The phonocardiogram in a partially detached mitral (Starr-Edwards) prosthesis

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Diastolic murmurs in the presence of Starr-Edwards mitral prosthesis.

Diastolic murmurs associated with the Starr-Edwards mitral prosthesis have not been described previously. In this report, five patients with mitral prostheses are described in whom apical mid-diastolic and presystolic murmurs resulted from two different causes. Three patients had clots obstructing the prosthetic orifice. The other two had normally functioning protheses and moderately severe aor...

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Acute dysfunction of Starr-Edwards mitral prostheses.

Four cases of acute dysfunction of Starr-Edwards mitral prostheses are recorded. The patients presented with sudden dyspnoea 4 to 18 months after apparently successful mitral valve replacement. The prosthetic valve dysfunction was caused by thrombus on the bare metal cage of the prosthesis. No warning thromboembolic phenomena had been recorded. Urgent replacement of the valve resulted in the su...

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Premature valve closure in patients with a mitral Starr-Edwards prosthesis and aortic incompetence.

A mitral Starr-Edwards ball valve has, in three patients with concomitant aortic incompetence, permitted recognition of intermittent premature valve closure by auscultation and this has been documented by phonocardiograms. In two instances the observations were confirmed during cardiac catheterization. The features of premature Starr valve closure are described and the mechanism is discussed.

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Long-term prognosis of mitral or aortic valve replacement by a Starr-Edwards prosthesis.

A Swr-Edwards Silsstic hd-valve prosthesis was inserted in 100 seriously d l M e d patients with isolated aortic (55 case) or m i l d (45 caws) valve dbease. The follow-up study for periods of Urree years or more resulted in the following points. The o v e d mortslity rate reached 35 percent in both groups. but the operative risks were t h m times lea in the mrtic thno in the m i i d group. Thr...

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Impaired function of cloth-covered Starr-Edwards mitral valve prosthesis. Detection by phonocardiography.

was suspected because of phonocardiographic abnormalities. A prolonged interval from aortic closure to opening of the mitral ball suggested an impediment to movement of the ball. This was confirmed by catheterization and cinefluorography. At autopsy the impaired ball movement was found to be due to thrombus buildup on the outflow face of the mitral valve orifice. It is suggested that frequent p...

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ژورنال

عنوان ژورنال: Postgraduate Medical Journal

سال: 1975

ISSN: 0032-5473

DOI: 10.1136/pgmj.51.600.731