What do you expect to hear?

Mechanical Prosthetic Valve

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cases4paces On June 16, 2009 at 10:18 AM
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St Jude
Medtronic Hall and
Starr Edwards.
cases4paces On June 16, 2009 at 2:22 PM
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1_SCAR plus A Crisp Sound mean MECHANICAL VALVE.

2_Expect Soft ESM in MITRAL & AORTIC Mechanical Valves.

3a_SHARP CLOSING SOUND at S1:MITRAL(ball or disc valve)

3b_SHARP CLOSING SOUND at S2:AORTIC(dISC or bILEAFLET valve)

4a_3a plus SHARP MITRAL OPENING SOUND after S2:Mitral BALL Valve

4b_SHARP AORTIC OPENING SOUND:Aortic BALL Valve
cases4paces On June 16, 2009 at 2:28 PM
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AND……..

Loud Systolic Murmur in prosthetic mitral valve

Diastolic Murmur in prosthetic aortic valve

MEANS failure.

pDa,pSm
Diastolic murmur in prosthetic aortic,Systolic murmur in prosthetic mitral
drhl On August 22, 2010 at 4:54 AM
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In a case with midline sternotomy scar without venous stripping in leg, how could you differentiate between LiMA graft,valve repair and bioprosthetic valve?
cases4paces On September 20, 2011 at 3:29 AM
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It’s obviously too much technical when I started posting it.

In heated exam setting:
Click is loud enough to hear once we observe the patient.
Metallic 1st Sound means Mitral & 2nd means Aortic valve Repalcement.

Cases for PACES