis with free-floating left atrial thrombus and recurrent systemic embolisation: A case report
    (Health & Medical Publishing Group, 1987-02) Przybojewski, J. Z.; Vogts, B. C.; Hunter, J.; Knott-Craig C. J.
    ENGLISH ABSTRACT: A 64-year-old white woman with moderately severe rheumatic mitral stenosis complicated by atrial fibrillation and recurrent systemic embolisation to the brain was found at operation to have a large 'free-floating' left atrial thrombus, as well as multiple left atrial appendage thrombi. These had not been detected by echocardiography. She also had significantly reduced left ventricular contractility on cine angiography, and right coronary artery atherosclerosis. She underwent successful mitral valve replacement and excision of the left atrial appendage.
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    Recurrent myocardial infarctions secondary to luetic coronary arteritis in hypertrophic cardiomyopathy : a case report
    (Health & Medical Publishing Group, 1986) Przybojewski, J. Z.; Hunter, J.; Laubscher, J.
    A 43-year-old coloured man had no risk factors for atheromatous coronary artery disease but suffered two acute myocardial infarctions (MIs) in rapid succession. Serological reactions for previous syphilitic (luetic) infection were positive. Hypertrophic cardiomyopathy (HCM) without obstruction was verified, although right ventricular endomyocardial biopsy specimens did not demonstrate histological features of this disease. Extensive MI was verified on left ventricular cine angiography. Selective coronary arteriography showed that the coronary arterial tree was diffusely aneurysmal in the absence of any obstruction. We postulate that syphilitic coronary arteritis, in the absence of the more pathognomonic coronary ostial stenotic lesions, was present and may have predisposed to coronary thrombus formation and repeated acute MI. Recurrent coronary vasospasm, associated with the HCM, cannot be excluded with certainty.