Abstract
A 56 year old white woman was referred to the Cardiac Clinic at North Charles General Hospital for evaluation of left inframammary and left arm pain and a cardiac murmur. There was no history of rheumatic fever but the patient had been told that she had a leaking aortic heart valve. The chest pain was not related to physical activity and was judged to be chest wall pain rather than ischemic cardiac pain. On examination she was extremely nervous and moderately overweight. Her blood pressure was 150/90. The heart was not enlarged. On auscultation she had a continuous murmur best heard at the apex with radiation to the left sternal border. The murmur was loudest at the left lung base. It showed typical late systolic accentuation with a relatively short diastolic component.
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© 1975 American Institute of Ultrasound in Medicine and Plenum Press, New York
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Soares, R., Prempree, A., Tabatznik, B. (1975). Ultrasonic Appearance of a Coronary Arteriovenous Communication. In: White, D. (eds) Ultrasound in Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-4443-8_4
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DOI: https://doi.org/10.1007/978-1-4613-4443-8_4
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-4445-2
Online ISBN: 978-1-4613-4443-8
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