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Common Cardiac Prosthetic Valves: Title and subTitle BreakRadiologic Identification and Associated Complications FREE

Maj Patrick K. C. Chun, MCCol ; William P. Nelson, MC
[+] Author Affiliations

The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

Reprint requests to Medical Library, Att: Reprints, Fitzsimons Army Medical Center, Denver, CO 80240.


JAMA. 1977;238(5):401-403. doi:10.1001/jama.1977.03280050041017
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The development of prosthetic heart valves has been an important advance in the treatment of patients with serious valvular cardiac disease. Because there are many types of prosthetic valves, we have prepared a diagram of the valves currently or previously used and list their potential complications. Prosthetic valves were identified according to photographic and radiologic features, valve replacement location, and reported associated complications. Data have been compiled in tabular form for quick reference; valves have been identified according to valve base, cage, and poppet. They may be categorized as caged-ball or low-profile valves. Such information helps to provide recognition of the valve that has been inserted and permits the clinician or radiologist to be alert to possible complications with the various prosthetic devices.

(JAMA 238:401-403, 1977)

REFERENCES

Behrendt DM, Austen WG:  Current status of prosthetics for heart valve replacement . Prog Cardiovasc Dis 15:369-401, 1973;.
MacKenzie JW, Almond CH:  Expulsion of ball from aortic valve prosthesis . Ann ThoracSurg 2:435-437, 1966;.
Murphy GW, Kramer DH, Deweese JA:  Detection of aortic ball variance by a simple radiographic technique . J Thorac Cardiovasc Surg 60:253-256, 1970;.
Herr RH, Starr A, Pierie WR, et al:  Aortic valve replacement: A review of six years' experience with the ball-valve prosthesis . Ann Thorac Surg 6:199-218, 1968;.
Weily HS, Steele PP, Davies H, et al:  Platelet survival in patients with substitute heart valves . N Engl J Med 290:534-537, 1974;.
Seyfer AE, Heydorn WH, Nelson WP, et al:  Starr-Edwards mitral valve failure ten years after replacement surgery: Chronic fibrous obstruction of the prosthesis frustrum area . Circulation 50:372-375, 1974;.
McIntosh CL, Schuette WH:  A noninvasive technique for determining aortic and mitral ball variance . Circulation 48( (suppl 4) ):117, 1973;.
Hylen JC:  Durability of prosthetic heart valves . Am Heart J 81:299-303, 1971;.
Hylen JC, Judkins MP, Herr RH, et al:  Radiologic diagnosis of aortic ball variance . JAMA 207:1120-1122, 1969;.
Resnicoff SA, Deweese JA:  Acute aortic insufficiency due to ball impaction in a "close-clearance" Starr-Edwards aortic prosthesis . Ann Thorac Surg 12:660-662, 1971;.
Mond HG, Clarebrough JK, Dowling JT, et al:  Entrapment of the metal ball in series 6310 and 2310 Starr-Edwards prosthetic valves . J Thorac Cardiovasc Surg 64:186-192, 1972;.
Ibarra-Perez C, Rodriguez-Trujillo F, Peres-Redondo H:  Engagement of ventricular myocardium by struts of mitral prosthesis: Fatal complications of use of open cage cardiac valves . J Thorac Cardiovasc Surg 61:403-404, 1971;.
Olive PB, Johnson ML, Pomerantz M, et al:  Dysfunction of the Beall mitral prosthesis and its detection by cinefluoroscopy and echocardiography . Am J Cardiol 31:393-396, 1973;.
Merendino KA, Manhas DR:  Man-made gallstones: A new entity following cardiac valve replacement . Ann Surg 177:694-704, 1973;.
Edgett JW, Nelson WP, Hall RJ, et al:  A complication of valve replacement by a cagedlens prosthesis . Circulation 36:422-426, 1967;.
Cokkinos DV, Voridis E, Bakoulas G, et al:  Thrombosis of two high-flow prosthetic valves . J Thorac Cardiovasc Surg 62:947-949, 1971;.

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Behrendt DM, Austen WG:  Current status of prosthetics for heart valve replacement . Prog Cardiovasc Dis 15:369-401, 1973;.
MacKenzie JW, Almond CH:  Expulsion of ball from aortic valve prosthesis . Ann ThoracSurg 2:435-437, 1966;.
Murphy GW, Kramer DH, Deweese JA:  Detection of aortic ball variance by a simple radiographic technique . J Thorac Cardiovasc Surg 60:253-256, 1970;.
Herr RH, Starr A, Pierie WR, et al:  Aortic valve replacement: A review of six years' experience with the ball-valve prosthesis . Ann Thorac Surg 6:199-218, 1968;.
Weily HS, Steele PP, Davies H, et al:  Platelet survival in patients with substitute heart valves . N Engl J Med 290:534-537, 1974;.
Seyfer AE, Heydorn WH, Nelson WP, et al:  Starr-Edwards mitral valve failure ten years after replacement surgery: Chronic fibrous obstruction of the prosthesis frustrum area . Circulation 50:372-375, 1974;.
McIntosh CL, Schuette WH:  A noninvasive technique for determining aortic and mitral ball variance . Circulation 48( (suppl 4) ):117, 1973;.
Hylen JC:  Durability of prosthetic heart valves . Am Heart J 81:299-303, 1971;.
Hylen JC, Judkins MP, Herr RH, et al:  Radiologic diagnosis of aortic ball variance . JAMA 207:1120-1122, 1969;.
Resnicoff SA, Deweese JA:  Acute aortic insufficiency due to ball impaction in a "close-clearance" Starr-Edwards aortic prosthesis . Ann Thorac Surg 12:660-662, 1971;.
Mond HG, Clarebrough JK, Dowling JT, et al:  Entrapment of the metal ball in series 6310 and 2310 Starr-Edwards prosthetic valves . J Thorac Cardiovasc Surg 64:186-192, 1972;.
Ibarra-Perez C, Rodriguez-Trujillo F, Peres-Redondo H:  Engagement of ventricular myocardium by struts of mitral prosthesis: Fatal complications of use of open cage cardiac valves . J Thorac Cardiovasc Surg 61:403-404, 1971;.
Olive PB, Johnson ML, Pomerantz M, et al:  Dysfunction of the Beall mitral prosthesis and its detection by cinefluoroscopy and echocardiography . Am J Cardiol 31:393-396, 1973;.
Merendino KA, Manhas DR:  Man-made gallstones: A new entity following cardiac valve replacement . Ann Surg 177:694-704, 1973;.
Edgett JW, Nelson WP, Hall RJ, et al:  A complication of valve replacement by a cagedlens prosthesis . Circulation 36:422-426, 1967;.
Cokkinos DV, Voridis E, Bakoulas G, et al:  Thrombosis of two high-flow prosthetic valves . J Thorac Cardiovasc Surg 62:947-949, 1971;.
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