Abstract
The Starr–Edwards ball and cage valves were among the first and most commonly used mechanical valve devices. These valves offered a novel design that would become one of the mainstays for replacement of severely diseased heart valves in the early second half of the twentieth century. We describe the case of a patient with a Starr–Edwards ball and cage valve in the aortic position that was replaced 40 years earlier who was admitted with concerns for symptoms of new volume overload. Transthoracic and transesophageal echocardiography demonstrated a functional mechanical aortic valve with no evidence of compromise. The patient was treated with diuretics for congestive heart failure exacerbation and on 3 years follow-up was doing well. This is one of the few cases reported of a patient with Starr–Edwards ball and cage aortic valve functioning normally extending into the fifth decade without signs of significant instability.
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References
Albert S, Lowell EM, Mccord CW, Griswold HE. Aortic replacement. Circulation. 1963;27(4):779–83. https://doi.org/10.1161/01.CIR.27.4.779.
Orszulak TA, Schaff HV, Puga FJ, Danielson GK, Mullany CJ, Anderson BJ, Ilstrup DM. Event status of the Starr-Edwards aortic valve to 20 years: a benchmark for comparison. Ann Thorac Surg. 1997;63(3):620–6.
Pilegaard HK, Lund O, Nielsen TT, Magnussen K, Knudsen MA, Albrechtsen OK. Twenty-two-year experience with aortic valve replacement. Starr-Edwards ball valves versus disc valves. Tex Heart Inst J. 1991;18(1):24–33. Erratum in: Tex Heart Inst J. 1991;18(2):145
Gödje 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(3):613–9. https://doi.org/10.1016/S0003-4975(96)00945-9.
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(1):91–6 (discussion 96).
Amrane M, Soulat G, Carpentier A, Jouan J. Starr-Edwards aortic valve: 50+ years and still going strong: a case report. Eur Hear J Case Rep. 2017. https://doi.org/10.1093/ehjcr/ytx014.
Kataruka A, Otto CM. Valve durability after transcatheter aortic valve implantation. J Thorac Dis. 2018;10(Suppl 30):S3629–36. https://doi.org/10.21037/jtd.2018.07.38.
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Powell, S., Choxi, R., Gunda, S. et al. A 43-year-old functional Starr–Edwards ball and cage mechanical aortic valve. Gen Thorac Cardiovasc Surg 69, 97–99 (2021). https://doi.org/10.1007/s11748-020-01383-6
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DOI: https://doi.org/10.1007/s11748-020-01383-6