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a Department of Chemical Process Engineering, University of Padova, via Marzolo 9, Padova, 35131 Italy
b Department of Cardiovascular Surgery, University of Padua School of Medicine, via Giustiniani 2, Padova, 35128 Italy
c Clinical Cardiology, Department of Cardiologic, Thoracic and Vascular Sciences, University of Padua School of Medicine, via Giustiniani 2, Padova, 35128 Italy
(Email: andrea.bagno@unipd.it).
| The first 20% of the full text of this article appears below. |
To the Editor:
We are investigating the closing sounds of bi-leaflet mechanical heart valves (MHVs) for the early detection of valve dysfunction. Bi-leaflet MHVs are known to generate a typical "double click" due to the asynchronous closure of the leaflets. A simple phonographic analysis allows checking the presence of "double clicks" in a normally functioning MHV; if the signal, monitored over the time domain, lacks "double clicks" (or a sufficient number thereof), the hampered mobility of one leaflet can be hypothesised, thus suggesting further analyses because this event can be due to endothelial pannus growth, thromboembolic deposition on
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