XXXX : overview, recognition, and management.

@entity1 @entity5 @entity3291 @entity887 @entity4615
The evaluation of a @entity1 suspected of having an @entity4615 is based initially on a unique association of physical findings and symptoms referrable to obstructive, embolic, and/or constitutional manifestations of the @entity5 . Objective confirmation is sought with the use of M-mode and 2D echocardiography. A nondiagnostic echocardiogram, especially with recurrent or progressive symptoms and signs of @entity4615 , should prompt more invasive methods of confirmation. The hemodynamic and angiographic data previously discussed may provide the clues needed for diagnosis, especially with nonprolapsing @entity3291 . The use of other techniques, such as a gated blood pool scanning or computerized tomography, affects primarily the incidental discovery of a "silent" @entity5 . Urgent surgical @entity3291 is mandatory to avoid @entity887 . Postoperative examination should be directed specifically at evaluating the @entity1 for @entity5 recurrence or growth of a peripheral @entity887 . The incidence of these complications is small, but they are frequently overlooked. A second echocardiogram should be obtained as an initial baseline study. The asymptomatic @entity1 should have subsequent routine clinical examinations to detect the growth of @entity5 embolic fragments and an echocardiographic examination every year or two to detect @entity5 recurrence. Immediate evaluation is necessary should the @entity1 develop recurrent symptoms.
