The presence of a third heart sound in patients with a Starr-Edwards mitral valve prosthesis may be associated with a paravalvar leak.
S3 may signal paravalvar leak in Starr-Edwards mitral prosthesis patients; leaves open its diagnostic reliability.
Seven patients have been described who developed a third heart sound in association with a paravalvar leak around a Starr-Edwards mitral valve prosthesis.
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Coulshed et al. (1972) studied this question.
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