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(Chest. 1972;62:504-505.)
© 1972 American College of Chest Physicians

Continuous Murmur as a Sequel of Augmented Collateral Circulation in Suppurative Lung Disease: Report of Three Cases

Solomon Victor M.S.1; C. Lakshmikanthan M.D., F.C.C.P.1; Gowri Shankar M.S.1; P. G. Parameswaran M.S., M.Ch.1; A. Sreenivasan M.D.1; and C. S. Sadasivan M.S.1

1 Department of Cardiothoracic Surgery, Government General Hospital, Madras, India

Three adult men with bronchiectasis presented with continuous thrill and murmur over the chest and wide pulse pressure. One had visible collaterals in the chest wall and neck. These signs are the result of augmented pulmonary collateral circulation, demonstrated by aortography and pulmonary angiography. Such a clinical presentation has not been reported, in suppurative lung diseases. Reversal of blood flow in the main pulmonary artery seen in two patients is rare.






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Copyright © 1972 by the American College of Chest Physicians.