RT Journal
A1 Berger M, Bhalla R, Jelveh M, Goldberg E
T1 COntinuous murmur following chest trauma
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1979
FD November 1
VO 139
IS 11
SP 1305
OP 1306
DO 10.1001/archinte.1979.03630480077023
UL http://dx.doi.org/10.1001/archinte.1979.03630480077023
AB A 25-year-old asymptomatic man was hospitalized for heroin detoxification. Five years previously he had been stabbed in the left side of the chest and during emergency surgery a laceration of the right ventricle near the base of the pulmonary artery was repaired. No murmurs were described at that time.On physical examination the blood pressure was 112/78 mm Hg. At the upper left sternal border there was a grade 3/6 holosystolic murmur and a grade 3/6 decrescendo long diastolic murmur. There were no palpable thrills. Chest roentgenogram, ECG, and M-mode echocardiogram all were normal.A two-dimensional echocardiogram is shown in Fig 1. What is your diagnosis?The two-dimensional echocardiogram (Fig 1) shows an aneurysm of the right sinus of Valsalva. The sagittal or long-axis view illustrated in the left panel shows aneurysmal protrusion of the anterior aortic wall into the right ventricular outflow tract. This abnormality is located just distal