This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Schaffer, R. A. Articles by Rahimtoola, S. H. Search for Related Content PubMed PubMed Citation Articles by Schaffer, R. A. Articles by Rahimtoola, S. H.

Circulation, Vol 51, 402-409, Copyright © 1975 by American Heart Association

ARTICLES

Diastolic murmurs in the presence of Starr-Edwards mitral prosthesis

RA Schaffer, JH McAnulty, A Starr and SH Rahimtoola

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 aortic insufficiency. The occurrence of mid-diastolic and presystolic murmurs in the presence of a normally functioning prosthetic mitral valve demonstrates that 1) the mid-diastolic Austin Flint murmur can occur in the absence of incomplete mitral valve opening, premature mitral valve closure, vibrating mitral leaflets, or relative mitral stenosis and 2) the presystolic Austin Flint murmur can occur in the absence of incomplete valve opening or presystolic mitral regurgitation. However, the presystolic murmur was associated with early closure movement of the presthetic poppet.

This article has been cited by other articles:

				S. H. RAHIMTOOLA The Need for Cardiac Catheterization and Angiography in Valvular Heart Disease is NotDisproven Ann Intern Med, September 1, 1982; 97(3): 433 - 439. [Abstract] [PDF]