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Arch Intern Med. 1999;159:2396.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

THE CASE REPORT by Woywodt et al¹ published in this issue of the ARCHIVES extols the lost art of auscultation.

The authors heard a musical murmur that appeared to originate from the right side of the heart and astutely suspected that it was caused by an anomalous chordae in the right ventricle that was vibrating in systole because of tricuspid regurgitation. Their excitement and enthusiasm to establish the diagnosis clinically is evident: "With considerable effort, we discovered a vacuum tube–operated abandoned phonocardiogram," dusted it off, and recorded the murmur.

Their suspicion of the cause of the murmur was substantiated on the second echocardiogram, not the first. One suspects that during the first study the echocardiographer was unaware of the possible anomalous chordae and did not specifically look for it. It is likely that the second echocardiographic examination was done with specific instructions by the physician to look carefully for the . . . [Full Text of this Article]

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