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IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY |
Department of Cardiovascular and Thoracic Surgery
1 Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan
For reprint information contact: Atsushi Fukumoto, MD Tel: 81 75 251 5752 Fax: 81 75 257 5910 Email: fukumoto@koto.kpu-m.ac.jp, D465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan.
| The first 20% of the full text of this article appears below. |
A 54-year-old man who had undergone mitral valve replacement (MVR; CarboMedicsTM 29M, Austin, TX, USA) 1 year before presented with palpitations and dyspnea for duration of 3 days. On admission symptoms was intensified, and the electrocardiogram showed paroxysmal atrial fibrillation at 100–120 beats·min–1 with monofocal premature ventricular contractions (Lown grade III). The oxygen saturation by pulse oximeter was 89% in room air. Auscultation revealed a decreased intensity of metallic clicks without an abnormal murmur. Two-dimensional transthoracic echocardiography (TTE) showed paradoxical movement of
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