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Marvin Berger, MD; Rajinder Bhalla, MD; Mansoor Jelveh, MD; Emanuel Goldberg, MD

Arch Intern Med. 1979;139(11):1305-1306.

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

A 25-year-old asymptomatic man was hospitalized for heroin detoxification. Five years previously he had been stabbed in the left side of the chest and during emergency surgery a laceration of the right ventricle near the base of the pulmonary artery was repaired. No murmurs were described at that time.

On physical examination the blood pressure was 112/78 mm Hg. At the upper left sternal border there was a grade 3/6 holosystolic murmur and a grade 3/6 decrescendo long diastolic murmur. There were no palpable thrills. Chest roentgenogram, ECG, and M-mode echocardiogram all were normal.

A two-dimensional echocardiogram is shown in Fig 1. What is your diagnosis?

The two-dimensional echocardiogram (Fig 1) shows an aneurysm of the right sinus of Valsalva. The sagittal or long-axis view illustrated in the left panel shows aneurysmal protrusion of the anterior aortic wall into the right ventricular outflow tract. This abnormality is located just distal . . . [Full Text PDF of this Article]

Author Affiliations

Footnotes

Reprint requests to Beth Israel Medical Center, 10 Nathan D. Perlman PI, New York, NY 10003 (Dr Berger).

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