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European Journal of Echocardiography Advance Access originally published online on December 2, 2008
European Journal of Echocardiography 2009 10(3):442-443; doi:10.1093/ejechocard/jen309
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org.

Continuous heart murmur in a 26-year-old woman

Liliane Jahjah* and Jean-Luc Vandenbossche

Department of Cardiology, University Hospital Saint-Pierre, CHU Saint-Pierre, 322, rue Haute, 1000 Brussels, Belgium

Received 4 September 2008; accepted after revision 10 November 2008; online publish-ahead-of-print 2 December 2008.

* Corresponding author: Tel: +32 2 535 33 51; fax: +32 2 5353362. E-mail address: liliane_jahjah{at}stpierre-bru.be


  Abstract

In this report, we describe a continuous murmur heard in a young woman at the beginning of her lactation period, which illustrates a typical example of ‘Mammary Souffle’, described one century ago. Colour Doppler and pulsed-wave mode echocardiogram allowed to precise, for the first time, the arterial nature of increased systolic and diastolic blood flow in tortuous branches of internal mammary artery, most probably responsible of the murmur, after ruling out any other origin of continuous murmur.

Keywords: Continuous murmur; Mammary souffle; Echocardiography; Internal mammary artery


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