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. 1970 Jul;32(4):436–439. doi: 10.1136/hrt.32.4.436

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

T M Agnew 1, R Carlisle 1,1
PMCID: PMC487349  PMID: 5433303

Abstract

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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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brandt P. W., Roche A. H., Barratt-Boyes B. G., Lowe J. B. Radiology of homograft aortic valves. Thorax. 1969 Mar;24(2):129–141. doi: 10.1136/thx.24.2.129. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Frank M. J., Casanegra P., Nadimi M., Migliori A. J., Levinson G. E. Measurement of aortic regurgitation by upstream sampling with continuous infusion of indicator. Circulation. 1966 Apr;33(4):545–557. doi: 10.1161/01.cir.33.4.545. [DOI] [PubMed] [Google Scholar]
  3. HULTGREN H. N., HUBIS H. A PHONOCARDIOGRAPHIC STUDY OF PATIENTS WITH THE STARR-EDWARDS MITRAL VALVE PROSTHESIS. Am Heart J. 1965 Mar;69:306–319. doi: 10.1016/0002-8703(65)90270-x. [DOI] [PubMed] [Google Scholar]
  4. JONES J. W., RACKLEY C. E., BRUCE R. A., DODGE H. T., COBB L. A., SANDLER H. LEFT VENTRICULAR VOLUMES IN VALVULAR HEART DISEASE. Circulation. 1964 Jun;29:887–891. doi: 10.1161/01.cir.29.6.887. [DOI] [PubMed] [Google Scholar]
  5. Morrow A. G., Oldham H. N., Elkins R. S., Braunwald E. Prosthetic replacement of the mitral valve. Preoperative and postoperative clinical and hemodynamic assessments in 100 patients. Circulation. 1967 May;35(5):962–979. doi: 10.1161/01.cir.35.5.962. [DOI] [PubMed] [Google Scholar]
  6. Oliver G. C., Jr, Gazetopoulos N., Deuchar D. C. Reversed mitral diastolic gradient in aortic incompetence. Br Heart J. 1967 Mar;29(2):239–245. doi: 10.1136/hrt.29.2.239. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. REES J. R., EPSTEIN E. J., CRILEY J. M., ROSS R. S. HAEMODYNAMIC EFFECTS OF SEVERE AORTIC REGURGITATION. Br Heart J. 1964 May;26:412–421. doi: 10.1136/hrt.26.3.412. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. WELCH G. H., Jr, BRAUNWALD E., SARNOFF S. J. Hemodynamic effects of quantitatively varied experimental aortic regurgitation. Circ Res. 1957 Sep;5(5):546–551. doi: 10.1161/01.res.5.5.546. [DOI] [PubMed] [Google Scholar]
  9. WRIGHT J. L., TOSCANO-BARBOZA E., BRANDENBURG R. O. Left ventricular and aortic pressure pulses in aortic valvular disease. Proc Staff Meet Mayo Clin. 1956 Mar 7;31(5):120–126. [PubMed] [Google Scholar]
  10. Wigle E. D., Labrosse C. J. Sudden, severe aortic insufficiency. Circulation. 1965 Nov;32(5):708–720. doi: 10.1161/01.cir.32.5.708. [DOI] [PubMed] [Google Scholar]
  11. Wong M. Diastolic mitral regurgitation. Haemodynamic and angiographic correlation. Br Heart J. 1969 Jul;31(4):468–473. doi: 10.1136/hrt.31.4.468. [DOI] [PMC free article] [PubMed] [Google Scholar]

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