A child in whom abnormal vessels connected the descending thoracic aorta and the left atrium is described. This is a previously unreported congenital malformation. Clinically this condition differs from the more common aorto-cardiac fistulas in that the continuous murmur was better heard posteriorly as well as in the right parasternal area. Ligation of the aberrant vessels abolished the murmur.

infective endocarditis can complicate with ischemic stroke. neurological complications develop in 20-40% of all patients with infective endocarditis. these are mainly due to vegetation embolism.this report represents a case of 30 years old female patient who presented with features of heart failure new york heart association (nyha) class iv with infective endocarditis and left hemiparesis. on e...

IN 1908 van den Bergh' described a loud systolic murmur of unusual quality that appeared in a woman the day after parturition. It was localized to a small area in the second right intercostal space, and disappeared entirely when firm pressure with the stethoscope bell was applied over the site of maximum intensity. He believed the murmur was extracardiae, and owed its origin to enlarged tortuou...

A 53 year old man with a history of rheumatic mitral stenosis was admitted to hospital because of recurrent fainting spells. Auscultation showed a variable diastolic rumbling murmur. Simultaneous echo- and phonocardiograms demonstrated a floating left atrial thrombus; when this passed into the left ventricular inflow tract and obstructed the mitral valve orifice the diastolic murmur disappeared.

BACKGROUND The aims of this study were to establish the prevalence of innocent cardiac murmurs in clinically healthy puppies, to investigate a possible correlation between the presence of an innocent murmur and hematocrit, and to describe the auscultation characteristics of innocent murmurs. HYPOTHESIS Lower hematocrit contributes to the genesis of innocent murmurs. ANIMALS Five hundred and...

Acquired aortic stenosis, when severe, often gives rise to pulsus alternans.' Other relatively common causes for pulsus alternans include hypertensive heart disease, coronary artery disease, syphilitic heart disease and cardi~myopathy.~ When pulsus alternans is present, the clinician can usually appreciate it through the use of a sphygmomanometer, in which case when the cuff is infiated to near...

Abstract This paper presents a study of the impact clicks, and murmurs on cardiac sound S1, S2, measure severity degree through synchronization between frequencies, using bispectral analysis. The algorithm is applied three groups Phonocardiogram (PCG) signal: group A represents PCG signals having morphology similar to that normal signal without click or murmur, B with (reduced murmur), C repres...