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[Myxoma of the right atrium and left ventricle].

Med Arh

April 2002

Interno odjeljenje, JU Opća bolnica Sarajevo.

In this case report has been shown 63 years old woman who was admitted on internal medicine ward because of chest pain. She said, she has had chest pain for one year, exercise not dependent, connected with shortage of breath and often with coughing mixed with blood. One month before she was discharged from Neurologic Clinic where she had been admitted because of cerebrovascular insult.

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We have observed abnormal echoes in the left ventricular outflow tract in 4 patients: 3 of the subjects had bacterial endocarditis and the fourth patient had myxomatous degeneration of the aortic valve (floppy aortic valve). A single diastolic echo with fine high frequency fluttering was seen in the patient with the floppy aortic valve, whereas the patients with endocarditis had associated infection of the mitral valve and an aneurysm of the anterior mitral leaflet, which was represented by dense systolic echoes on the proximal part of the mitral valve..

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