title: Transesophageal echocardiographic evaluation of perioperative systolic murmur in aortic pathology.
abstract: Development of a new systolic murmur in patients following a Bental procedure with a prosthetic or homograft aortic valve usually indicates an aortic valve-related complication. Here, we report new etiologies of a loud systolic murmur in patients with aortic disease. One patient developed a new loud systolic murmur as an initial manifestation of acute type A aortic dissection without any complication, and two patients developed a loud systolic murmur as the major manifestation of aortic graft failure following aortic root surgery. Auscultation of a new loud systolic murmur in the upper chest in patients with known aortic disease should alert one to a complication within the ascending aorta.
authors.affiliation: Cardiac Non-Invasive Laboratory, Division of Cardiology, Department of Medicine, Cedars-Sinai Medical Center and UCLA School of Medicine, Los Angeles, CA, USA.
authors.forename: Tasneem Z
authors.initials: TZ
authors.lastname: Naqvi
authors.forename: Joseph W
authors.initials: JW
authors.lastname: Zaky
authors.forename: Sharo S
authors.initials: SS
authors.lastname: Raissi
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000209:etiology; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging* / Q000209:etiology; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005500:Follow-Up Studies; D006337:Heart Murmurs / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011475:Prosthesis Failure; D018570:Risk Assessment; D012494:Sampling Studies; D012680:Sensitivity and Specificity