Abstract
A 40-year-old woman admitted with heart failure had undergone aortic valve replacement with a Model 2310 Starr-Edwards valve due to aortic regurgitation 33 years previously. She had been followed up for several years, but discontinued follow-up and medication (including Warfarin) for the past 25 years. Echocardiography demonstrated marked dilatation and thickening of the left ventricle, and the peak pressure gradient of the prosthesis was measured as 87.9 mmHg. Under the diagnosis of chronic aortic valve prosthesis-patient mismatch with subsequent severe left ventricular dysfunction, the Starr-Edwards valve was explanted and replaced with a 23 mm St. Jude Medical prosthetic valve. The removed valve showed minimal cloth wear except for a small part of the strut. The postoperative echocardiography demonstrated recovering of left ventricular function. To our best knowledge, this case presents the longest duration for a surgically explanted Starr-Edwards aortic prosthetic valve in Japan.
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Wain WH, Drury PJ, Ross DN. Aortic valve replacement with Starr-Edwards valves over 14 years. Ann Thorac Surg 1982; 33: 562–9.
Winter TQ, Reis RL, Glancy DL, Roberts WC, Epstein SE, Morrow AG. Current status of the Starr-Edwards cloth-covered prosthetic cardiac valves. Circulation 1972; 45 (Suppl I): I–14-24.
Orszulak TA, Schaff HV, Puga FJ, Danielson GK, Mullany CJ, Anderson BJ, et al. Event status of the Starr-Edwards aortic valve to 20 years: A benchmark for comparison. Ann Thorac Surg 1997; 63: 620–6.
Gödge OL, Fischlein T, Adelhard K, Nollert G, Klinner W, Reichart B. Thirty-year results of Starr-Edwards prostheses in the aortic and mitral position. Ann Thorac Surg 1997; 63: 613–9.
Gao G, Wu Y, Grunkemeier GL, Furnary AP, Starr A. Forty-year survival with the Starr-Edwards heart valve prosthesis. J Heart Valve Dis 2004; 13: 91–6.
Sugawara Y, Sueda T, Orihashi K, Watari M, Okada K, Ishii O, et al. A case of reoperation for a Starr-Edwards ball valve prosthesis implanted in the aortic position 29 years previously. Jpn J Cardiovasc Surg 2000; 29: 407–9.
Pibarot P, Dumesnil JG. Hemodynamic and clinical impact of prosthesis-patient mismatch in the aortic valve position and its prevention. J Am Coll Cardiol 2000; 36:1131–41.
He GW, Grunkemeier GL, Gately HL, Furnary AP, Starr A. Up to thirty-year survival after aortic valve replacement in the small aortic root. Ann Thorac Surg 1995; 59: 1056–62.
Pellikka PA, Nishimura RA, Bailey KR, Tajik AJ. The natural history of adults with asymptomatic, hemodynamically significant aortic stenosis. J Am Coll Cardiol 1990; 15: 1012–7.
Erez E, Kanter KR, Tarn VK, Williams WH. Konno aortoventriculoplasty in children and adolescents: From prosthetic valves to the Ross operation. Ann Thorac Surg 2002; 74: 122–6.
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Misumi, T., Kudo, M., Koizumi, K. et al. Reoperation for a Starr-Edwards aortic prosthetic valve 33 years after initial implantation. Jpn J Thorac Caridovasc Surg 53, 165–168 (2005). https://doi.org/10.1007/s11748-005-0026-6
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DOI: https://doi.org/10.1007/s11748-005-0026-6