METALLIC Prosthetic Valve
D. Hancock porcine valve.
(NOT as short case)
Don't confuse yourself with the types of prosthetic valves. For PACES setting, you only need to know about:
1. Which valve is replaced?
- Mitral valve: metallic S1, loudest at mitral area
- Aortic valve: metallic S2, loudest at aortic area
2. Any complications?
- evidence of valce leakage
- IE
- Thromboembolism eg embolic stroke
- Bleeding due to overwarfarination
- Hemolytic anemia
Pitfalls
Fail to recognize bivalve replacement
Mistaken systolic flow murmur as murmur of valve dysfunction
-ONLY 2 important murmur you need to remember for valve leakage i.e. AR and MR
Labels: Cardiovascular
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