title: Paraprosthetic leak closure 28 years after mitral caged-ball Starr-Edwards implantation.
abstract: In this case report, we present a patient 28 years after mitral valve replacement with the Starr-Edwards prosthesis complicated by periprosthetic leak with severe aortic stenosis and moderate tricuspid regurgitation. We successfully repaired the periprosthetic regurgitation in a patient with extensive mitral annular calcification, without replacement of the valve. No apparent structural deterioration on the caged-ball valve was found. Moreover, aortic valve replacement and tricuspid annuloplasty were performed. One month after reoperation, the patient remained stable with improved clinical status and without any evidence for further paravalvular leak.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Heart and Cardiovascular Centre North Rhine-Westphalia, Ruhr University Bochum, Bad Oeynhausen, Germany. karolina.antonczyk@wp.pl
authors.forename: Karolina
authors.initials: K
authors.lastname: Antończyk
authors.forename: Lech
authors.initials: L
authors.lastname: Paluszkiewicz
authors.forename: Heinrich
authors.initials: H
authors.lastname: Koertke
authors.forename: Jan
authors.initials: J
authors.lastname: Gummert
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000209:etiology / Q000601:surgery; D058385:Cardiac Valve Annuloplasty; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000601:surgery*; D011474:Prosthesis Design; D012086:Reoperation; D013997:Time Factors; D016896:Treatment Outcome; D014262:Tricuspid Valve Insufficiency / Q000209:etiology
keywords: Valve disease