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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1986-8-8
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pubmed:abstractText |
Five patients with Ebstein's malformation were operated on with closure of the atrial septal defect and implantation of a mechanical prosthesis at the right atrioventricular junction. The 4 patients who survived showed an excellent early recovery. Three of the patients noticed the disappearance of the valve clicks 6 months after the operation. At re-examination using echophonocardiography, peripheral dye dilution curves and catheterization, these valves were found to be stuck in the open position in 2 patients and in the closed position in 1 patient. The last patient had a paravalvar channel supplying blood into the right ventricle. One patient who had a St. Jude prosthesis was doing excellently 4 years postoperatively and the valve was functioning well. Two years after the operation, the other patient with a St. Jude valve again noticed valve clicks after over 1 year of silence. Examination revealed the prosthesis to be functioning normally. The totally occluded Björk-Shiley prosthesis (10 years postoperatively) was excised at re-operation and replaced by an Ionescu-Shiley bioprosthesis. The patient with a jammed Björk-Shiley prosthesis (10 years postoperatively) declined a re-operation and is doing well, albeit under close observation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0167-5273
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
11
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
265-76
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:3721628-Adult,
pubmed-meshheading:3721628-Ebstein Anomaly,
pubmed-meshheading:3721628-Echocardiography,
pubmed-meshheading:3721628-Female,
pubmed-meshheading:3721628-Follow-Up Studies,
pubmed-meshheading:3721628-Heart Valve Prosthesis,
pubmed-meshheading:3721628-Humans,
pubmed-meshheading:3721628-Male,
pubmed-meshheading:3721628-Middle Aged,
pubmed-meshheading:3721628-Postoperative Complications,
pubmed-meshheading:3721628-Prosthesis Failure,
pubmed-meshheading:3721628-Reoperation,
pubmed-meshheading:3721628-Thrombosis,
pubmed-meshheading:3721628-Tricuspid Valve
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pubmed:year |
1986
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pubmed:articleTitle |
Failure of mechanical valves in Ebstein's malformation.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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