Naqvi Tasneem Z, Zaky Joseph W, Raissi Sharo S
Cardiac Non-Invasive Laboratory, Division of Cardiology, Department of Medicine, Cedars-Sinai Medical Center and UCLA School of Medicine, Los Angeles, CA, USA.
Rev Cardiovasc Med. 2003 Spring;4(2):112-6.
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.
接受带人工或同种异体主动脉瓣的Bental手术的患者出现新的收缩期杂音通常提示与主动脉瓣相关的并发症。在此，我们报告主动脉疾病患者出现响亮收缩期杂音的新病因。一名患者出现新的响亮收缩期杂音，作为急性A型主动脉夹层的初始表现，且无任何并发症；两名患者出现响亮收缩期杂音，作为主动脉根部手术后主动脉移植物失败的主要表现。对于已知患有主动脉疾病的患者，若在上胸部听诊发现新的响亮收缩期杂音，应警惕升主动脉内的并发症。
