title: Reoperation for a Starr-Edwards aortic valve implanted 28 years earlier.
abstract: A 56-year-old man admitted with dyspnea had undergone aortic valve replacement using a Starr-Edwards ball valve to treat aortic regurgitation 28 years earlier. Chest radiography showed moderate cardiomegaly, moderate pulmonary edema, and mild pleural effusion. Echocardiographic examination showed severe mitral regurgitation. The mitral valve was replaced using a St. Jude Medical prosthesis, and the Starr-Edwards aortic valve was replaced using a CarboMedics prosthetic valve. The cloth covering on the Starr-Edwards valve had worn away and pannus had formed. The patient's postoperative course was uneventful, and he was discharged on postoperative day 35.
authors.affiliation: Division of Cardiovascular Surgery, Cardiovascular Center, Aichi Prefectural Owari Hospital, 2135 Kariyasuka, Yamato-cho, Ichinomiya, Aichi 491-0934, Japan.
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Yoshida
authors.forename: Genyo
authors.initials: G
authors.lastname: Fujii
authors.forename: Shuichi
authors.initials: S
authors.lastname: Suzuki
authors.forename: Hideki
authors.initials: H
authors.lastname: Ishida
authors.forename: Takeru
authors.initials: T
authors.lastname: Shimomura
authors.forename: Akio
authors.initials: A
authors.lastname: Matsuura
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D012086:Reoperation