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Ejection click in an adolescent with bicuspid aortic valve

Ejection click in an adolescent with bicuspid aortic valve
Phonocardiogram recorded at the apex in an adolescent with bicuspid aortic valve demonstrating an early, constant systolic ejection click (EC) that occurs shortly after S1.
S1: first heart sound; S2: second heart sound.
Graphic 104790 Version 2.0