Journal of Electrocardiology

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Presentation transcript:

Journal of Electrocardiology Peñaloza-Tranchesi sign secondary to ascending aortic aneurysm and not due to right atrium enlargement Eduardo Cavalcanti Lapa Santos, MD, MSc, Lurildo Ribeiro Saraiva, MD, PhD, Brivaldo Markman, MD, PhD, Andréa Bezerra Lordsleem, MD, PhD, Sandro Gonçalves Lima, MD, PhD, Mayara de Souza Vasconcelos, MD, Edmilson Cardoso dos Santos Filho, MD, MSc, Arthur Cesário Holanda, Medical student Journal of Electrocardiology DOI: 10.1016/j.jelectrocard.2017.07.009 Copyright © 2017 Elsevier Inc. Terms and Conditions

Fig. 1 Pre-operative electrocardiogram showing notched P wave in lead D2 (stars), left QRS axis deviation, and the Peñaloza-Tranchesi sign (arrows). Journal of Electrocardiology DOI: (10.1016/j.jelectrocard.2017.07.009) Copyright © 2017 Elsevier Inc. Terms and Conditions

Fig. 2 Pre-operative chest radiography showing enlarged aortic arch (long arrow) and superior mediastinum widening (short arrows). Journal of Electrocardiology DOI: (10.1016/j.jelectrocard.2017.07.009) Copyright © 2017 Elsevier Inc. Terms and Conditions

Fig. 3 Pre-operative thoracic computed tomography showing an important enlargement of the ascending aorta. Journal of Electrocardiology DOI: (10.1016/j.jelectrocard.2017.07.009) Copyright © 2017 Elsevier Inc. Terms and Conditions

Fig. 4 Intra-operative view of the ascending aortic aneurism (left side) and Bentall-De Bono procedure (right side). (Color) Journal of Electrocardiology DOI: (10.1016/j.jelectrocard.2017.07.009) Copyright © 2017 Elsevier Inc. Terms and Conditions

Fig. 5 Post-operative electrocardiogram showing QRS complex amplitude in lead V1 and QRS complex amplitude in V2/QRS complex amplitude in V1 both normal (arrows), as well as a premature ventricular contraction (stars). Journal of Electrocardiology DOI: (10.1016/j.jelectrocard.2017.07.009) Copyright © 2017 Elsevier Inc. Terms and Conditions

Fig. 6 Comparison between pre-operative (left side) and post-operative (right side) electrocardiograms, showing post-surgical normalization of the QRS amplitude in lead V1 (arrows) and of the relation QRS complex amplitude in V2/QRS complex amplitude in V1. Journal of Electrocardiology DOI: (10.1016/j.jelectrocard.2017.07.009) Copyright © 2017 Elsevier Inc. Terms and Conditions