oa Cardiovascular Journal of Africa - Atypical clinical presentation of bileaflet cardiac prosthetic valve dysfunction preliminary report
|Article Title||Atypical clinical presentation of bileaflet cardiac prosthetic valve dysfunction preliminary report|
|© Publisher:||Clinics Cardive Publishing|
|Journal||Cardiovascular Journal of Africa|
|Affiliations||1 Department of Cardiology, University of the Orange Free State, Bloemfontein|
|Publication Date||Apr 1996|
|Pages||75 - 76|
|Keyword(s)||Atypical clinical presentation, Carbo Medics bileaflet mitral valve prosthesis, Cardiology, Case report, Pivoting disc prostheses and Thrombotic occlusion|
Single-leaflet disc immobilisation in 3 patients with St Jude Medical prostheses and 1 patient with a Carbo Medics valve prosthesis resulted in mild mitral regurgitation without acute pulmonary oedema. Three patients presented with slowly worsening pulmonary congestion while 1 patient had neurological symptoms. Clinicians need to be aware of the possibility of singleleaflet failure in a bileaflet cardiac valve prosthesis, because haemodynamic deterioration occurs insidiously in these patients, resulting in atypical symptoms and signs.
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