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J Thorac Cardiovasc Surg 2007;133:e1
© 2007 The American Association for Thoracic Surgery

Brief Communication

Wide splitting of the second heart sound and systolic murmur: Not what you think

Department of Cardiothoracic Surgery, Hadassah University Hospital, Jerusalem, Israel.

Received for publication August 12, 2006; accepted for publication August 31, 2006.

^_* Address for reprints: Dr. Amir Elami, Department of Cardiothoracic Surgery, Hadassah University Hospital, PO Box 12000, Jerusalem 91120, Israel. (Email: eamir@md.huji.ac.il).

The first 20% of the full text of this article appears below.

A 20-year-old woman with recent fatigue, weakness of the hands and eyelids, and change in the character of her voice was referred to us for surgical removal of a thymic tumor revealed by means of chest computed tomography. This examination (Figure 1) disclosed a cystic mass measuring 12 x 5 cm in the anterior mediastinum without hilar, mediastinal, or axillary adenopathy. The acetylcholine receptor antibody level was 14.4 pmol/mL (normal, 0-0.5 pmol/mL). There was no conduction abnormality on the . . . [Full Text of this Article]