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Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with MedReviews, LLC.
Open Access
Case Review
Transesophageal Echocardiographic Evaluation of Perioperative Systolic Murmur in Aortic Pathology
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1
Cardiac Non-Invasive Laboratory, Division of Cardiology, Department of Medicine, Los Angeles, CA
2
Division of Cardiothoracic Surgery,Department of Surgery, Cedars-Sinai Medical Center and UCLA School of Medicine, Los Angeles, CA
Rev. Cardiovasc. Med. 2003, 4(2), 112–116;
Published: 30 June 2003
Abstract
Development of a new systolic murmur in patients following a Bental procedure with a prosthetic or homograft aortic valve usually indicates an aortic valve–related complication. Here, we report new etiologies of a loud systolic murmur in patients with aortic disease. One patient developed a new loud systolic murmur as an initial manifestation of acute type A aortic dissection without any complication, and two patients developed a loud systolic murmur as the major manifestation of aortic graft failure following aortic root surgery. Auscultation of a new loud systolic murmur in the upper chest in patients with known aortic disease should alert one to a complication within the ascending aorta.
Keywords
Transesophageal echocardiography
Aortic dissection
Systolic murmur