A Case of Reoperation for a Starr-Edwards Ball Valve Prosthesis Implanted in the Aortic Position 30 Years Previously

(Department of Cardiothoracic Surgery, Fujieda Municipal General Hospital, Fujieda, Japan)

Naoyuki Ishigami Kimitoshi Horiba
The patient was a 57-year-old woman. In 1974, she had undergone aortic valve replacement using a Starr-Edwards ball valve to treat aortic stenosis at another hospital. In 1989, she had undergone percutaneous transluminal mitral commissurotomy (PTMC) for mitral stenosis at our hospital. In December 2003, she was admitted with cardiac failure of NYHAV to our hospital. Echocardiography showed the progressive changes of mitral stenosis and the prosthetic aortic valve. In January 2004, the mitral valve was replaced using a CarboMedics prosthesis and the Starr-Edwards aortic valve was replaced using a BICARBON prosthesis, together with tricuspid ring annuloplasty. The cloth wear of the Starr-Edwards valve cage and a pannus formation at the valve seat was found at operation. The patient was discharged, and now is rehabilitated in good health.
@Jpn. J. Cardiovasc. Surg. 35: 144-146 (2006)