Multiple systolic clicks. Unusual auscultation of Starr Edwards valves implanted in the aortic position. Apropos of a case .

The authors report the case of unusual auscultatory findings, multiple systolic clicks, in a patient with a Starr-Edwards model 1 260 aortic valve replacement, six years after the implantation. The aetiology of this anomaly appears to be incorrect positioning of the prosthetic valve ring.