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(Chest. 1967;52:539-542.)
© 1967 American College of Chest Physicians

Left Ventricular Cineangiography following Mitral Valve Replacement with the Starr-Edwards Ball-Valve Prosthesis

Joseph W. Linhart M.D.1 and Thomas D. Bartley M.D.2

1 Assistant Professor of Medicine (Cardiology), The University of Florida, College of Medicine, Director, Cardiac Catheterization Laboratory, Mt. Sinai Hospital, Miami Beach
2 Assistant Professor of Surgery, The University of Florida, College of Medicine

A "seating puff" is a result of normal function of the mitral ball-valve prosthesis and may be demonstrated even though there are significant hemodynamic and clinical abnormalities.

Pathologic pansystolic leaks are the result of passage of contrast material about the rim of the ball-valve and may be present in patients with normal hemodynamics and no systolic murmur.

The presence of a prominent apical pansystolic murmur is highly suggestive of pathologic regurgitation.






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Copyright © 1967 by the American College of Chest Physicians.