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Abnormal mitral valve motion associated with ventricular septal defect following acute myocardial infarction.

Abstract：

:It is often difficult to make the clinical distinction between acute mitral regurgitation caused by papillary muscle dysfunction or rupture and ventricular septal defect complicating an acute myocardial infarction. A case of a patient with rapidly progressive congestive heart failure and a loud murmur is presented. Echocardiography strongly suggested the presence of a flail posterior mitral leaflet. However, the patient was subsequently found to have rupture of the interventricular septum. This diagnosis was made with bedside right heart catheterization and was later confirmed by left ventriculography and direct inspection at the time of surgery. The mitral valve apparatus was completely normal. Thus this case demonstrates the apparent lack of specificity of the accepted echocardiographic criteria for flail mitral leaflet and acutely ruptured interventricular septum, and the potential necessity of cardiac catheterization to distinguish between these entities.

journal_name

Am Heart J

journal_title

American heart journal

authors

Rosenthal R,Kleid JJ,Cohen MV

doi

10.1016/0002-8703(79)90291-6

subject

Has Abstract

pub_date

1979-11-01 00:00:00

pages

638-41

issue

5

eissn

0002-8703

issn

1097-6744

pii

0002-8703(79)90291-6

journal_volume

98

pub_type

杂志文章,评审

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