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Angiology
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Graphic Findings in Acute Aortic Regurgitation Caused By Destruction of Aortic Cusp

The Origin of First Heart Sound

Samuel Zoneraich

Division of Cardiology, Department of Medicine, Queens Hospital Center, Jamaica, The Long Island Jewish-Hillside Medical Center, New Hyde Park and the State University of N.Y. at Stony Brook, Stony Brook, New York

Olga Zoneraich

Division of Cardiology, Department of Medicine, Queens Hospital Center, Jamaica, The Long Island Jewish-Hillside Medical Center, New Hyde Park and the State University of N.Y. at Stony Brook, Stony Brook, New York

Jai J. Rhee

Division of Cardiology, Department of Medicine, Queens Hospital Center, Jamaica, The Long Island Jewish-Hillside Medical Center, New Hyde Park and the State University of N.Y. at Stony Brook, Stony Brook, New York

Mohinder P. Gupta

Division of Cardiology, Department of Medicine, Queens Hospital Center, Jamaica, The Long Island Jewish-Hillside Medical Center, New Hyde Park and the State University of N.Y. at Stony Brook, Stony Brook, New York

The diagnosis of ruptured aortic cusp leading to acute aortic insufficiency was made by echophonocardiographic techniques in a patient with non- vegetative aortic valvular endocarditis and a negative clinical history. Early closure of the mitral valve, weak first heart sound, tall A wave of apexcardiogram, and early diastolic murmur indicated acute aortic regur gitation. Fine high frequency echoes of the aortic root and aortic leaflets suggested ruptured aortic leaflet unlike that reported in the presence of vegetations. Timing of S 1 in acute aortic regurgitation by phonocardio gram, echocardiogram, and pulse techniques could not establish a single causative valvular relation in the genesis of this sound.

Angiology, Vol. 28, No. 1, 7-14 (1977)
DOI: 10.1177/000331977702800102


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