HomeClinicalSuspected heart failure and a diastolic murmur

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).