The Clinical Diagnosis and Surgical Management of Ruptured Mitral Chordae Tendineae.
نویسندگان
چکیده
A wvhite shoe salesman first entered University Hospitals of Cleveland at age 61 stating that he had been rejected from the armed services 23 years previously and that 21 years ago life insurance had been refused because of a heart murmur. He denied having rheumatic fever or other febrile illnesses. His only memory of trauma was being thrown over the handlebars of his bicycle at age 12. From age 40 through age 55, he did well with an equivocal decrease in his exercise tolerance. Four years ago at another hospital cardiac catheterization reveailed mitral insufficiency. Shortly thereafter he noted a rapidly progressive increase in dyspnea on exertion, orthopnea, pedal edema and ascites. Two years ago digitoxin was begun with marked improvement in all of his symptoms. At the time of his admission to Uniiversity Hospitals he again had increasing symptoms of cardiac decompensation. His blood pressure xwas 140/80 and his pulse was 68 and irregular. A systolic thrill wvas present
منابع مشابه
Severe Mitral Regurgitation Secondary to Ruptured Chordae Tendineae.
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عنوان ژورنال:
- Circulation
دوره 30 شماره
صفحات -
تاریخ انتشار 1964