TY - JOUR T1 - A subtle sign of aortic outflow obstruction in an infected 29 year old Starr-Edward's valve JF - Heart JO - Heart SP - 384 LP - 384 DO - 10.1136/heart.85.4.384 VL - 85 IS - 4 AU - E F AKOWUAH AU - C V P ONYEAKA AU - G J COOPER Y1 - 2001/04/01 UR - http://heart.bmj.com/content/85/4/384.abstract N2 - 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 angiogramTransoesophageal echocardiography (TOE) showed no evidence … ER -