Mitral Regurgitation in a Patient with the Marfan Syndrome

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Presentation transcript:

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 457-462 (April 1962) DOI: 10.1378/chest.41.4.457 Copyright © 1962 The American College of Chest Physicians Terms and Conditions

FIGURE 1 Patient is tall and thin. Arachnodactyly is noted. Diseases of the Chest 1962 41, 457-462DOI: (10.1378/chest.41.4.457) Copyright © 1962 The American College of Chest Physicians Terms and Conditions

FIGURE 2 Pectus carinatum is demonstrated. Diseases of the Chest 1962 41, 457-462DOI: (10.1378/chest.41.4.457) Copyright © 1962 The American College of Chest Physicians Terms and Conditions

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 1962 41, 457-462DOI: (10.1378/chest.41.4.457) Copyright © 1962 The American College of Chest Physicians Terms and Conditions

FIGURE 4a Electrocardiogram taken in 1961. The tracing is normal. Diseases of the Chest 1962 41, 457-462DOI: (10.1378/chest.41.4.457) Copyright © 1962 The American College of Chest Physicians Terms and Conditions

FIGURE 4b Electrocardiogram of the same patient taken in 1956. Abnormal T waves are seen in leads 2, 3, AVF, V5 and V6. Diseases of the Chest 1962 41, 457-462DOI: (10.1378/chest.41.4.457) Copyright © 1962 The American College of Chest Physicians Terms and Conditions

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 1962 41, 457-462DOI: (10.1378/chest.41.4.457) Copyright © 1962 The American College of Chest Physicians Terms and Conditions

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 1962 41, 457-462DOI: (10.1378/chest.41.4.457) Copyright © 1962 The American College of Chest Physicians Terms and Conditions