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Chest, Vol 76, 594-596, Copyright © 1979 by American College of Chest Physicians

ARTICLES

Ruptured aneurysm of aortic sinus of Valsalva into right ventricle

N Anzai, M Yamada, N Fijii, Y Kazama and S Miyazawa

We report a patient with ruptured aneurysm of the aortic sinus of Valsalva into the right ventricle, whose heart murmur represented only a diastolic element without aortic regurgitation. Surgery revealed a small opening through myocardium of the ventricular septum without ventricular septal defect. During systole, the opening was constricted and presumably closed with myocardial contraction, and left-to-right shunt might have occurred only in diastole. This might lead to only a diastolic murmur.




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Copyright © 1979 by the American College of Chest Physicians.