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  • Title: Severe hemolysis due to cloth wear 23 years after aortic valve replacement on a Starr-Edwards ball valve model 2320.
    Author: Murakami M, Tanaka H, Watanabe M, Shimizu M, Sunamori M.
    Journal: Cardiovasc Surg; 2002 Jun; 10(3):284-6. PubMed ID: 12044439.
    Abstract:
    Despite iron substitution therapy, a patient developed severe hemolytic anemia 23 yr after insertion of a cloth-covered Starr-Edwards model 2320 aortic valve prosthesis. The prosthesis showed no sign of significant dysfunction. Upon removal, it showed extensive cloth wear on the inner surface of all three struts; one strut was completely denuded of its cloth covering. Hemolysis immediately resolved after replacement with a St Jude aortic prosthesis.
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