Abstract
A case initially diagnosed as tricuspid insufficiency in which critical review of the clinical findings pointed to a diagnosis of pulmonary outflow obstruction is described. At necropsy a myocardial rhabdomyosarcoma was found with associated thromboembolism. The cardinal features were the rapid development of a loud systolic murmur, clinical evidence of right ventricular enlargement and failure with large jugular presystolic 'a' waves, and a reduction in the intensity of the pulmonary component of the second sound, a shift in the QRS axis to the right, and an increase in the cardiothoracic ratio.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Lymburner R. M. TUMOURS OF THE HEART: HISTOPATHOLOGICAL AND CLINICAL STUDY. Can Med Assoc J. 1934 Apr;30(4):368–373. [PMC free article] [PubMed] [Google Scholar]
- Sochocky S. Rhabdomyosarcoma of the heart. Minn Med. 1971 Sep;54(9):747–750. [PubMed] [Google Scholar]
- Spencer J. D., King J. F., Grossmann A. E. Cardiac embolus. Am Heart J. 1971 Dec;82(6):802–804. doi: 10.1016/0002-8703(71)90203-1. [DOI] [PubMed] [Google Scholar]