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[A continuous murmur in female patient after traffic injury]
Piotr Wańczura1, Wojciech Stecko, Piotr Kukla
1Oddział Kardiologii, Szpital Wojewódzki Nr 2 im. Św. Jadwigi Królowej, Rzeszów. p.wanczura@poczta.fm
Insights
A rare case of a continuous murmur in a 33-year-old female revealed a left anterior descending artery aneurysm with a fistula to the right ventricle. Surgical repair involved grafting and fistula ligation.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Diagnostic Imaging
Background:
- Continuous murmur can indicate complex cardiac anomalies.
- Aneurysms of the coronary arteries are uncommon, especially with fistulous connections.
Abstract:
A case of a 33 year-old female with continuous murmur was admitted to the hospital for diagnostic purposes. TEE was inconclusive. Coronary angiography revealed an aneurysm of left anterior descending with the fistula to the right ventricle. The patient underwent implantation of inset of left internal mammary artery graft and ligation of fistula during open heart surgery.
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The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
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Auscultation is the process of listening to these internal body sounds using a stethoscope. The heart produces four types of sounds, but only two—S1 and S2—can usually be heard with a stethoscope.
S1, also known as the "lub" sound, is caused by the closure of atrioventricular (A-V) valves at the...
