Prosthetic Heart Valves

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Prosthetic Heart Valves

• Often aortic or mitral valve

Examination

• General
  • dyspnoea
• Hands
  • splinter haemorrhages
• Pulse
  • Atrial Fibrillation (mitral)
  • Collapsing / Wide pulse pressure (aortic valve leak)
• Face
• Neck
• Praecordium
  • Inspection
    • midline thoracotomy
  • palpation
  • auscultation
    • produce loud opening click, soft closing click
    • often flow murmur
• Lung Bases
• Ankle Oedema

Complications

• Infective Endocarditis
• Embolism
• Leakage
  • mitral
    • pansystolic murmur
    • Heart Failure
  • Aortic
    • collapsing pulse
    • wide pulse pressure
    • early diastolic murmur
• mechanical dysfunction
• haemolysis
• bleeding
  • due to anticoagulants

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