Transesophageal echocardiographic evaluation of perioperative systolic murmur in aortic pathology

Tasneem Z. Naqvi, Joseph W. Zaky, Sharon S. Raissi

Research output: Contribution to journalReview articlepeer-review


Development of a new systolic murmur in patients following a Bental procedure with a prosthetic or homograft aortic valve usually indicates an aortic valve-related complication. Here, we report new etiologies of a loud systolic murmur in patients with aortic disease. One patient developed a new loud systolic murmur as an initial manifestation of acute type A aortic dissection without any complication, and two patients developed a loud systolic murmur as the major manifestation of aortic graft failure following aortic root surgery. Auscultation of a new loud systolic murmur in the upper chest in patients with known aortic disease should alert one to a complication within the ascending aorta.

Original languageEnglish (US)
Pages (from-to)112-116
Number of pages5
JournalReviews in cardiovascular medicine
Issue number2
StatePublished - Mar 1 2003


  • Aortic dissection
  • Systolic murmur
  • Transesophageal echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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