Replacement of an aortic Starr-Edwards ball valve prosthesis 28 years after implantation.
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.
Tayama
Keiichiro
K
Department of Surgery, Kurume University School of Medicine, Kurume, Japan. ktayama@med.kurume-u.ac.jp
Akashi
Hidetoshi
H
Tayama
Eiki
E
Fukunaga
Shuji
S
Kawara
Takemi
T
Kosuga
Ken-ichi
K
Aoyagi
Shigeaki
S
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