Besides the rating of switchgear for 120/240V vs 230V, aren't there some other slight differences like whether Ground to Neutral traces are spaced far enough apart for having two hots, and SMPS filter capacitors to ground being referenced differently?
For instance, Ground to Neutral is 0V if Neutral is actually a grounded conductor, but if Neutral is hot then if you have a neutral and ground trace next to each other there will be 120V across that short distance instead of 0V.
(it'll still run)
Now this could be addressed by setting up a single 230V hot leg system. Then it'll work exactly the same, except in a different hemisphere from what it's supposed to.