Document Detail

Trans-systolic murmur during the Valsalva maneuver in a patient with apical aneurysm--a case report.
MedLine Citation:
PMID:  8741245     Owner:  NLM     Status:  MEDLINE    
We present a 74-year-old female in whom a systolic murmur became trans-systolic during the Valsalva maneuver. The patient had had stable effort angina for 20 years and coronary angiography revealed complete obstruction of the left anterior descending artery in addition to other atherosclerotic lesions. Left ventriculography showed a small apical aneurysm with a narrow orifice. Aorto-coronary bypass surgery and aneurysmectomy were performed; true aneurysm was confirmed pathologically. We conclude that apical aneurysm with a narrow orifice can produce trans-systolic murmur.
Y Sakanoue; K Iga; C Izumi; T Miyamoto; T Kijima; Y Himura; H Gen; T Konishi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Japanese circulation journal     Volume:  60     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  1996 Mar 
Date Detail:
Created Date:  1996-11-19     Completed Date:  1996-11-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  181-4     Citation Subset:  IM    
Department of Cardiology, Tenri Hospital, Nara, Japan.
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MeSH Terms
Coronary Aneurysm / complications*
Heart Murmurs / diagnosis,  etiology*
Valsalva Maneuver*

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