Abstract
Recent technological advances have led to a proliferation of prosthetic heart valves, primarily for the treatment of mitral and aortic disease. Cardiac auscultation can be a powerful tool to differentiate the various types of mechanical and bioprosthetic valves, to identify prognostic factors, and to diagnose complications. In this chapter, we will review relevant cardiac anatomy and physiology, related tests including echocardiography, the characteristic auscultation profiles of various mitral and aortic prostheses, as well as diagnostic and prognostic factors, complications, indications for valve replacement, and the management of patients with prosthetic valves.
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1 Electronic Supplementary Material
Video 21.1
Prosthetic valve sounds: AVR with a St. Jude valve, no gradient, soft SEM (Provided by Robin Winkler Doroshow, MD, Medstar Georgetown University Hospital, Washington, DC) (MP4 1203 kb)
Video 21.2
Prosthetic valve sounds, as described by Dr. W. Proctor Harvey (File 397 from Clinical Cardiology by W. Proctor Harvey, MD, MACC, Jules Bedynek, MD, and David Canfield and published by Laennec Publishing Inc., Fairfield, NJ. Used with permission and copyrighted by Laennec Publishing, Inc. All rights reserved) (MP4 44475 kb)
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Chan, C.K., Henricus, M.M., Ibrahim, G.S., Maniya, O.Z. (2015). Prosthetic Heart Valves. In: Taylor, A. (eds) Learning Cardiac Auscultation. Springer, London. https://doi.org/10.1007/978-1-4471-6738-9_21
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DOI: https://doi.org/10.1007/978-1-4471-6738-9_21
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