Caged-Ball Mitral Prosthesis Explanted After 50 Years
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Updated: Oct 26, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Paolo Masiello1, Rodolfo Citro2, Generoso Mastrogiovanni1
1Emergency Cardiac Surgery Unit, Cardio-Thorax-Vascular Department, University Hospital "San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy.
Abstract:
We report a unique case of a Starr-Edwards prosthesis (model 6310, cloth covered) implanted in the mitral position by Christian Barnard that was successfully explanted and replaced after 50 years, the longest period free from valve dysfunction ever reported. Reoperation also included replacement of the native aortic valve combined with tricuspid valve annuloplasty. (Level of Difficulty: Beginner.).
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