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Mitral Regurgitation in a Patient with the Marfan Syndrome

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Presentation on theme: "Mitral Regurgitation in a Patient with the Marfan Syndrome"— Presentation transcript:

1 Mitral Regurgitation in a Patient with the Marfan Syndrome
BERNARD SEGAL, M.D., HRATCH RASPARIAN, M.D., WILLIAM LIKOFF, M.D., F.C.C.P.  Diseases of the Chest  Volume 41, Issue 4, Pages (April 1962) DOI: /chest Copyright © 1962 The American College of Chest Physicians Terms and Conditions

2 FIGURE 1 Patient is tall and thin. Arachnodactyly is noted.
Diseases of the Chest  , DOI: ( /chest ) Copyright © 1962 The American College of Chest Physicians Terms and Conditions

3 FIGURE 2 Pectus carinatum is demonstrated.
Diseases of the Chest  , DOI: ( /chest ) Copyright © 1962 The American College of Chest Physicians Terms and Conditions

4 FIGURE 3 Phonocardiogram taken at the pulmonary area (PA) and the mitral area (MA) simultaneously. There is a loud first heart sound with wide splitting of the second heart sound (A3-P2) and a late systolic murmur (SM). Diseases of the Chest  , DOI: ( /chest ) Copyright © 1962 The American College of Chest Physicians Terms and Conditions

5 FIGURE 4a Electrocardiogram taken in 1961. The tracing is normal.
Diseases of the Chest  , DOI: ( /chest ) Copyright © 1962 The American College of Chest Physicians Terms and Conditions

6 FIGURE 4b Electrocardiogram of the same patient taken in Abnormal T waves are seen in leads 2, 3, AVF, V5 and V6. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1962 The American College of Chest Physicians Terms and Conditions

7 FIGURE 5 Thoracic catheter ventriculography-left lateral projection. LA: left atrium. LV: left ventricle. AA: ascending aorta. The opaque material is injected in the left ventricle with the tip of the catheter positioned at the apex, showing moderately severe mitral regurgitation. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1962 The American College of Chest Physicians Terms and Conditions

8 FIGURE 6 Thoracic catheter aortography, A-P projection. The opaque material is injected in the ascending aorta, showing no aortic valve deformity, no dilatation of the ascending aorta and no aortic regurgitation. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1962 The American College of Chest Physicians Terms and Conditions


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