title: Resonant cardiac chamber with diastolic thrill.
abstract: A 70-year-old man with a diastolic Levine V/VI musical murmur came to our department. Doppler color-flow imaging showed eccentric severe aortic regurgitation. M-mode echocardiography demonstrated fluttering of the anterior mitral leaflet and fine tremors at the aortic root. The curved M-mode representation of the myocardial strain rate showed that the basal septum was encoded in a mixture of blue and red spots during diastole, showing massive basal septal vibration. In the present case, the force of the regurgitant flow might have caused vibration of the basal septum, thereby possibly leading to distinct thrill.
authors.affiliation: Department of Cardiology, Kumamoto Saisyunsou Hospital, 2659, Suya, Koshi, Kumamoto, 861-1196, Japan.
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Kurokawa
authors.forename: Ikuo
authors.initials: I
authors.lastname: Misumi
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Honda
authors.forename: Hiroki
authors.initials: H
authors.lastname: Usuku
authors.forename: Hisayo
authors.initials: H
authors.lastname: Yasuda
authors.forename: Koichi
authors.initials: K
authors.lastname: Kaikita
authors.forename: Seiji
authors.initials: S
authors.lastname: Hokimoto
authors.forename: Hisao
authors.initials: H
authors.lastname: Ogawa
authors.forename: Daisuke
authors.initials: D
authors.lastname: Nakatsuka
authors.forename: Minoru
authors.initials: M
authors.lastname: Tabata
mesh_terms: D000368:Aged; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging*; D002302:Cardiac Output; D003971:Diastole; D004452:Echocardiography; D015150:Echocardiography, Doppler; D006337:Heart Murmurs; D006801:Humans; D008297:Male; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000175:diagnosis*