METALLIC Prosthetic Valve

5 types of prosthetic heart valves:

A. Starr-Edwards mitral caged ball valve.

B. Medtronic Hall tilting disk valve.

C. St. Jude bileaflet valve.

D. Hancock porcine valve.

E. Carpentier-Edwards bovine pericardial 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