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Three cases are reported who had intermittent diastolic jamming of a mitral tilting disc valve. The clinical presentation of this unfrequent but catastrophic early postoperative complication was different in all cases: the first patient presented with heart failure, the third patient had loss of consciousness with enuresis and the second patient was asymptomatic at the time of the diagnosis. Electromechanical dissociation was first suspected by clinical examination in 2 cases but it was confirmed in all 3 cases by 2 dimensional and Doppler echocardiography. Transesophageal echocardiography did not provide any additional information. Besides opening failure of the valve Doppler echocardiography also demonstrated incomplete or delayed opening in the asymptomatic period. Survival is dependent on correct diagnosis and urgent surgical treatment of this type of prosthetic valve dysfunction.
M Lengyel, and
F Bányai, and
I Tomcsányi, and
F Szedö, and
B Kiss, and
T Gyöngy, and
A Lipcsey, and
E Bodor
October 1990,
Vrachebnoe delo,
M Lengyel, and
F Bányai, and
I Tomcsányi, and
F Szedö, and
B Kiss, and
T Gyöngy, and
A Lipcsey, and
E Bodor
January 1977,
Revista espanola de cardiologia,
M Lengyel, and
F Bányai, and
I Tomcsányi, and
F Szedö, and
B Kiss, and
T Gyöngy, and
A Lipcsey, and
E Bodor
August 2001,
Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation,
M Lengyel, and
F Bányai, and
I Tomcsányi, and
F Szedö, and
B Kiss, and
T Gyöngy, and
A Lipcsey, and
E Bodor
January 2005,
Archivos de cardiologia de Mexico,
M Lengyel, and
F Bányai, and
I Tomcsányi, and
F Szedö, and
B Kiss, and
T Gyöngy, and
A Lipcsey, and
E Bodor
January 2022,
Case reports in radiology,
M Lengyel, and
F Bányai, and
I Tomcsányi, and
F Szedö, and
B Kiss, and
T Gyöngy, and
A Lipcsey, and
E Bodor
January 2012,
Internal medicine (Tokyo, Japan),
M Lengyel, and
F Bányai, and
I Tomcsányi, and
F Szedö, and
B Kiss, and
T Gyöngy, and
A Lipcsey, and
E Bodor
January 1987,
Sovetskaia meditsina,
M Lengyel, and
F Bányai, and
I Tomcsányi, and
F Szedö, and
B Kiss, and
T Gyöngy, and
A Lipcsey, and
E Bodor
January 1980,
European journal of cardiology,
M Lengyel, and
F Bányai, and
I Tomcsányi, and
F Szedö, and
B Kiss, and
T Gyöngy, and
A Lipcsey, and
E Bodor
February 1978,
Kardiologiia,
M Lengyel, and
F Bányai, and
I Tomcsányi, and
F Szedö, and
B Kiss, and
T Gyöngy, and
A Lipcsey, and
E Bodor
January 1994,
Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography,
