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Favorable evolution of a 43-year-old Starr-Edwards valve in the tricuspid position
Chadi Aludaat1, Arnaud Gay, Amina Guetlin
1Department of Thoracic and Cardiovascular Surgery, Rouen University Hospital, Rouen, France.
Abstract:
The durability of a Starr-Edwards valve implanted in the tricuspid position in 1967 to treat Ebstein's disease with tricuspid valve regurgitation. At surgery, cardiac permanent pacing for postoperative complete atrioventricular block was achieved using a nuclear-powered pacemaker (NP). Although the 43rd year of cardiologic follow up was free from complications, the patient--a 74-year-old woman--suffered symptomatic mitral regurgitation and underwent a redo mitral valve replacement, during which the Starr-Edwards valve and NP were left in place.
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