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  • Title: [Reoperation for a Starr-Edwards ball valve prosthesis implanted in mitral position 31 years ago].
    Author: Goshima M, Shiono M, Yamamoto T, Inoue T, Hata M, Sezai A, Niino T, Nakamura T, Ye Z, Negishi N, Sezai Y.
    Journal: Kyobu Geka; 2003 Jul; 56(7):535-40. PubMed ID: 12854458.
    Abstract:
    The patient is a 61-year-old woman who had undergone mitral valve replacement with the Starr-Edwards cloth-covered ball valve 31 years ago. She had dyspnea on effort 1 month before admission. The echocardiography revealed mitral and tricuspid regurgitation. Re-replacement of the mitral prosthetic valve with an ATS valve and tricuspid annuloplasty were successfully performed without any complication. The cloth wear of the Starr-Edwards ball valve cage was recognized and no thrombus was found at operation. To our knowledge, there has been no such a reoperative case who underwent so long postoperative period after initial implantation of the Starr-Edwards ball valve in Japan. This experience made us realize again the importance of attention to the complications related to a prosthetic valve like a cloth wear during long-term follow-up for the Starr-Edwards ball valve.
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