Septal aneurysm and right ventricular obstruction: a case report.
A 32-year-old man with a history of ventricular septal defect presented with systolic and diastolic murmurs and vectocardiographic evidence of right ventricular hypertrophy. Echocardiography demonstrated a prominent systolic bulging of the interventricular septum into the right ventricle. Left ventricular angiograms indicated that the ultrasonic abnormality was based on an aneurysm of the membranous septum which produced a 35 mm Hg gradient within the right ventricle. After plication of this aneurysm, murmur and abnormal septal protrusion were not recorded.
D000328:Adult; D006328:Cardiac Catheterization; D006332:Cardiomegaly / Q000209:etiology; D004452:Echocardiography; D006322:Heart Aneurysm / Q000150:complications / Q000151:congenital / Q000175:diagnosis* / Q000601:surgery; D006337:Heart Murmurs; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D010701:Phonocardiography