Diastolic rumbles with porcine heterograft prosthesis in the atrioventricular position. Normal or abnormal prosthesis?
Three patients with porcine atrioventricular valves (two mitral, one tricuspid) with diastolic rumbles and presystolic murmurs are presented. Full hemodynamic and angiographic studies demonstrated moderate to severe prosthetic stenosis, even in the one patient who was minimally symptomatic. Diastoli...
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| Veröffentlicht in: | Chest 1978-10, Vol.74 (4), p.411-413 |
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| creator | Wiltrakis, M G Rahimtoola, S H Harlan, B J DeMots, H |
| description | Three patients with porcine atrioventricular valves (two mitral, one tricuspid) with diastolic rumbles and presystolic murmurs
are presented. Full hemodynamic and angiographic studies demonstrated moderate to severe prosthetic stenosis, even in the
one patient who was minimally symptomatic. Diastolic murmurs across atrioventricular porcine heterografts indicate prosthetic
stenosis until proved otherwise by full hemodynamic and angiographic studies. If the studies indicate normal function of the
device and calculated prosthetic valve area that is small for the patient, then it must be recognized that the device is hemodynamically
"stenotic" for that particular patient (valve prosthesis--patient mismatch). |
| doi_str_mv | 10.1378/chest.74.4.411 |
| format | Article |
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are presented. Full hemodynamic and angiographic studies demonstrated moderate to severe prosthetic stenosis, even in the
one patient who was minimally symptomatic. Diastolic murmurs across atrioventricular porcine heterografts indicate prosthetic
stenosis until proved otherwise by full hemodynamic and angiographic studies. If the studies indicate normal function of the
device and calculated prosthetic valve area that is small for the patient, then it must be recognized that the device is hemodynamically
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are presented. Full hemodynamic and angiographic studies demonstrated moderate to severe prosthetic stenosis, even in the
one patient who was minimally symptomatic. Diastolic murmurs across atrioventricular porcine heterografts indicate prosthetic
stenosis until proved otherwise by full hemodynamic and angiographic studies. If the studies indicate normal function of the
device and calculated prosthetic valve area that is small for the patient, then it must be recognized that the device is hemodynamically
"stenotic" for that particular patient (valve prosthesis--patient mismatch).</description><subject>Adult</subject><subject>Bioprosthesis - adverse effects</subject><subject>Female</subject><subject>Heart Auscultation</subject><subject>Heart Murmurs</subject><subject>Heart Sounds</subject><subject>Heart Valves - transplantation</subject><subject>Humans</subject><subject>Male</subject><subject>Mitral Valve - surgery</subject><subject>Transplantation, Heterologous</subject><subject>Tricuspid Valve - surgery</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1978</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkM1P3DAQxa2qtF1orz314BO3pJ44G9snhPhoKyG4tOfIcSYbr5x4azsg_nsMQaA5zIz03pvRj5DvwErgQv40I8ZUirrMBfCBbEBxKPi25h_JhjGoCt6o6gs5jnHP8g6q-Uw-NUo122pD7i-tjsk7a2hYps5hpA82jfTgg7Ez0hETBr8Lekj0EHxM-ZqN1M40T1SnYP09zrmZxemQbdEm6-eS3vowaUd9oLqb1_ndf_aVHA3aRfz22k_Iv-urvxe_i5u7X38uzm8KUzUsFV1fV7o3dSV6FACy4qLXfMsEagCtZK3QNLKrsOkEQyaFAZRDrRXjg-pkx0_I6Zqbb_9fMqh2stGgc3pGv8RW1CBrATILy1Vo8pMx4NAegp10eGyBtc-c2xfO2dDmAsiGH6_JSzdh_yZfwb7njXY3PtiAbcwIXBbzNWnvlzBr95b3BKa5jh0</recordid><startdate>197810</startdate><enddate>197810</enddate><creator>Wiltrakis, M G</creator><creator>Rahimtoola, S H</creator><creator>Harlan, B J</creator><creator>DeMots, H</creator><general>American College of Chest Physicians</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197810</creationdate><title>Diastolic rumbles with porcine heterograft prosthesis in the atrioventricular position. Normal or abnormal prosthesis?</title><author>Wiltrakis, M G ; Rahimtoola, S H ; Harlan, B J ; DeMots, H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c260t-bd42adc427de7118237da3507ea11a9849ec68b2e6b70e087c1e8f4a903f9b8b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1978</creationdate><topic>Adult</topic><topic>Bioprosthesis - adverse effects</topic><topic>Female</topic><topic>Heart Auscultation</topic><topic>Heart Murmurs</topic><topic>Heart Sounds</topic><topic>Heart Valves - transplantation</topic><topic>Humans</topic><topic>Male</topic><topic>Mitral Valve - surgery</topic><topic>Transplantation, Heterologous</topic><topic>Tricuspid Valve - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wiltrakis, M G</creatorcontrib><creatorcontrib>Rahimtoola, S H</creatorcontrib><creatorcontrib>Harlan, B J</creatorcontrib><creatorcontrib>DeMots, H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wiltrakis, M G</au><au>Rahimtoola, S H</au><au>Harlan, B J</au><au>DeMots, H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diastolic rumbles with porcine heterograft prosthesis in the atrioventricular position. Normal or abnormal prosthesis?</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>1978-10</date><risdate>1978</risdate><volume>74</volume><issue>4</issue><spage>411</spage><epage>413</epage><pages>411-413</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><abstract>Three patients with porcine atrioventricular valves (two mitral, one tricuspid) with diastolic rumbles and presystolic murmurs
are presented. Full hemodynamic and angiographic studies demonstrated moderate to severe prosthetic stenosis, even in the
one patient who was minimally symptomatic. Diastolic murmurs across atrioventricular porcine heterografts indicate prosthetic
stenosis until proved otherwise by full hemodynamic and angiographic studies. If the studies indicate normal function of the
device and calculated prosthetic valve area that is small for the patient, then it must be recognized that the device is hemodynamically
"stenotic" for that particular patient (valve prosthesis--patient mismatch).</abstract><cop>United States</cop><pub>American College of Chest Physicians</pub><pmid>699652</pmid><doi>10.1378/chest.74.4.411</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0012-3692 |
| ispartof | Chest, 1978-10, Vol.74 (4), p.411-413 |
| issn | 0012-3692 1931-3543 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_74184718 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Bioprosthesis - adverse effects Female Heart Auscultation Heart Murmurs Heart Sounds Heart Valves - transplantation Humans Male Mitral Valve - surgery Transplantation, Heterologous Tricuspid Valve - surgery |
| title | Diastolic rumbles with porcine heterograft prosthesis in the atrioventricular position. Normal or abnormal prosthesis? |
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