Catheterization and cardiovascular diagnosis
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Cathet Cardiovasc Diagn · Jan 1988
Case ReportsCoronary artery dissection secondary to blunt chest trauma.
A 38-yr-old woman presented with an anterolateral myocardial infarction following blunt chest trauma sustained in a motor vehicle accident. Subsequent cardiac catheterization revealed a large left ventricular aneurysm and angiographic evidence of dissection of the proximal left anterior descending artery. Review of the literature and management are discussed.
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Cathet Cardiovasc Diagn · Jan 1988
Pulsed Doppler evaluation of regurgitation in mitral valve prostheses.
Prosthetic mitral valve regurgitation was evaluated by both pulsed Doppler ultrasound and left ventriculography. Pulsed Doppler ultrasound was found to have only a 20% sensitivity in detecting prosthetic mitral valve regurgitation documented by left ventriculography. ⋯ Mitral insufficiency, especially when not severe, may be missed by this technique. Care must be taken in interpreting negative results from a pulsed Doppler ultrasound evaluation of a prosthetic mitral valve.