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The echocardiographic correlate of a systolic click appearing after open mitral commissurotomy

✍ Scribed by Stephen D. Clements Jr.; B. Woodfin Cobbs Jr.; Edward R. Dorney; R. Bruce Logue; Sonia Chang


Publisher
John Wiley and Sons
Year
1978
Tongue
English
Weight
450 KB
Volume
6
Category
Article
ISSN
0091-2751

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✦ Synopsis


Abstract

An echocardiographic correlate for a post‐valvulotomy mid‐systolic click is described. Simultaneous echocardiographic and phonocardiographic studies demonstrated that the click was temporally related to a sudden midsystolic posterior motion of part of the mitral valve apparatus. This temporal relationship suggests that the sudden change in position of portions of the mitral valve resulted in the loud midsystolic click. In our patient the sudden leaflet movement associated with the click was apparently a localized abnormality.