Echocardiography can detect cloth cover tears in fully covered Starr-Edwards valves: A long-term clinical and echocardiograpic study

Shapira, Yaron; Feinberg, Micha S.; Hirsch, Rafael; Nili, M; Sagie, Alex

doi:10.1016/s0002-8703(97)70049-8

Cited by 11 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Shapira et al reported that echocardiographic evidence suggestive of cloth wear was found in only 6 (17.1%) of 35 patients 20-24 years after valve replacement. 8 Our experience is similar in that we were unable to detect the cloth wear echocardiographically before reoperation.…”

Section: Discussionmentioning

confidence: 66%

Use of the Bentall method for replacement of an aortic Starr-Edwards ball valve prosthesis implanted 32 years previously

Yotsumoto

Iguro

Ueno

et al. 2007

Gen Thorac Cardiovasc Surg

View full text Add to dashboard Cite

We report the case of a 54-year-old woman who, 32 years previously, had undergone replacement of the ascending aorta by the inclusion method with a Starr-Edwards ball valve prosthesis and recently underwent aortic root re-reconstruction by the Bentall method. Routine chest radiography revealed dilatation of the mediastinum, and computed tomography revealed an aneurysm of the ascending aorta. At reoperation, although the cloth covering the cage of the Starr-Edwards ball valve prosthesis appeared worn and some pannus formation was seen, the Starr-Edwards ball valve was functioning normally. The aortic root was replaced with a composite graft that consisted of a 23-mm St. Jude bileaflet prosthesis and a 24-mm Hemashield gold graft. The patient was discharged from the hospital in good condition 25 days after surgery.

show abstract

Section: Discussionmentioning

confidence: 66%

Use of the Bentall method for replacement of an aortic Starr-Edwards ball valve prosthesis implanted 32 years previously

Yotsumoto

Iguro

Ueno

et al. 2007

Gen Thorac Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…While hemolytic anemia and thromboembolism are well-known complications that may have occurred due to cloth wear of the caged-ball valves, cloth wear is difficult to diagnose by echocardiography due to artifacts from the stainless cage. 8,9) Although there were no findings of cloth tear or pannus formation in the explanted valves, grade 1 aortic valve insufficiency was detected by preoperative echocardiography. Intraoperative finding demonstrated that there was paravalvular leakage due to the small detachment of the aortic valve.…”

Section: Discussionmentioning

confidence: 94%

Excellent Durability of Starr-Edwards Ball Valves Implanted in the Aortic and Mitral Positions for 27 Years: Report of a Rare Surgical Case

Tochii

Takagi

Kaneko

et al. 2013

ATCS

View full text Add to dashboard Cite

A 59-year-old male who had undergone aortic and mitral valve replacement with StarrEdwards ball valves 27 years ago was admitted to our hospital for hemolytic anemia and heart failure. Echocardiography revealed prosthetic valve failure with a high-pressure gradient and small effective orifice area. The Starr-Edwards ball valves were successfully replaced with bileaflet mechanical valves. The explanted valves revealed no structural abnormalities. Keywords: Starr-Edwards ball valve, reoperation CaseA 59-year-old male was admitted to our hospital for prosthetic valve failure; he had a history of rheumatic fever at the age of 10 years and had undergone mitral and aortic valve replacement with Starr-Edwards ball valves (model 6120, 32 mm; model 2400, 24 mm) 27 years ago. Over 20 years postoperatively, he remained asymptomatic; however, in the last 5 years, heart failure and hemolytic anemia due to prosthetic valve dysfunction progressed. He had been presented dyspnea on effort, and cardiomegaly and hemolytic anemia (hemoglobin 8.3 g/dl, lactate dehydrogenase 1004 IU/l, brain natriuretic peptide 333 pg/ml) were noticed by the routine examination (Fig. 1). Echocardiography demonstrated stenosis in the aortic prosthesis with an effective orifice area of 0.5 cm 2 , a peak pressure gradient through the valve of 90 mmHg, and trivial aortic insufficiency. Moderate mitral stenosis with large left atrium without thrombus and moderate tricuspid regurgitation were also evident. Therefore, reoperation was indicated for prosthetic valve failure.Through re-median sternotomy, the chest was reopened without major bleeding. Cardiopulmonary bypass was established with femoral and right axillary artery cannulation and bicaval drainage. Under cardiac arrest, the Starr-Edwards ball valves were excised, and new bileaflet mechanical prostheses were implanted.

show abstract

“…Exclusion of other sources of systemic emboli and infective endocarditis is necessary. Transthoracic and transoesopha-geal echocardiography may be useful in detecting cloth tears, which have to be differentiated from vegetations and thrombi 5,6 . Some patients with sequelae of cloth wear have bene®ted from replacement with porcine xenografts 2 .…”

Section: Case Historymentioning

confidence: 99%

Dementia with a Prosthetic Aortic Valve

Dutta

Ashton

2001

J R Soc Med

View full text Add to dashboard Cite

Echocardiography can detect cloth cover tears in fully covered Starr-Edwards valves: A long-term clinical and echocardiograpic study

Cited by 11 publications

References 20 publications

Use of the Bentall method for replacement of an aortic Starr-Edwards ball valve prosthesis implanted 32 years previously

Use of the Bentall method for replacement of an aortic Starr-Edwards ball valve prosthesis implanted 32 years previously

Excellent Durability of Starr-Edwards Ball Valves Implanted in the Aortic and Mitral Positions for 27 Years: Report of a Rare Surgical Case

Dementia with a Prosthetic Aortic Valve

Contact Info

Product

Resources

About