title: Unusual structural valve degeneration in a cloth-covered Starr-Edwards valve.
abstract: Structural valve degeneration in a mechanical ball and cage prosthesis is a well-described entity. Here we describe an unusual case of structural valve degeneration of a cloth-covered composite-seat Starr-Edwards ball and cage valve prosthesis in the mitral position, where degeneration of the cloth covering of the seat of the valve led to significant intravalvular mitral regurgitation.
authors.affiliation: Department of Cardiothoracic Surgery, Cardiothoracic Center, Liverpool, United Kingdom. manojkud@hotmail.com
authors.forename: Manoj
authors.initials: M
authors.lastname: Kuduvalli
authors.forename: Sanjay V
authors.initials: SV
authors.lastname: Ghotkar
authors.forename: Brian M
authors.initials: BM
authors.lastname: Fabri
mesh_terms: D000368:Aged; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000209:etiology*; D011474:Prosthesis Design; D011475:Prosthesis Failure