Key result
Starr-Edwards aortic valve requires successful re-replacement after 45 years due to pannus and wear.
Why the study?
Long-term outcomes and causes of dysfunction in Starr-Edwards Ball Valve prostheses after decades of implantation are not well documented.
Case Report (n=1)
Highlights rare 45-year Starr-Edwards durability in one case; leaves open optimal surveillance for late pannus and cloth wear.
Starr-Edwards Ball Valve to treat aortic valve stenosis when he was 28 years old. In April 2015, he was admitted with cardiac failure of NYHA III. Echocardiography showed a remarkable increase of aortic valve pressure gradient and progressive change in mitral valve stenosis and tricuspid valve regurgitation. The Starr-Edwards Ball Valve was replaced using a CEP MAGNA EASE prosthesis, the mitral valve was replaced using a CEP MAGNA MITRAL EASE prosthesis with tricuspid annuloplasty using the MC3 ring. Cloth wear of the Starr-Edwards Ball Valve cage and all-round pannus formation under the valve seat was found at the operation, and the cause of the higher pressure gradient may have been the pannus. The postoperative period of this case following the initial aortic valve implantation of the Starr-Edwards Ball Valve is the longest known in Japan as far as we could discover. Jpn. J. Cardiovasc. Surg. 48 : 327 - 329
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Futamura et al. (2019) conducted a case report in Aortic valve stenosis and heart failure (n=1). Aortic valve re-replacement was evaluated. A 72-year-old man successfully underwent aortic valve re-replacement 45 years after initial implantation of a Starr-Edwards Ball Valve, with failure attributed to pannus formation and cloth wear.
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