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Heart 85:384 doi:10.1136/heart.85.4.384
  • Images in cardiology

A subtle sign of aortic outflow obstruction in an infected 29 year old Starr-Edward's valve

  1. E F AKOWUAH,
  2. C V P ONYEAKA,
  3. G J COOPER
  1. mail@grahamcooper.freeserve.co.uk

    A 70 year old man had a Starr-Edward's aortic valve prosthesis inserted in 1970 for aortic stenosis. He presented 29 years later with enterococcus septicaemia, acute renal failure, and cardiac failure requiring ionotropes.

    Go to eHeart to see video clip of angiogram

    Transoesophageal echocardiography (TOE) showed no evidence …