Key result
Surgical periprosthetic leak repair without valve replacement shows stable clinical improvement at one month.
Case Report (n=1)
Successful repair of a periprosthetic leak 28 years after Starr-Edwards mitral valve implantation demonstrates the durability of the caged-ball valve and feasibility of complex reoperation.
May inform individualized valve surgery in select cases; leaves open durability and generalizability pending prospective data.
In this case report, we present a patient 28 years after mitral valve replacement with the Starr-Edwards prosthesis complicated by periprosthetic leak with severe aortic stenosis and moderate tricuspid regurgitation. We successfully repaired the periprosthetic regurgitation in a patient with extensive mitral annular calcification, without replacement of the valve. No apparent structural deterioration on the caged-ball valve was found. Moreover, aortic valve replacement and tricuspid annuloplasty were performed. One month after reoperation, the patient remained stable with improved clinical status and without any evidence for further paravalvular leak.
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Antończyk et al. (2013) conducted a case report in Periprosthetic leak, severe aortic stenosis, and moderate tricuspid regurgitation (n=1). Paraprosthetic leak closure, aortic valve replacement, and tricuspid annuloplasty was evaluated on Clinical status and paravalvular leak at 1 month. Surgical repair of a periprosthetic leak without valve replacement, combined with aortic valve replacement and tricuspid annuloplasty, resulted in stable clinical improvement at 1 month.
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