title: Patient with a Starr-Edwards prosthesis in the aortic position for 40 years.
abstract: Herein is reported the case of a patient who presented initially with aortic insufficiency and a fistula between the sinus of Valsalva and right atrium when aged 31 years. Closure of the fistula and replacement of the aortic valve with a Starr-Edwards A-9 caged-ball prosthesis was performed in 1972, since when the valve has survived for 40 years without dysfunction. This is one of the longest follow ups of the Starr-Edwards prosthesis reported, and highlights the possibility of acceptable valve performance over long periods of time.
authors.affiliation: Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil. matheus10miranda@gmail.com
authors.forename: Matheus
authors.initials: M
authors.lastname: Miranda
authors.affiliation: Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: Luciene
authors.initials: L
authors.lastname: do Nascimento
authors.affiliation: Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: Michel Raineri
authors.initials: MR
authors.lastname: Haddad
authors.affiliation: Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil.
authors.forename: William Teixeira
authors.initials: WT
authors.lastname: Haddad
authors.affiliation: Faculty of Medicine of Botucatu, UNESP, São Paulo, Brazil.
authors.forename: William Teixeira
authors.initials: WT
authors.lastname: Haddad
authors.affiliation: Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: Enio
authors.initials: E
authors.lastname: Buffolo
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D011474:Prosthesis Design; D013997:Time Factors