title: Replacement of an aortic Starr-Edwards ball valve prosthesis 28 years after implantation.
abstract: A 53-year-old woman who had undergone aortic valve replacement with a Starr-Edwards (S-E) valve (Model 1260) and open mitral commissurotomy 28 years previously was hospitalized with cardiac failure. Echocardiography showed mitral stenosis, mitral regurgitation, and a normally functioning S-E prosthesis. At reoperation, the mitral and aortic valves were replaced with St Jude bileaflet mechanical prostheses. Examination of the explanted S-E prosthesis revealed no structural abnormality other than lipid infiltration of the silastic ball.
authors.affiliation: Department of Surgery, Kurume University School of Medicine, Kurume, Japan. ktayama@med.kurume-u.ac.jp
authors.forename: Keiichiro
authors.initials: K
authors.lastname: Tayama
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Akashi
authors.forename: Eiki
authors.initials: E
authors.lastname: Tayama
authors.forename: Shuji
authors.initials: S
authors.lastname: Fukunaga
authors.forename: Takemi
authors.initials: T
authors.lastname: Kawara
authors.forename: Ken-ichi
authors.initials: K
authors.lastname: Kosuga
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Aoyagi
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D020878:Device Removal; D004867:Equipment Design; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000601:surgery*; D012086:Reoperation