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Suspected heart failure and a diastolic murmur

    Author: Jean-François Paul, MD, Plessis-Robinson, France
    Body Region: Cardiovascular

    1. Patient Presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References

    1. Patient Presentation

    • A 69-year-old man, with a history of moderate aortic regurgitation, was admitted to our
      hospital with symptoms of congestive heart failure.

    • On physical examination, cardiac auscultation revealed a grade 3/6 diastolic murmur along the
      left sternal border.

    • Transthoracic echocardiography showed a left ventricular hypertrophy with an enlarged cavity
      (left ventricular end diastolic diameter, 70 mm), a normal left ventricular ejection fraction
      (55%), and a central severe aortic regurgitation. Sigmoid aortic valves were mildly thickened,
      without the usual Y-aspect closure, leading to the suspicion of an aortic valve abnormality.

    • Transoesophageal echocardiography and dual-source CT were performed before surgical
      intervention (valve repair).
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