W HEN a continuous murmur is heard in the chest of a child one usually thinks of a patent ductus arteriosus. This diagnosis is unlikely, however, if the murmur is not loudest in the left infraclavicular region, ancd some other explanation must then be sought. This commnunication is about a child with such a murmur and details the investigations that led to the diagnosis of phrenic arteriovenous...

ruptured chordae tendineae. Pathologic examination revealed scarring and myxomatous degeneration of the mitral valve. The origin of the systolic murmur, mimicking that of aortic stenosis, is well documented to be due to a regurgitant jet striking the anterosuperior wall of the left atrium adjacent to the aorta, thus producing radiation toward the carotid arteriessm5 However, the cause of the di...

The purpose of this work was to determine how reliable a guide an apical systolic murmur can be to the finding at mitral valvotomy of incidental mitral regurgitation complicating dominant mitral stenosis. The history of the systolic murmur in mitral stenosis is a confused one, since general agreement was not reached about the timing of systolic and diastolic murmurs in mitral stenosis for nearl...

The diagnosis of early rheumatic carditis usually depends upon the detection of murmurs produced by acute valvulitis. It may be difficult to evaluate clinically the significance of certain murmurs occurring in patients with rheumatic fever, though the development of a loud apical pansystolic murmur in a patient already under observation usually presents no diagnostic problem. More frequently a ...

AIM To define the origin and the natural history of innocent heart murmurs in newborn infants. METHODS Fifty healthy babies born at term with the clinical diagnosis of an innocent heart murmur and 50 controls without a murmur were studied. Each baby had a complete two dimensional and pulsed Doppler echocardiogram and those with any abnormality were followed up at 6 weeks, 3 months, and 6 mont...

In a survey of the Sheffield Region, Stuart-Harris, Twidle, and Clifton (1959) found that cor pulmonale was the commonest cause of heart failure resulting in admission to hospital. The investigation to be described was initiated when a patient in heart failure due to cor pulmonale was found to have a systolic murmur suggesting tricuspid incompetence which radiated down below the diaphragm into ...