Thromboembolism after Starr valve replacement.

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Thromboembolism after Starr valve replacement.

One hundred and six patients who left hospital after Starr-Edwards ball valve replacements have beenfollowedfor a period of 6 months tO 4 years. All patients were maintained on oral anticoagulant therapy so that a prothrombin ratio of approximately I 7:I was attained. Four patients suffered minor nose bleeds. During the period offollow-up there have been 4 patients who have suffered embolic phe...

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Intravascular haemolysis after valve replacement: comparative study between Starr-Edwards (ball valve) and Björk-Shiley (disc valve) prosthesis.

Seventy-four patients with single prosthetic valves (Björk-Shiley or Starr-Edwards) in the mitral or aortic position and 18 controls with rheumatic valvar heart disease were investigated for evidence of intravascular haemolysis. Serum lactate dehydrogenase (LDH) was used as the most sensitive indicator of haemolysis. Raised concentrations were found in a third of 39 patients with Björk-Shiley p...

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Phonocardiographic method of assessing changes in left ventricular function after Starr-Edwards replacement of aortic valve.

A phonocardiographic method is described for measuring the time taken by the ball of a Starr-Edwards prosthesis to move to the apex of the cage at the onset of left ventricular ejection, and from this its acceleration can be derived. The acceleration is conspicuously increased in post-ectopic beats and in exercise, but is unaffected by posture and tachycardia induced by atropine or ventricular ...

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Dysphagia due to left atrial enlargment after mitral Starr valve replacement.

Case report A woman of 6o developed increasing dyspnoea from the age of 35 until she was 44, at which time she was found to have mitral stenosis, and a closed mitral valvotomy was performed. Initially she was greatly improved, but her dyspnoea gradually returned and by the time of admission her effort intolerance was much increased and was accompanied by orthopnoea, paroxysmal nocturnal dyspnoe...

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Replacement of an aortic Starr-Edwards ball valve prosthesis 28 years after implantation.

A 53-year-old woman who had undergone aortic valve replacement with a Starr-Edwards (S-E) valve (Model 1260) and open mitral commissurotomy 28 years previously was hospitalized with cardiac failure. Echocardiography showed mitral stenosis, mitral regurgitation, and a normally functioning S-E prosthesis. At reoperation, the mitral and aortic valves were replaced with St Jude bileaflet mechanical...

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ژورنال

عنوان ژورنال: Heart

سال: 1971

ISSN: 1355-6037

DOI: 10.1136/hrt.33.1.111