Premature valve closure in patients with a mitral Starr-Edwards prosthesis and aortic incompetence.
نویسندگان
چکیده
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.
منابع مشابه
Double Valve Replacement (Mitral and Aortic) for Rheumatic Heart Disease: A 20-year experience with 300 patients.
Introduction: Rheumatic heart disease still remains one of the leading causes of congestive heart failure and death owing to valvular pathologies, in developing countries. Valve replacement still remains the treatment of choice in such patients.The aim of this study wasto analyze the postoperative outcome of double valve replacement (Mitral and Aortic ) in patients of rheumatic heart disease. ...
متن کاملDiastolic 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...
متن کاملAnalysis of dynamics of mitral Starr-Edwards valve prosthesis using reflected ultrasound.
The speed of closure of the mitral valve during diastole, as recorded by ultrasonocardiography, is reduced in patients with mitral stenosis. A pattern of movement similar to that of severe mitral stenosis is seen in recordingsfrom patients with normally functioning mitral Starr-Edwards prostheses. Simultaneous ultrasound recordings of ball and cage movements show that the prosthetic valve remai...
متن کاملReplacement 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...
متن کاملIntravascular 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...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- British heart journal
دوره 32 4 شماره
صفحات -
تاریخ انتشار 1970