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  • Title: Ascending aortic aneurysm repair 44 years after Starr-Edwards caged-ball aortic valve replacement.
    Author: Hatton GE, Tanaka A, Estrera AL.
    Journal: Eur J Cardiothorac Surg; 2018 Nov 01; 54(5):962-963. PubMed ID: 29697781.
    Abstract:
    We report a case of ascending aortic aneurysm repair and redo aortic valve replacement with a bioprosthesis 44 years after aortic valve replacement with a Starr-Edwards metal caged-ball prosthesis. The patient presented with a moderately stenotic caged-ball valve and a 50-mm ascending aortic aneurysm on a routine follow-up transthoracic echocardiography. We replaced the valve with a bioprosthesis at the time of aortic repair as the patient wished to stop anticoagulation therapy. Intraoperatively, we found that the cloth covering of the cage was nearly completely destroyed.
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