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Correspondence
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Volume 336:1259-1260 April 24, 1997 Number 17
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Rumbles and Prosthetic Heart Valves

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 by Vongpatanasin, W.
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To the Editor: We agree with the statement by Vongpatanasin et al. (Aug. 8 issue)1 that an understanding of the normal auscultatory findings associated with each type of prosthetic heart valve in each location is central to an assessment of prosthetic-valve function. We disagree, however, with some of their descriptions of normal findings in Figure 2 of their article.

We have clinical experience with the long-term follow-up of 2830 patients with St. Jude Medical or Bjork–Shiley prostheses in the mitral or aortic position and do not agree that the finding of a low-frequency diastolic rumbling murmur across these prostheses in . . . [Full Text of this Article]

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