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1 Clinical Investigator, Veterans Administration Hospital, Durham
2 Veterans Administration Hospital, Durham, North Carolina; and the Departments of Internal Medicine and Surgery, University of Minnesota Hospitals, Minneapolis
Two patients developed late thrombotic obstruction of a Starr-Edwards tricuspid valve prosthesis, one subsequent to restriction of ball motion by interfering subvalvular muscular structures, and the other during Candida parakrusei endocarditis. Late prosthetic tricuspid valve thrombosis is uncommon, but may occur if a preceding event causes the prosthesis to malfunction.
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