Proof by catheterization of mitral valvular origin of a systolic click
作者:
William D. Towne,
Ramesh Patel,
Jairo B. Cruz,
Brooks Mirrer,
Neil E. Kramer,
期刊:
Catheterization and Cardiovascular Diagnosis
(WILEY Available online 1978)
卷期:
Volume 4,
issue 1
页码: 47-52
ISSN:0098-6569
年代: 1978
DOI:10.1002/ccd.1810040107
出版商: Wiley Subscription Services, Inc., A Wiley Company
关键词: mitral valve prolapse;systolic click
数据来源: WILEY
摘要:
AbstractA patient with a loud intermittent midsystolic click presented a problem in differential diagnosis between mitral valve prolapse (intracardiac origin of the click) and left pneumothorax (extracardiac origin). External phonocardiography performed at the time of cardiac catheterization revealed that this loud midsystolic click disappeared whenever a catheter was positioned across the mitral valve. It reappeared whenever the catheter was removed from the transmitral position. Selective left ventriculography confirmed the diagnosis of mitral valve prolapse.
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