Trans-Systolic Murmur During the Valsalva Maneuver in a Patient With Apical Aneurysm A Case Report

Yuji Sakanoue; Kanji Iga; Chisato Izumi; Tadashi Miyamoto; Takahisa Kijima; Yoshihiro Himura; Hiromitsu Gen; Takashi Konishi

doi:10.1253/jcj.60.181

Case Report

Trans-Systolic Murmur During the Valsalva Maneuver in a Patient With Apical Aneurysm

A Case Report

Yuji Sakanoue, Kanji Iga, Chisato Izumi, Tadashi Miyamoto, Takahisa Kijima, Yoshihiro Himura, Hiromitsu Gen, Takashi Konishi

著者情報

キーワード: Valsalva maneuver, Left ventricular aneurysm, Trans-systolic murmur

ジャーナルフリー

1996 年 60 巻 3 号 p. 181-184

DOI https://doi.org/10.1253/jcj.60.181

詳細

抄録

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 aneurysm-ectomy were performed; true aneurysm was confirmed pathologically. We conclude that apical aneurysm with a narrow orifice can produce trans-systolic murmur. (Jpn Circ J 1996; 60: 181 -184)

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