A case of secundum atrial septal defect combined with aortic stenosis and coronary artery disease showing a single second heart sound.

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概要

• 論文の詳細を見る

• We describe an extremely rare case of secundum atrial septal defect with aortic stenosis and coronary artery disease showing a single second heart sound throughout the respiratory cycle by echocardiogram with simultaneous phonocardiogram. Aortic valve closure corresponded to the single second heart sound. We were unable to detect pulmonary valve closure (PVC) on echocardiogram. Because of the presence of pulmonary hypertension, the pulmonary component of the second heart sound (P2) was presumed to be increased in intensity, and the PVC-P2 interval was thought to be abbreviated. Carotid pulse tracing showed a prolongation of the left ventricular ejection time. We concluded that the single second heart sound was due to both prolongation of left ventricular systole and pulmonary hypertension.

• International Heart Journal刊行会の論文

著者

• Miyakoda Hiroyuki

  First Department Of Internal Medicine School Of Medicine Nagoya University

• Fukuki Masaharu

  First Division, Department of Internal Medicine, Tottori University

• Fujimoto Yukihiro

  First Department Of Internal Medicine Faculty Of Medicine Tottori University

• Hasegawa Junichi

  First Department of Internal Medicine, Tottori University School of Medicine

• Kotake Hiroshi

  First Department Of Internal Medicine Tottori University School Of Medicine

• MASHIBA Hiroto

  First Department of Internal Medicine and Research Institute for Angiocardiology, Faculty of Medicine, Kyushu University

• MASHIBA Hiroto

  First Department of Internal Medicine, Tottori University School of Medicine

• HASEGAWA Junichi

  First Department of Internal Medicine, Tottori University

• SAITOH Makoto

  First Department of Internal Medicine, Tottori University School of Medicine

• YAMASAKI Junichi

  First Department of Internal Medicine, Tottori University School of Medicine

• MIYAKODA Hiroyuki

  First Department of Internal Medicine, Tottori University School of Medicine

• FUKUKI Masaharu

  First Department of Internal Medicine, Tottori University School of Medicine

• YAMASAKI Junichi

  First Department of Internal Medicine, Tottori University

• FUJIMOTO Yukihiro

  First Department of Internal Medicine, Tottori University School of Medicine

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