Transesophageal echocardiographic evaluation of perioperative systolic murmur in aortic pathology.

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.

• Authors: Tasneem Z Naqvi, Joseph W Zaky, Sharo S Raissi
• Journal: Reviews in cardiovascular medicine (Rev Cardiovasc Med) Vol. 4 Issue 2 Pg. 112-6 ( 2003) ISSN: 1530-6550 [Print] Singapore
• PMID: 12776019 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Aortic Dissection (diagnostic imaging, etiology)
• Aortic Aneurysm, Thoracic (diagnostic imaging, etiology)
• Blood Vessel Prosthesis Implantation (adverse effects, methods)
• Echocardiography, Transesophageal (methods)
• Follow-Up Studies
• Heart Murmurs (diagnostic imaging, etiology)
• Humans
• Male
• Marfan Syndrome (diagnostic imaging, surgery)
• Middle Aged
• Postoperative Complications (diagnostic imaging)
• Prosthesis Failure
• Risk Assessment
• Sampling Studies
• Sensitivity and Specificity