Document Detail

Can fibrotic bands in the aortic arch cause innocent murmurs in childhood?
MedLine Citation:
PMID:  11813916     Owner:  NLM     Status:  MEDLINE    
Children with innocent murmurs are often referred to a paediatric cardiologist for diagnosis. The most common murmurs of early childhood are the so-called Still's murmurs, followed by ejection murmurs across the pulmonary or aortic vessels, and the venous hum. There also exists a high coincidence of murmurs with the presence of tendinous structures traversing the cavity of the left ventricle. In this report, we describe 6 patients who presented to our outpatient clinic with cardiac murmurs. None of them had abnormalities on the clinical examination, electrocardiographic, or echocardiographic investigation. They presented a similar murmur that was also audible over the back. On closer examination of the aorta with cross-sectional echocardiography, we discovered echogenic, tendinous structures crossing the lumen of the descending aorta or the aortic arch. Whilst we are not yet able to prove that the cords produced the innocent murmurs, the association is highly suggestive.
J Nothroff; S G Suemenicht; A Wessel
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Cardiology in the young     Volume:  11     ISSN:  1047-9511     ISO Abbreviation:  Cardiol Young     Publication Date:  2001 Nov 
Date Detail:
Created Date:  2002-01-29     Completed Date:  2002-07-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9200019     Medline TA:  Cardiol Young     Country:  England    
Other Details:
Languages:  eng     Pagination:  643-6     Citation Subset:  IM    
Department of Paediatric Cardiology, University Children's Hospital Goettingen, Georg-August-University Goettingen, Germany.
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MeSH Terms
Aorta, Thoracic / pathology*,  ultrasonography
Child Welfare
Child, Preschool
Echocardiography, Doppler, Color
Heart Murmurs / etiology*,  ultrasonography
Comment In:
Cardiol Young. 2002 May;12(3):312; author reply 312   [PMID:  12365187 ]

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