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Updated: Aug 6, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
[Reoperation for a Starr-Edwards ball valve prosthesis implanted in mitral position 31 years ago]
M Goshima1, M Shiono, T Yamamoto
1Department of Second Surgery, Nihon University School of Medicine, Tokyo, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|July 12, 2003
Summary
A 61-year-old woman with a 31-year-old Starr-Edwards mitral valve experienced complications. Successful re-replacement with an ATS valve was performed, highlighting the need for long-term prosthetic valve monitoring.
Area of Science:
- Cardiovascular Surgery
- Biomedical Engineering
- Cardiology
Background:
- Mitral valve replacement is a common procedure for valvular heart disease.
- The Starr-Edwards ball valve was an early prosthetic device, with long-term durability being a key consideration.
Observation:
- A 61-year-old female patient presented with dyspnea after 31 years with a Starr-Edwards cloth-covered ball valve.
- Echocardiography indicated significant mitral and tricuspid regurgitation.
- Intraoperative findings revealed cloth wear on the Starr-Edwards valve cage, without evidence of thrombus.
Findings:
- The patient underwent successful re-replacement of the mitral prosthetic valve with an ATS valve and tricuspid annuloplasty.
- This case represents a rare instance of reoperation after such an extended period (31 years) post-Starr-Edwards valve implantation in Japan.
Implications:
- Long-term follow-up is crucial for detecting potential complications associated with older prosthetic heart valves, such as cloth wear.
- This case underscores the importance of vigilance regarding prosthetic valve integrity over decades of implantation.
- Advances in prosthetic valve technology and monitoring protocols are essential for managing long-term patient outcomes.
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