Change in character of mitral prosthesis regurgitant murmur with bundle-branch block: correlation of auscultatory and echocardiographic findings.


This 75-year-old woman, in whom a Carpentier Edwards porcine mitral valve prosthesis (No. 29) had been implanted in 1990, presented with episodic breathlessness and dizziness. Examination revealed an apical pansystolic murmur with a frequent but intermittent loud musical “honking” character. The patient was in sinus rhythm, 68 to 74 bpm, with alternating… (More)


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