title: Durability, reliability, viability: 48 year-survival of a Starr-Edwards mitral valve.
abstract: We report a case of 67 year-old female with a 48-year survival of a Starr-Edwards valve at mitral position. The patient underwent Starr-Edwards mitral valve replacement at age of 19 years for mitral stenosis secondary to severe rheumatic valve disease. The patient had experienced a progressive decline in her functional status with increasing dyspnoea on exertion over a two-week period to eventual development of severe shortness of breath at rest prior to hospitalisation. Transoesophageal echocardiogram revealed severe para-prosthetic and intravalvular mitral valve regurgitation. The patient underwent explantation of Starr-Edwards valve and replacement with a mechanical prosthesis. Our case details the longest reported survival of a Starr-Edwards prosthetic valve at mitral area.
authors.affiliation: Division of Cardiology, Department of Medicine, Lehigh Valley Health Network, 1250 S Cedar Crest Boulevard, Suite 300, Allentown, PA 18103-6381, USA.
authors.forename: Bilal
authors.initials: B
authors.lastname: Ayub
authors.affiliation: Department of Medicine, Lehigh Valley Health Network, 1250 S Cedar Crest Boulevard, Suite 300, Allentown, PA 18103-6381, USA.
authors.forename: Justin
authors.initials: J
authors.lastname: Guthier
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Lehigh Valley Health Network, 1250 S Cedar Crest Boulevard, Suite 300, Allentown, PA 18103-6381, USA.
authors.forename: James K
authors.initials: JK
authors.lastname: Wu
authors.affiliation: Division of Cardiology, Department of Medicine, Lehigh Valley Health Network, 1250 S Cedar Crest Boulevard, Suite 300, Allentown, PA 18103-6381, USA. Electronic address: Matthew_W.Martinez@lvhn.org.
authors.forename: Matthew W
authors.initials: MW
authors.lastname: Martinez
mesh_terms: D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000648:ultrastructure; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery; D013997:Time Factors
keywords: Heart valve prosthesis; Mitral regurgitation; Rheumatic heart disease; Starr–Edwards valve; Transoesophageal echocardiogram