关键词: computed tomography coronary arterial aneurysm echocardiography phonocardiography second heart sound

Mesh : Adult Aorta, Thoracic / pathology Coronary Aneurysm / pathology Coronary Vessels / pathology Echocardiography Female Heart Sounds / physiology Humans

来  源:   DOI:10.2169/internalmedicine.9708-17   PDF(Sci-hub)

Abstract:
Even in modern clinical cardiology, basic auscultation skill is not obsolete and is still important because it can always provide a clue to an underlying pathophysiology. We demonstrate an unusual mechanism of pathological wide splitting of the second heart sound due to external compression of the pulmonary trunk in a patient with a giant coronary arterial aneurysm of the proximal left anterior descending artery. Echocardiography, when combined with a three-dimensional anatomical analysis with cardiac computed tomography, was useful for elucidating the mechanism of the abnormal heart sounds.
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